Provider Satisfaction With Virtual Specialist Consultations in a Family Medicine Department
Provider Satisfaction With Virtual Specialist Consultations in a Family Medicine Department
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DOI：
10.1097/hcm.0b013e318196def8
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发表时间：
2009-01-01
影响因子：
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通讯作者：
Robrer, James E.
中科院分区：
文献类型：
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作者：
Angstman, Kurt B.;Adamson, Steven C.;Robrer, James E.
1家大型多专科诊所的初级保健医生正在订购虚拟会诊，以取代与专家面对面的就诊。虚拟会诊涉及医生之间的电子通信，包括交换医疗信息。本研究的目的是通过电子邮件调查来评估供应商对风险投资的满意度。虽然56家家庭医疗服务提供者中约有30%在风险投资系统实施一年多后没有尝试过，或者说他们经常忘记风险投资是一种选择，但大多数接受调查的提供者（73%）认为风险投资提供了良好的医疗服务。大多数人（65%）认为风险投资对我们部门来说是一个成本效益高、效率高的工具。大多数专家（81%）报告说，风险投资有效地利用了他们的时间，67%的人表示，风险投资比电话或寻呼机联系的破坏性要小。只有5%的人认为风险投资公司没有提供良好的医疗服务。尽管我们的一些初级保健提供者对风险投资充满热情，但其他一些人却不愿意采用这种创新。提供风险投资的专家往往是支持的。这既说明了将电子保健创新纳入初级保健实践的困难，也说明了提高效率的潜力。
Virtual consultations (VCs) are being ordered by primary care physicians in 1 large multispecialty clinic, replacing face-to-face visits with specialists. Virtual consultations involve electronic communication between physicians, including exchanging medical information. The purpose of this study was to assess provider satisfaction with VCs via e-mail survey. Although approximately 30% of the 56 family medicine providers had not tried the VC system after it had been in place for over a year or said that they often forgot that VCs were an option, most of the providers surveyed (73%) felt that VCs provided good medical care. A majority felt that VCs are a cost-effective and efficient tool for our department (65%). Most specialists (81%) reported that VCs were an efficient use of their time, and 67% said that VCs were less disruptive than contacts by telephone or pager. Only 5% felt that VCs do not provide good medical care. Although several of our primary care providers have been enthusiastic about VCs, others have been reluctant to adopt this innovation. Specialists providing VCs tended to be supportive. This illustrates both the difficulty of incorporating e-health innovations in primary care practice and the potential for increased efficiency.