Can telemedicine be used to improve communication between primary and secondary care?

Can telemedicine be used to improve communication between primary and secondary care?
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DOI:
10.1136/bmj.313.7069.1377
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发表时间:
1996-11-30
影响因子:
--
通讯作者:
Wallace, P
Wallace, P
中科院分区:
医学1区
文献类型:
--
作者:
Harrison, R;Clayton, W;Wallace, P

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测试电话会议常规门诊咨询的可行性和可接受性。设计-全科医生的电话会议门诊转诊的探索性试验。设置-内城教学医院和周围的全科实践。主题-与医院门诊诊所相关的六种全科实践。主要结果测量-用自我管理问卷测量参与者的满意度水平。结果-在10个不同的专业进行了54次远程会诊。很少遇到严重的技术问题,和高水平的满意度的咨询报告的患者,医院的专家,和全科医生。结论-conferenced咨询常规门诊转诊与全科医生的共同参与是可行的。这些可能对改善初级和二级保健之间的沟通有重要的潜在好处。
Objective-To test feasibility and acceptability of teleconferencing routine outpatient consultations.Design-Exploratory trial of teleconferenced outpatient referrals of general practitioners.Setting-An inner city teaching hospital and surrounding general practices.Subjects-Six general practices linked to hospital outpatient clinics.Main outcome measures-Levels of participants' satisfaction measured with self administered questionnaires.Results-54 teleconsultations were performed in 10 different specialties. Few serious technical problems were encountered, and high levels of satisfaction with the consultations were reported by patients, hospital specialists, and general practitioners.Conclusions-Teleconferenced consultations for routine outpatient referrals with joint participation of general practitioner were feasible. These may have an important potential benefit for improving communication between primary and secondary care.