使用eConsult的模式:对使用进行了回顾性分析,比较了在学术医疗中心部署的两个模型
Stephanie Grim1, Devin Miller1, Ellen Mooneyhan1
1Peer Mentored Care Collaborative, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Journal of telemedicine and telecare
|November 13, 2024
概括
内部电子咨询 (eConsults) 显示持续增长,与外部模型不同. 这项研究比较了它们的利用率,响应时间和转化率,以告知未来的医疗保健服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 学术医学 学术医学
背景情况:
- 学术医疗中心 (AMC) 越来越多地采用电子咨询 (eConsults),以加强沟通和专家访问.
- 了解不同eConsult模型的比较好处和使用模式至关重要,因为它们变得越来越普遍.
研究的目的:
- 为了比较内部AMC eConsult程序与外部枢纽模型的利用趋势,关键性能指标和提供商参与度.
- 确定可能影响不同eConsult实施策略的成功和可持续性的因素.
主要方法:
- 从一个学术医疗中心的eConsult数据的回顾性,描述性分析.
- 衡量指标的比较,包括使用率增长,专业分销,转换率,响应时间和供应商订单模式.
主要成果:
- 内部AMC eConsult计划在六年内表现出持续增长,而外部枢纽则出现了最初的增长,随后出现了下降.
- 在这两种模型中,内分泌学是eConsults中最常见的专业. 外部枢纽对面访问的转化率较高 (22%对14%),但内部AMC程序提供更快的中位响应时间 (17对23小时).
- 医生主要在AMC程序中订购电子咨询 (68%),而医生助理是外部枢纽的主要用户 (40%). 在这两项计划中,大约30%的提供商只使用过该系统一次.
结论:
- 内部和外部的eConsult程序展示了不同的利用轨迹和性能特征.
- 结果可以指导eConsult服务的最佳设计和实施,以提高医疗保健效率和AMC内的患者访问.
- 该研究强调了调整eConsult策略以满足特定机构需求和当地护理模式的重要性.
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