传染病的eConsult:一个叙事审查
Hideharu Hagiya1, Shinnosuke Fukushima1, Hidemasa Akazawa1
1Department of Infectious Diseases, Okayama University Hospital, Okayama 7008558, Japan.
概括
在传染病 (ID) 领域的电子咨询 (eConsults) 改善了护理准入,减少了转诊. 本综述综合了一些研究,表明eConsults可以提高抗菌药物的使用和患者的治疗结果,特别是在资源有限的环境中.
科学领域:
- 传染性疾病 传染性疾病
- 医疗信息学 医疗信息学
- 远程医疗远程医疗
背景情况:
- 异步电子咨询 (eConsult) 对传染病 (ID) 管理至关重要.
- 电子咨询可以提高获得专业护理的机会,并尽量减少不必要的转诊.
- 本研究提供了对ID eConsult计划的比较视角.
研究的目的:
- 综合关于ID eConsult的已发表研究.
- 提供ID eConsult计划的全面概述.
- 为ID eConsult提出未来的研究方向.
主要方法:
- 在MEDLINE数据库中进行了系统搜索.
- 确定了2017年至2025年间发表的11项专注于ID eConsult的研究.
- 数据提取包括研究特征,咨询方法和结果.
主要成果:
- 门诊ID电子咨询显示了更快的交付时间,减少了面对面的转诊 (24-87%),优化了抗菌素的使用,以及提供者的高满意度.
- 住院ID电子咨询与死亡率和再入院率的降低有关.
- 住院ID eConsults还减少了广泛抗生素的使用.
结论:
- ID eConsult模型具有成本效益和可扩展性,有利于资源有限的设置.
- ID电子咨询可以有效地取代传统的咨询.
- 这种方法减少了对非正式商的依赖.
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