日本的全科医生使用基于互联网/应用程序的电子咨询来解决患者的问题:一项描述性观察性研究
Taku Harada1,2, Toru Morikawa3,4, Hiroki Furuya5
1Department of General Medicine, Nerima Hikarigaoka Hospital, Nerima, JPN.
Cureus
|January 1, 2025
概括
这项研究表明,基于互联网/应用程序的电子咨询 (e-consult) 系统有效地解决了日本全科医生的52%的临床问题,全科医生满意度高,专家反应快.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 远程医疗远程医疗
背景情况:
- 电子咨询 (e-consults) 是数字工具,可以改善医疗保健的获取和信息交换.
- 一般医生可以利用电子咨询平台与专家联系.
- 评估电子咨询系统的有效性和利用对于医疗保健的进步至关重要.
研究的目的:
- 描述在日本使用基于互联网/应用程序的电子咨询系统.
- 评估电子咨询在解决全科医生提出的临床问题的有效性.
- 在电子咨询平台中测量GP满意度和响应时间.
主要方法:
- 一项涉及全科医生和医院专家的描述性研究,使用基于互联网/应用程序的电子咨询系统.
- 从2020年5月到2021年10月收集的数据.
- 结果指标包括解决率,计划确定率,GP满意度,响应时间和聊天次数.
主要成果:
- 在329个确定的案件中,分析了91个,仅使用电子咨询就有52%的解决率.
- 在91%的案例中,通过电子咨询确定了一个计划.
- 一般医生报告高满意度 (中位数为5/5),初始专家反应迅速 (中位数为一个聊天,在两个小时内).
结论:
- 基于互联网/应用程序的电子咨询系统有效地支持全科医生管理各种医疗问题.
- 该系统显示出在日本医疗保健领域作为一个有价值的工具的潜力.
- 建议进行进一步的大规模研究,以建立电子咨询作为日本的基准.
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