在学术医疗中心治疗头痛的eConsult计划对医疗保健利用的影响
Margaret H Downes1, Rachelle Morgenstern2, Georges Naasan2
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of telemedicine and telecare
|October 30, 2023
概括
头痛患者的专业间咨询 (eConsults) 减少了门诊神经病学诊所的访问,但没有影响急诊室的使用. 这项研究突出了eConsults的重点.
科学领域:
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 跨专业咨询 (eConsults) 显示了减少医疗保健利用的潜力.
- 电子咨询对头痛患者医疗保健利用的影响尚不清楚.
研究的目的:
- 通过eConsult评估的头痛患者之间的医疗保健利用率与面对面的转诊进行比较.
- 评估eConsults对门诊和急诊室因头痛而遇到的短期影响.
主要方法:
- 追溯, 1:1匹配的队列研究在西奈山卫生系统.
- 匹配了74名头痛eConsult患者与74名面对面转诊的患者.
- 主要结局:在6个月内与头痛相关的门诊接触;次要:神经学和ED接触.
主要成果:
- 在eConsult组的门诊患者中,与头痛相关的遭遇率 (29.7%与62.2%) 和所有原因的神经学遭遇率 (33.8%与79.7%) 显著降低.
- 两组之间与头痛相关的急诊室遭遇没有显著差异.
- 多变量分析证实eConsult患者的神经学接触的几率较低 (OR 0.3-0.1).
结论:
- 头痛eConsult与人身转诊相比,与短期门诊神经病学利用率的减少有关.
- 电子咨询没有显著改变与头痛相关的急诊室使用情况.
- 需要进一步的前性研究来验证发现并评估患者的长期结果.
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