A Proposed COVID-19 Testing Algorithm

ABSTRACTThe 2019 coronavirus disease (COVID-19) pandemic has led to physical distancing measures in numerous countries in an attempt to control the spread. However, these measures are not without cost to the health and economies of the nations in which they are enacted. Nations are now looking for methods to remove physical distancing measures and return to full functioning. To prevent a massive second wave of infections, this must be done with a data-driven methodology. The purpose of this article is to propose an algorithm for COVID-19 testing that would allow for physical distancing to be scaled back in a stepwise manner, which limits ensuing infections and protects the capacity of the health care system.

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The Future of a Data‐Driven, Value‐Based Health Care System

AORN Journal ◽

10.1002/aorn.12672 ◽

2019 ◽

Vol 109 (5) ◽

pp. 565-566

Author(s):

Dave Plank

Keyword(s):

Health Care ◽

Health Care System ◽

Data Driven ◽

The Future ◽

Care System

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Monsoon vicissitude in COVID-19 and the vulnerable Indian health care system: an urgent call to circumvent the impending doom

Journal of Ideas in Health ◽

10.47108/jidhealth.vol3.issspecial2.83 ◽

2020 ◽

Vol 3 (Special2) ◽

pp. 266-267

Author(s):

Prakash Gyandev Gondode ◽

Abhinav Vilas Lambe ◽

Omshubham Gangadhar Asai

Keyword(s):

Health Care ◽

Health Care System ◽

Comprehensive Evaluation ◽

Monsoon Season ◽

Health Care Systems ◽

Swine Flu ◽

Endemic Diseases ◽

Care Systems ◽

Second Wave ◽

Care System

With the escalating number of covid-19 positive cases and amidst the glooming shadows of an anticipated second wave of the covid-19 pandemic, the health care system of a developing country like India is already under pressure. With the encroachment of monsoon season, the ghosts of the past haunt India. Monsoon brings along endemic diseases like dengue, malaria, swine flu, Japanese encephalitis, chikungunya, etc. Every year there is significant morbidity and mortality. These diseases have clinical features of fever, sore throat, and body aches in common, which also happens to be the common manifestations of covid-19. The growing stigma related to COVID-19, the fake news, and fear related to hospitalization and isolation may lead to low reporting cases to the hospitals. Lockdown and non-availability of beds may perplex the situation further. There is an urgent need of the hour to address this grave issue to prevent a major mishappening. A comprehensive evaluation of the health-care systems is desperately needed, especially on the fronts of governance, decision making, scientific and technical advice, and operational capacity.

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The second wave of COVID-19: effect on Indian health care system

Hormone Molecular Biology and Clinical Investigation ◽

10.1515/hmbci-2021-0040 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Ashok Kumar Ahirwar ◽

Kirti Kaim ◽

Pradeep Ahirwar ◽

Puja Kumari Jha

Keyword(s):

Health Care ◽

Health Care System ◽

Indian Health ◽

Second Wave ◽

Care System

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Modeling the impact of social distancing, testing, contact tracing and household quarantine on second-wave scenarios of the COVID-19 epidemic

10.1101/2020.05.06.20092841 ◽

2020 ◽

Cited By ~ 28

Author(s):

Alberto Aleta ◽

David Martin-Corral ◽

Ana Pastore y Piontti ◽

Marco Ajelli ◽

Maria Litvinova ◽

...

Keyword(s):

Health Care ◽

Health Care System ◽

Demographic Data ◽

Herd Immunity ◽

Contact Tracing ◽

Social Distancing ◽

Mobility Data ◽

The Impact ◽

Second Wave ◽

Care System

The new coronavirus disease 2019 (COVID-19) has required the implementation of severe mobility restrictions and social distancing measures worldwide. While these measures have been proven effective in abating the epidemic in several countries, it is important to estimate the effectiveness of testing and tracing strategies to avoid a potential second wave of the COVID-19 epidemic. We integrate highly detailed (anonymized, privacy-enhanced) mobility data from mobile devices, with census and demographic data to build a detailed agent-based model to describe the transmission dynamics of SARS-CoV-2 in the Boston metropolitan area. We find that enforcing strict social distancing followed by a policy based on a robust level of testing, contact-tracing and household quarantine, could keep the disease at a level that does not exceed the capacity of the health care system. Assuming the identification of 50% of the symptomatic infections, and the tracing of 40% of their contacts and households, which corresponds to about 9% of individuals quarantined, the ensuing reduction in transmission allows the reopening of economic activities while attaining a manageable impact on the health care system. Our results show that a response system based on enhanced testing and contact tracing can play a major role in relaxing social distancing interventions in the absence of herd immunity against SARS-CoV-2.

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Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

Perspectives on Telepractice ◽

10.1044/teles4.1.23 ◽

2014 ◽

Vol 4 (1) ◽

pp. 23-29

Author(s):

Constance Hilory Tomberlin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Patient Care ◽

Health Care System ◽

Gulf Coast ◽

New Technology ◽

Cost Effective ◽

Veterans Health ◽

Potential Benefits ◽

Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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