通过安大略省eConsult改善在惩戒设施获得专业护理的机会
Danica Goulet1,2, Claire Sethuram1, Erin Keely2,3,4
1C. T. Lamont Primary Healthcare Research Centre, Bruyère Health Research Institute, Ottawa, Ontario, Canada.
PloS one
|December 3, 2024
概括
电子咨询 (eConsults) 有效地改善了联邦惩戒设施中初级保健提供者获得专业医疗建议的机会. 这项服务减少了对面预约的需求,降低了被监禁人员的成本和安全风险.
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
- 惩戒医疗保健 惩戒医疗保健 惩戒医疗保健
背景情况:
- 惩戒机构的初级保健提供者 (PCP) 面临着获得多专业医疗咨询的挑战.
- 监禁人员有独特的医疗保健需求,需要及时提供专家意见.
- 电子咨询 (eConsult) 平台提供了一个潜在的解决方案来弥合这一差距.
研究的目的:
- 评估联邦惩戒设施中PCP的安大略省eConsult服务的可访问性和实用性.
- 评估eConsult对监禁人口提供专业护理的影响.
- 确定最常使用的专业咨询类型.
主要方法:
- 在2019年4月至2023年3月期间提交的eConsults的回顾性,横截面,描述性分析.
- 数据包括来自联邦惩戒设施的21名PCP完成的906次电子咨询.
- 分析的重点是专业的分布,响应时间,以及对患者护理的影响.
主要成果:
- 心脏病学,皮肤病学和内分泌学是最常见的咨询专业.
- 专家响应时间的中位数为0.9天,每病例的中位数响应时间为15分钟.
- 在34%的病例中,PCP获得了可行的建议,81%的病例避免了面对面的专家预约.
结论:
- 安大略省eConsult服务显著提高了被监禁人员获得多专业咨询的机会.
- "eConsult"减少了对外部,面对面的专家访问的必要性,从而降低了医疗保健成本,并减轻了与囚犯运输相关的安全问题.
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