Use of Electronic Consultation System to Improve Access to Care in Pediatric Hematology/Oncology
Use of Electronic Consultation System to Improve Access to Care in Pediatric Hematology/Oncology
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DOI：
10.1097/mph.0000000000000833
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发表时间：
2017-10-01
影响因子：
1.2
通讯作者：
Lai, Lillian
中科院分区：
文献类型：
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作者：
Johnston, Donna L.;Murto, Kimmo;Lai, Lillian
背景：电子咨询（eConsult）允许初级保健提供者和专家之间以异步方式进行沟通。本研究调查了加拿大渥太华儿童血液学/肿瘤学的提供者满意度、感兴趣的主题和eConsult的效率。方法：我们对2014年6月1日至2016年5月31日使用Champlain BASE（通过会诊建立专家访问渠道）会诊服务向儿童血液学/肿瘤学专家咨询的所有病例进行了横断面评估。结果：研究期间儿科就诊1064例，儿科血液学/肿瘤学就诊占8%（85例）。在同一研究期间，在儿童血液学/肿瘤学诊所看到了524例咨询。大多数结果是血液学（90.5%），而肿瘤学（9.5%）。最常见的主题是贫血、血液病、出血性疾病和血栓形成状态。初级保健提供者对eConsult服务的评价非常高，他们的评价非常积极。咨询服务导致原来计划要求面对面专家访问的咨询推迟了40%。结论：本研究显示eConsult服务在儿童血液学/肿瘤学中的成功实施和使用，避免了大量的面对面咨询。共同主题确定了继续医学教育的领域。
Background: Electronic consultations (eConsult) allow for communication between primary care providers and specialists in an asynchronous manner. This study examined provider satisfaction, topics of interest, and efficiency of eConsult in pediatric hematology/oncology in Ottawa, Canada.Methods: We conducted a cross-sectional assessment of all eConsult cases directed to pediatric hematology/oncology specialists using the Champlain BASE (Building Access to Specialists through eConsultation) eConsult service from June 1, 2014 to May 31, 2016.Results: There were 1064 eConsults to pediatrics during the study timeperiod and pediatric hematology/oncology consults accounted for 8% (85). During the same study timeperiod, 524 consults were seen in the pediatric hematology/oncology clinic. The majority of the eConsults were for hematology (90.5%) in contrast to oncology topics (9.5%). The most common topics were anemia, hemoglo-binopathy, bleeding disorder, and thrombotic state. Primary care providers rated the eConsult service very highly, and their comments were very positive. The eConsult service resulted in deferral of 40% of consults originally contemplated to require a face-to-face specialist visit.Conclusions: This study showed successful implementation and use of the eConsult service for pediatric hematology/oncology and resulted in avoidance of a large number of face-to-face consultation. The common topics identified areas for continuing medical education.