Search

The Extramural Leiden University Medical Center Academic Network (ELAN) is a data infrastructure in the Netherlands that combines healthcare data from various sources to improve patient care and health outcomes through research collaborations. The data includes information on 2.6 million individuals residing in South Holland province since 2007, with coded clinical measurements, morbidities, medication use, and social determinants of health. The document also provides data on characteristics of different countries, including population, gender distribution, age, urbanization, disposable household income, education level, and country of origin. The ELAN database contains information from general practitioners, hospitals, mental healthcare organizations, and national and municipal sources, covering medical information, pregnancies, births, and social determinants of health. The data is pseudonymized, linked across sources, and undergoes harmonization for research projects. While there are limitations to the data, researchers can request access for approved collaborative projects. [Extracted from the article]

Despite significant efforts, the COVID-19 pandemic has put enormous pressure on health care systems around the world, threatening the quality of patient care. Telemonitoring offers the opportunity to carefully monitor patients with a confirmed or suspected case of COVID-19 from home and allows for the timely identification of worsening symptoms. Additionally, it may decrease the number of hospital visits and admissions, thereby reducing the use of scarce resources, optimizing health care capacity, and minimizing the risk of viral transmission. In this paper, we present a COVID-19 telemonitoring care pathway developed at a tertiary care hospital in the Netherlands, which combined the monitoring of vital parameters with video consultations for adequate clinical assessment. Additionally, we report a series of medical, scientific, organizational, and ethical recommendations that may be used as a guide for the design and implementation of telemonitoring pathways for COVID-19 and other diseases worldwide. [ABSTRACT FROM AUTHOR]