Electronic consultation impact from the primary care clinician perspective: Outcomes from a national sample
| Autor: | Jaime Jurado, Anna Potapov, Candy Magana, Margae Knox, J. Nwando Olayiwola, Alden Gordon, Delphine S. Tuot |
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| Rok vydání: | 2018 |
| Předmět: |
Health Informatics
Sample (statistics) Telehealth Primary care Distance Counseling 03 medical and health sciences 0302 clinical medicine Nursing eHealth Electronic Health Records Humans 030212 general & internal medicine Retrospective Studies Remote Consultation Primary Health Care Electronic consultation Communication 030503 health policy & services Perspective (graphical) Mobile Applications Telemedicine Asynchronous communication Female 0305 other medical science Psychology |
| Zdroj: | Journal of Telemedicine and Telecare. 25:493-498 |
| ISSN: | 1758-1109 1357-633X |
| Popis: | IntroductionElectronic consultations (eConsults) provide asynchronous, store-and-forward communication between primary care clinicians (PCCs) and specialists using web-based platforms, electronic health records or mobile applications. eConsults have demonstrated benefits in many areas of the Quadruple Aim, including educational value for PCCs. In this study, we explored the connection between eConsults and the Quadruple Aim using a unique national dataset of PCC-reported eConsult outcomes.MethodsWe conducted a retrospective study analysing registry data from the RubiconMD electronic consultation platform used by PCCs in 34 US states. We analysed PCC-reported outcomes from eConsults that took place between March 2017 and January 2018. PCCs were asked to select one or more of the following options after each eConsult: improved care plan, educational, avoided unnecessary diagnostics/procedures, avoided referral altogether or to wrong specialty, or no effect.ResultsPCCs reported an outcome for 3872 eConsults. eConsults for dermatology, endocrinology, and haematology-oncology were most common. Over one in four PCCs reported that the eConsult avoided a referral altogether or to the wrong specialty (26.3%) and avoided unnecessary diagnostics/procedures (26.1%). In 75% of eConsults, PCCs reported an improved care plan. Fifty percent reported that the eConsult was educational.DiscussionPCCs in diverse practice settings reported substantial benefits from eConsults. In over half of eConsults, PCCs reported that the eConsult avoided unnecessary diagnostics/procedures, avoided a referral altogether or avoided a referral to the wrong specialty. Findings suggest that eConsults demonstrate important educational benefits, but may also influence PCC decision-making in a way that yields tremendous cost-saving potential and improved patient experience. |
| Databáze: | OpenAIRE |
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