初级保健和内科之间的电子咨询:实施,可访问性,好处和影响
F J Suárez-Dono1, C Martínez-Rey1, J Novo-Platas2
1Servicio de Medicina Interna, Complexo Hospitalario Universitario de Santiago de Compostela, Av Choupana s/n, Santiago de Compostela, 15706, Spain.
Revista clinica espanola
|June 13, 2024
概括
电子咨询 (e-consults) 是一项临床上有用且安全的工具,用于从初级保健到内科转诊. 这项研究发现,电子咨询有效评估患者,没有提出安全问题.
科学领域:
- 内部医学 内部医学
- 主要护理是指初级护理.
- 医疗信息学 医疗信息学
背景情况:
- 电子咨询 (e-consults) 促进了初级保健医生和专家之间的沟通.
- 评估电子咨询的临床实用性和安全性对于优化患者护理途径至关重要.
研究的目的:
- 评估电子咨询对从初级保健转诊到内科的患者的临床有用性和安全性.
- 分析与使用电子咨询相关的患者结果和安全事件.
主要方法:
- 从2019年9月到2023年12月,对11,434个电子咨询的回顾性队列研究.
- 评估了初始咨询,急诊室访问,住院,生存率,并审查了投诉/索赔.
- 对接受面对面预约和书面答复的患者的结果进行比较.
主要成果:
- 电子咨询显示平均响应时间为2.55天.
- 49.4%的患者获得了面对面的预约,而50.6%的患者获得了书面答复.
- 与没有接到预约的患者相比,面对面预约的患者的急诊率,住院率和一年死亡率更高. 没有投诉或索赔被注册.
结论:
- 电子咨询是临床上有用和安全的工具,用于在初级保健中对患者进行评估.
- 该研究支持将电子咨询整合到临床工作流程中,以实现高效的患者管理.
- 没有任何不良事件或患者投诉与使用电子咨询有关.
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