在市中心的一般实践中使用电子咨询系统:一种混合方法的评估服务
1Suttons Wharf Health Centre, London, UK katherine.leung@nhs.net.
BMJ open quality
|August 4, 2025
概括
电子咨询 (e-consultations) 改善了接入,但却造成了一些意想不到的后果,如临床医生倦怠和患者与医生的关系紧张. 进一步评估对于优化这些数字健康工具至关重要.
科学领域:
- 数字健康数字健康
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19大流行,医疗保健领域加速采用电子咨询 (e-consultation) 工具.
- 虽然电子咨询旨在提高访问和效率,但先前的研究表明可能会产生意想不到的后果.
研究的目的:
- 调查患者和工作人员在一般实践中使用电子咨询工具的经验.
- 为了评估电子咨询的使用和影响,两年后的流行病发作.
主要方法:
- 在市内一般实践中对eConsult工具的混合方法服务评估.
- 对972次电子咨询 (2022年6月至8月) 的定量分析和对18次患者和工作人员采访的定性主题分析.
主要成果:
- 76%的电子咨询导致了面对面或电话预约;21%的结果是14天内重新咨询.
- 患者报告说,获得改善了,但也对沟通和患者与医生的关系产生了负面影响.
- 电子咨询超出了实践能力,导致临床医生的倦怠和对其目的的不同看法.
结论:
- 评估电子咨询工具至关重要,以符合患者和工作人员的需求.
- 确定的好处被影响工作量,沟通和患者与医生的关系的意外后果所抵消.
更多相关视频
相关概念视频
Methods of Documentation VII: EMR
913
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
913
Integrated Healthcare System
1.8K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.8K
Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K
Guidelines and Strategies for Safe Computer Charting
877
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
877
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Methods of Documentation VI: Case Management Model
628
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
628


