A minimum reference model for the management of COVID-19 patients.
In order to address all the main aspects related to the prevention, treatment and prognosis of Coronavirus, it is necessary to collect and correlate different types of information.
The patient, prior to infection, may come into contact with several people who can be identified through an app or through a reconstruction of his movements provided by the patient. This determines the epidemiological investigation which, in conjunction with the clinical investigation, provides guidance to the physician to decide on swabbing and/or quarantine.
The patient can be charged to different subjects: public hygiene services, family doctors and/or home care if at home; in nursing homes or RSAs; in hospitals.
In order to manage the patient it is important to track and record all the episodes and events concerning him/her, like as home visits, telephone contacts (automatic or individual), use of a surveillance app, telemedicine and tele-health.
Symptoms and clinical parameters, together with past social, working and clinical conditions (pathologies or deficits), determine the patient’s risk profile and current clinical situation.
The latter could finally be used to compose a sort of “health passport”.
All this information would allow both the creation of clinical dashboards for the individual management and monitoring of patients and a wealth of information useful for examining and measuring the epidemiological progress of COVID-19.
Digital-health 