专家获得专业咨询:评估电子咨询服务的使用情况,好处和护理影响
Erin Keely1,2,3, Sheena Guglani1,4, Erik Mitchell1
1eConsult Centre of Excellence, The Ottawa Hospital, Ottawa, Ontario, Canada.
Journal of telemedicine and telecare
|November 8, 2023
概括
专家越来越多地使用电子咨询 (eConsults) 来寻求同行建议,绕过传统的推. 这一趋势在COVID-19大流行期间加速,改善了护理准入,避免了面对面的访问.
科学领域:
- 医疗信息学 医疗信息学
- 医疗服务 研究 研究 研究 医疗服务
- 数字健康数字健康
背景情况:
- 传统医疗推通常从初级保健提供者 (PCP) 到专家.
- 电子咨询 (eConsult) 平台为临床医生提供有关患者护理的及时建议.
- 现有的研究主要集中在PCP向专家发起的eConsults上.
研究的目的:
- 通过安大略省eConsult服务分析专家对专家eConsult的使用情况.
- 确定特定的用例场景,在这种类型的eConsult提供显著的好处.
主要方法:
- 对2019年3月至2021年2月的eConsult数据进行了回顾性,描述性和横截面分析.
- 数据包括专业,咨询时间,地区和关闭调查的转诊结果.
- 审查了3285个专家对专家的电子咨询.
主要成果:
- 专家对专家的eConsult占总eConsult的4%.
- 在COVID-19疫情爆发后,专家对专家电子咨询的数量增加了120%.
- 儿科,内科和内分泌学是提交最多的专业;皮肤病学,神经病学和血液病学是接收最多的专业.
- 在69%的案件中,避免了面对面的转诊.
结论:
- 专家对专家的电子咨询代表了数字卫生服务的日益增长和有价值的组成部分.
- 了解这些使用模式可以扩大eConsult平台的应用和效率.
- 这种服务模式增强了专家合作,并可能简化了患者护理途径.
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