改善获得类风湿病治疗的机会:对类风湿病电子咨询计划的评估.
Sarah J Billups1, Brittney R Fraumeni2, Lisa M Schilling2
1Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, CO.
Arthritis care & research
|November 28, 2025
概括
一个电子咨询 (eConsult) 计划改善了农村患者的风湿病治疗机会. 虽然有效,但需要进一步的提供者教育,以最大限度地提高其对专业护理提供的影响.
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
- 类风湿病学 类风湿病学
背景情况:
- 对于农村和服务不足地区的患者来说,获得专业护理,特别是风湿病,是很大的障碍.
- 传统的转诊途径往往涉及长时间的等待时间和患者的旅行,加剧了访问挑战.
- 电子咨询 (eConsult) 平台提供了一个潜在的解决方案,可以弥合护理供应中的这些差距.
研究的目的:
- 评估一家医院网络内的风湿病eConsult计划的实施和影响.
- 评估该计划在改善不同患者群体获得类风湿病治疗的有效性.
- 确定 eConsult 计划采用和利用的关键促进者和障碍.
主要方法:
- 采用混合方法方法,整合来自电子健康记录和医疗补助申请的定量数据.
- 通过采访与医疗保健提供者收集定性数据,以了解他们与eConsult系统的经验.
- 分析包括患者,提供者和转诊特征,以及护理过程和利用结果.
主要成果:
- 类风湿病eConsult计划在2018年4月至2022年6月期间处理了670次咨询,其中75%通过电子方式解决.
- 转换为传统推的eConsult显示,与传统推 (19%) 相比,180天完成率更高 (36%).
- 提供者采访显示提高了效率和减少了患者的旅行,但强调了需要更好地熟悉和使用平台的需求.
结论:
- "eConsult"计划展示了一种有前途的战略,旨在加强专业护理的获取,特别是对于偏远和服务不足的人群.
- 成功的集成需要持续的提供者教育和强大的系统集成努力,以优化其好处.
- 持续的发展和支持对于最大限度地发挥该计划在改善类风湿病治疗的潜力至关重要.
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