Centre for Research in Geriatric Medicine, The University of Queensland, Woolloongabba, Queensland, Australia
Centre for Online Health, The University of Queensland, Woolloongabba, Queensland, Australia.
J Telemed Telecare. 2016 Dec;22(8):478-482. doi: 10.1177/1357633X16674088.
The aim of this study was to report the time taken by geriatricians to reach triage decisions using an online assessment format compared with face-to-face (FTF) assessment. Patients (N = 166) were randomly allocated to two groups: online and FTF assessments (OF group); and dual FTF assessments (FF group). Case preparation was conducted by trained nurse assessors using a web-enabled clinical decision support system. Geriatricians allocated to perform an 'online' assessment had access to this information only. Geriatricians allocated FTF assessments reviewed this data, as well as the paper-based medical file and then consulted directly with the patient and attending staff. Data were collected in relation to time taken to complete OL assessments, compared with FTF assessments. A complete OL consultation averages 10 minutes, and a FTF consultation almost 26 minutes. In FTF consultations, less time is spent using the OL material when the geriatrician is aware that they will have access to the patient chart and need time to speak with the patient. The less time taken using the OL approach did not significantly alter the triage decisions made by the geriatricians.
本研究旨在报告使用在线评估格式与面对面（FTF）评估相比，老年病医生做出分诊决策所需的时间。将患者（N=166）随机分配到两组：在线和 FTF 评估（OF 组）；和双重 FTF 评估（FF 组）。由经过培训的护士评估员使用支持网络的临床决策支持系统进行病例准备。分配进行“在线”评估的老年病医生只能访问此信息。分配进行 FTF 评估的老年病医生会查看此数据，以及纸质病历，然后直接与患者和主治医护人员进行协商。收集了与完成 OL 评估相比，完成 FTF 评估所需的时间相关的数据。完整的 OL 咨询平均需要 10 分钟，而 FTF 咨询则需要近 26 分钟。在 FTF 咨询中，当老年病医生知道他们将可以访问患者图表并且需要时间与患者交谈时，使用 OL 材料的时间会减少。使用 OL 方法所花费的时间减少并不会显著改变老年病医生做出的分诊决策。
