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Related Experiment Videos

Expert consensus for discharge referral decisions using online delphi.

Kathy H Bowles1, John H Holmes, Mary D Naylor

  • 1University of Pennsylvania School of Nursing, Philadelphia, PA, USA.

AMIA ... Annual Symposium Proceedings. AMIA Symposium
|January 20, 2004
PubMed
Summary

This study found that an online Delphi approach efficiently achieved expert consensus on post-discharge care referrals for older adults. This method is faster and more cost-effective than traditional mail-based consensus-building.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Medical Informatics

Background:

  • Discharge planning for hospitalized older adults requires expert consensus on post-discharge follow-up needs.
  • Traditional consensus methods, like mail-based Delphi, are often time-consuming and inefficient.
  • Optimizing the referral process is crucial for continuity of care and patient outcomes.

Purpose of the Study:

  • To evaluate the effectiveness and efficiency of a modified online Delphi approach for achieving expert consensus on post-discharge referral decisions.
  • To compare the time efficiency of the online Delphi method with traditional mail-based approaches.
  • To identify benefits and challenges associated with using an online platform for expert consensus.

Main Methods:

  • A modified Delphi approach was employed, involving eight discharge planning experts.

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  • Experts reviewed 150 anonymized cases of hospitalized older adults via an online platform.
  • Consensus was sought on the need for post-discharge care referral and the appropriate care setting.

    • Main Results:

    • The online Delphi round for 150 cases was completed in six weeks, significantly faster than the traditional method for 50 cases (eight weeks).
    • Experts found the online Delphi methodology to be time-efficient and acceptable for reaching group consensus.
    • Additional benefits included instant access to results, real-time progress monitoring, and cost savings.

    Conclusions:

    • The online Delphi methodology is a highly recommended, time-efficient, and acceptable approach for achieving expert consensus in discharge planning.
    • This digital approach offers significant advantages over traditional methods in terms of speed, cost, and accessibility.
    • The findings support the broader adoption of online Delphi for similar consensus-building tasks in healthcare research and practice.