仅为推提供者提供咨询的分类:一个使用正式共识方法的试点项目,以确定适合电子咨询的患者
Heather Lochnan1,2, Geetha Mukerji3,4,5,6,7, Erin Keely1,2
1Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
AACE endocrinology and diabetes
|December 30, 2025
概括
内分泌学家现在可以在许多转诊场景中使用eConsultation,改善及时咨询并减少等待时间. 这项研究建立了关于虚拟咨询的适当案例的共识,提高了护理效率.
科学领域:
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 获得及时的内分泌咨询是一个重大挑战.
- 低效的转诊途径导致患者等待时间延长.
- 需要优化内分泌学推过程.
研究的目的:
- 在内分泌学家之间就适合eConsultation的转诊场景达成共识.
- 评估eConsultation在不同内分泌学部门的适用性的一致性.
- 确定适合仅提供咨询的虚拟咨询的特定临床场景.
主要方法:
- 用于生成临床场景的名义组技术.
- 修改后的Delphi流程用于衡量关于eConsultation适用性的专家协议.
- 在两个学术内分泌学部门进行了独立的共识建设轮.
主要成果:
- 在两个地点就eConsultation的适用性达成了高度共识.
- 网站1:78%的共识,有38种场景被认为适用于eConsultation.
- 站点2: 83%的共识,34种场景被认为适合于eConsultation;站点之间的不一致性最小.
结论:
- 对于在内分泌学中使用eConsultation存在高度共识.
- 关于适当的eConsultation场景的共识促进了一致的临床决策.
- 这种方法支持对门诊护理内分泌学转诊的有效分拣.
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