通过电子咨询改善了对骨质疏松专家的访问.
Claire Sethuram1, Warren Brown2, Gurleen Gill3
1C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, Ontario, Canada; Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
概括
初级保健提供者经常使用eConsults进行骨质疏松症治疗和骨密度扫描问题. 通过eConsult提供专家建议及时提供指导,经常在没有转案的情况下解决案件.
科学领域:
- 内分泌学 在内分泌学.
- 初级医疗保健医学 一级医疗保健医学
- 医疗信息学 医疗信息学
背景情况:
- 骨质疏松症的管理需要及时的专家投入.
- 初级保健提供者 (PCP) 在治疗骨质疏松症方面面临着挑战.
- 电子咨询 (eConsult) 平台为专家访问提供了一个潜在的解决方案.
研究的目的:
- 从PCP中确定常见的骨质疏松症相关问题.
- 评估通过eConsult.提供专家建议的影响.
- 评估eConsults在骨质疏松症护理中的效率.
主要方法:
- 骨质疏松症的横截面研究e咨询内分泌学家 (2018年1月至2020年12月).
- 针对临床问题和答案类型编码的eConsult.
- 分析利用数据,响应时间,PCP满意度和推结果.
主要成果:
- 16%的电子咨询 (408/2528) 与骨质疏松症有关.
- 最重要的PCP问题:开始治疗 (35%),初始治疗选择 (25%),BMD扫描频率 (15%).
- 专家推:骨髓瘤扫描 (34%),开始治疗 (24%),双酸盐治疗 (23%). 平均响应时间:3.1天. 84%的案件在没有提交的情况下得到解决.
结论:
- 骨质疏松eConsults提供及时的专家咨询,减少不必要的面对面访问.
- 识别出常见的PCP问题可以指导未来的专业发展.
- 电子咨询改善了获得专家骨质疏松症管理指导的机会.
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