远程医疗对会诊时间的影响。

The effect of telemedicine on consultation time.

作者信息

Baldwin Lynne, Clarke Malcolm, Hands Linda, Knott Mary, Jones Russell

机构信息

Department of Information Systems and Computing, Brunel University, UK.

出版信息

J Telemed Telecare. 2003;9 Suppl 1:S71-3. doi: 10.1258/135763303322196420.

DOI:10.1258/135763303322196420

PMID:12952731

Abstract

We have implemented an 'evidence-based referral' for primary care patients in dermatology, cardiology and peripheral vascular disease. Telemedicine clinics bring together a district nurse, patient and vascular surgeon to discuss diagnosis, management and care. During a 30-month study, a total of 30 patients participated in telemedicine clinics. The mean consultation time fell from 23 to 10 min. In parallel, the type of consultation changed from dermatology to vascular surgery. Nineteen patients participated in vascular telemedicine clinics over the last 16 months of the study. The average consultation time was 10 min (SD 1), which included discussion of the case and negotiation of its management. The average consultation time in the equivalent outpatient clinic in the same hospital for the same consultant was 15 min. The acquisition of the relevant information in primary care could lead to a reduction of 75% in outpatient clinic appointments.

摘要

我们已为皮肤科、心脏病科和外周血管疾病的初级护理患者实施了“循证转诊”。远程医疗诊所将地区护士、患者和血管外科医生聚集在一起，讨论诊断、管理和护理问题。在一项为期30个月的研究中，共有30名患者参加了远程医疗诊所。平均会诊时间从23分钟降至10分钟。与此同时，会诊类型从皮肤科转变为血管外科。在研究的最后16个月里，有19名患者参加了血管远程医疗诊所。平均会诊时间为10分钟（标准差为1），其中包括病例讨论及其管理协商。同一家医院同一顾问的同等门诊诊所的平均会诊时间为15分钟。在初级护理中获取相关信息可使门诊预约减少75%。