了解低于最佳的电子咨询请求:从VA中吸取教训
Ekaterina Anderson1, Ariella Krones, Varsha G Vimalananda
1Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, 200 Springs Rd, Bedford, MA 01730.
The American journal of managed care
|January 3, 2024
概括
临床医生希望有针对性的电子咨询 (e-consults),但由于EHR的局限性和不同的专业知识,他们面临着挑战. 提高电子咨询质量需要解决这些系统性问题,以改善合作.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 改善医疗质量 改善医疗质量
背景情况:
- 电子咨询 (e-consults) 在医疗保健系统中越来越多地用于在没有直接患者接触的情况下提供专家建议.
- 了解临床医生对电子咨询质量的看法对于优化其使用至关重要.
研究的目的:
- 确定初级保健医生 (PCC) 和专家对电子咨询请求质量的看法.
- 探索导致被认为低于最佳的电子咨询请求的因素.
主要方法:
- 在美国退伍军人事务部 (VA) 新英格兰医疗保健系统进行的定性研究.
- 对35名PCC和38名心脏病,神经病和肺病专家的专题分析采访.
主要成果:
- PCC和专家都同意,电子咨询应该集中,简洁,并包含足够的初步数据.
- 专家们报告说,他们对电子咨询请求感到丧,并将EHR接口问题,不同的专业知识和组织压力列为关键障碍.
结论:
- 临床医生的观点强调需要解决电子健康记录的局限性和专业间的沟通差距,以提高电子咨询的质量.
- 结果为卫生系统提供可转移的见解,旨在通过电子咨询加强临床医生的合作和护理协调.
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