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1.
Preprint en Inglés | medRxiv | ID: ppmedrxiv-20144964

RESUMEN

The global impact of COVID-19 pandemic has increased the need to rapidly develop and improve utilization of mobile applications across the healthcare continuum to address rising barriers of access to care due to social distancing challenges and allow continuity in sharing of health information, assist with COVID-19 activities including contact tracing, and providing useful information as needed. Here we provide an overview of mobile applications being currently utilized for COVID-19 related activities. We performed a systematic review of the literature and mobile platforms to assess mobile applications been currently utilized for COVID-19, and quality assessment of these applications using the Mobile Application Rating Scale (MARS) for overall quality, Engagement, Functionality, Aesthetics, and Information. Finally, we provide an overview of the key salient features that should be included in mobile applications being developed for future use. Our search identified 63 apps that are currently being used for COVID-19. Of these, 25 were selected from the Google play store and Apple App store in India, and 19 each from the UK and US. 18 apps were developed for sharing up to date information on COVID-19, and 8 were used for contact tracing while 9 apps showed features of both. On MARS Scale, overall scores ranged from 2.4 to 4.8 with apps scoring high in areas of functionality and lower in Engagement. Future steps should involve developing and testing of mobile applications using assessment tools like the MARS scale and the study of their impact on health behaviors and outcomes.

2.
Preprint en Inglés | medRxiv | ID: ppmedrxiv-20126086

RESUMEN

BackgroundThe private medical sector is a resource that must be estimated for efficient inclusion into public healthcare during pandemics. MethodsA survey was conducted among private healthcare workers to ascertain their views on the potential resources that can be accessed from the private sector and methods to do the same. ResultsThere were 213 respondents, 80% of them being doctors. Nearly half (47.4%) felt that the contribution from the private medical sector has been suboptimal. Areas suggested for improved contributions by the private sector related to patient care (71.8%) and provision of equipment (62.4%), with fewer expectations (39.9%) on the research front. Another area of deemed support was maintaining continuity of care for non-COVID patients using virtual consultation services (77.4%), tele-consultation being the preferred option (60%). 58.2% felt that the Government had not involved the private sector adequately; and 45.1% felt they should be part of policy-making. ConclusionA streamlined pathway to facilitate the private sector to join hands with the public sector for a national cause is the need of the hour. Through our study, we have identified gaps in the current contribution by the private sector and identified areas in which they could contribute, by their own admission.

3.
Preprint en Inglés | medRxiv | ID: ppmedrxiv-20061333

RESUMEN

BackgroundThe healthcare system in India faces an acute shortage of front-line doctors to fight the Covid-19. Thus, the recruitment of undergraduate medical students into the health care force is being considered by many state governments. A survey was conducted amongst undergraduate medical students to understand their knowledge, attitude, and preparedness towards the ongoing pandemic. MethodsAn anonymized survey on a cloud-based website (Survey Monkey(R)) comprising 33 questions was served to medical students. ResultsOf 616 (24.6%) respondents among 2500 invitees across six medical schools in India, most (54.1%) were in the final year of their undergraduate training program. Knowledge regarding viral transmission, clinical features, laboratory diagnosis, and drugs being tried out in Covid-19 was adequate among most students. However, understanding of the incubation period 123 (20%) and time to symptoms 30 (4.8%) was less than satisfactory. Three-fourths (75%) were unaware of the treatment guidelines for Covid-19, and one-quarter (155, 25.1%) were unaware of the required precautions during management. Moreover, 179 (29.1%) were unaware that Covid-19 causes an asymptomatic or minor illness in young individuals. Nearly 70% were reluctant to attend clinics from fear of getting infected or passing on to others. Besides, 250 (40.6%) were not updated on Covid-19, and most (486, 78.9%) resorted to social media for information on Covid-19. ConclusionPrevalent fears and inadequate understanding of Covid-19 suggest that undergraduate medical students are not prepared to be the front-line taskforce in the current pandemic.

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