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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IPROC</journal-id>
      <journal-id journal-id-type="nlm-ta">iproc</journal-id>
      <journal-title>Iproceedings</journal-title>
      <issn pub-type="epub">2369-6893</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v8i1e41059</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/41059</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Abstract</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Abstract</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Systematic Approaches for Telemedicine and Data Coordination for COVID-19 in Baja California, Mexico</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Dinesen</surname>
            <given-names>Birthe</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes" equal-contrib="yes">
          <name name-style="western">
            <surname>Castillo Olea Jr</surname>
            <given-names>Cristian</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>School of Medicine and Psychology</institution>
            <institution>Autonomous University of Baja California</institution>
            <addr-line>Paque Industrial Tijuana</addr-line>
            <addr-line>Tijuana, 22420</addr-line>
            <country>Mexico</country>
            <phone>52 5574302237</phone>
            <email>castillo.cristian@uabc.edu.mx</email>
          </address>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-8717-7524</ext-link>
        </contrib>
        <contrib id="contrib2" contrib-type="author">
          <name name-style="western">
            <surname>Vera Hernandez Sr</surname>
            <given-names>Carlos</given-names>
          </name>
          <degrees>MSc, PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
        </contrib>
        <contrib id="contrib3" contrib-type="author">
          <name name-style="western">
            <surname>Mendias Alarcon</surname>
            <given-names>Amellaly</given-names>
          </name>
          <degrees>MSc, PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
        </contrib>
        <contrib id="contrib4" contrib-type="author">
          <name name-style="western">
            <surname>Conte Galvan Sr</surname>
            <given-names>Roberto</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>School of Medicine and Psychology</institution>
        <institution>Autonomous University of Baja California</institution>
        <addr-line>Tijuana</addr-line>
        <country>Mexico</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>Department of Electronics</institution>
        <institution>Ensenada Center of Scientific Research and Higher Education</institution>
        <addr-line>Ensenada</addr-line>
        <country>Mexico</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Cristian Castillo Olea Jr <email>castillo.cristian@uabc.edu.mx</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <season>Jan-Dec</season>
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>19</day>
        <month>8</month>
        <year>2022</year>
      </pub-date>
      <volume>8</volume>
      <issue>1</issue>
      <elocation-id>e41059</elocation-id>
      <history>
        <date date-type="received">
          <day>13</day>
          <month>7</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>17</day>
          <month>8</month>
          <year>2022</year>
        </date>
      </history>
      <copyright-statement>©Cristian Castillo Olea Jr, Carlos Vera Hernandez Sr, Amellaly Mendias Alarcon, Roberto Conte Galvan Sr. Originally published in Iproceedings (https://www.iproc.org), 19.08.2022.</copyright-statement>
      <copyright-year>2022</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.iproc.org/2022/1/e41059" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>In 2019, the State of Baja California had a total population of 3,682,063 inhabitants; in the city of Tijuana, there were only 13 Red Cross ambulances and 1 fire department ambulance to attend to the prehospital emergencies of almost 2 million inhabitants.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>This study aimed to provide information to the public; evaluate COVID-19 in real time; and track regional, municipal, and state-wide data in real time that inform supply chains and resource allocation with the anticipation of a surge in COVID-19 cases.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>Our model is based on human-centric design factors and cross-disciplinary collaborations for the scalable, data-driven enablement of smartphone teleconsultation technologies to link hospitals, clinics, and emergency medical services for point-of-care assessments of COVID-19 testing and subsequent treatment and quarantine decisions.</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>The Telehealth System handled 28,964 telephone calls in the period from April 1, 2020, to January 30, 2022, and accumulated 20,287 working hours. In total, 13,721 follow-up calls were made to quarantined patients, providing medical and psychological counseling, and 12,643 calls were received and transferred from the 911 system, of which 4964 calls from patients with respiratory symptoms required urgent ambulance dispatch.</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>Telehealth offers capabilities for remote detection, care, and treatment to help with supervision, surveillance, discovery, and prevention, as well as to mitigate the effects of health care indirectly related to COVID-19.</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>telemedicine</kwd>
        <kwd>COVID-19</kwd>
        <kwd>systems design</kwd>
        <kwd>digital health</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <back>
    <app-group/>
    <fn-group>
      <fn fn-type="conflict">
        <p>None declared.</p>
      </fn>
    </fn-group>
  </back>
</article>
