Innovative Use Of Electronic Consultations In Preoperative Anesthesiology Evaluation At VA Medical Centers In New England
| Autor: | Judith Strymish, Jay D. Orlander, Varsha G. Vimalananda, Melissa K. Afable, Gouri Gupte, Steven R. Simon, Eun Ji Kim, Jessica L Shanahan |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty 020205 medical informatics Hospitals Veterans Safety net Specialty 02 engineering and technology Workflow 03 medical and health sciences 0302 clinical medicine New england Anesthesiology New England Health care 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine ComputingMilieux_THECOMPUTINGPROFESSION business.industry Remote Consultation Health Policy Information technology Middle Aged medicine.disease United States Referral system Female Medical emergency Descriptive research business Delivery of Health Care Medical Informatics |
| Zdroj: | Health Affairs. 37:275-282 |
| ISSN: | 1544-5208 0278-2715 |
| Popis: | Electronic consultations (e-consults) improve access to specialty care without requiring face-to-face patient visits. We conducted a mixed-methods descriptive study to understand the variability in e-consult use across anesthesiology departments in the Veterans Affairs New England Healthcare System (VANEHS). In the period 2012-15, the system experienced a rapid increase in the use of anesthesiology e-consults: 5,023 were sent in 2015, compared with 103 in 2012. Uptake across sites varied from near-universal use of e-consults for preoperative assessment to use for only selected low-risk patients or no use. Interviews with stakeholders revealed considerable differences in the perceived impact of e-consults on workflow and patient-centeredness. Clinicians at sites with high use of e-consults noted that they improved workflow efficiency. In comparison, clinicians at sites with low use preferentially valued face-to-face visits for some or all patients. The adoption of a health information technology innovation can alter the process of care delivery, depending on perceptions of its value by key stakeholders. |
| Databáze: | OpenAIRE |
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