改善风湿科医生的就诊机会：电子咨询服务的使用和获益。
Improving Access to Rheumatologists: Use and Benefits of an Electronic Consultation Service.
机构信息
From the Department of Medicine, University of Ottawa; Division of Rheumatology, The Ottawa Hospital; Department of Family Medicine, University of Ottawa; C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute; Champlain Local Health Integration Network; Ottawa Hospital Research Institute, Clinic; Division of Endocrinology/Metabolism, Ottawa Hospital, Ottawa, Ontario, Canada.
K. Rostom, MD, Department of Medicine, University of Ottawa; C.D. Smith, MD, FRCPC, Department of Medicine, University of Ottawa, and Division of Rheumatology, The Ottawa Hospital; C. Liddy, MD, MSc, CCFP, FCFPC, Department of Family Medicine, University of Ottawa, and C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute; A. Afkham, Champlain Local Health Integration Network; E. Keely, MD, FRCPC, Department of Medicine, University of Ottawa, Ottawa Hospital Research Institute, Clinic, and Division of Endocrinology/Metabolism, Ottawa Hospital.
出版信息
J Rheumatol. 2018 Jan;45(1):137-140. doi: 10.3899/jrheum.161529. Epub 2017 Nov 1.
OBJECTIVE
To describe the use and benefits of an innovative eConsult service to improve access to rheumatologists.
METHODS
There were 225 eConsults directed to rheumatology that were categorized by type of question and effect on face-to-face referral rates.
RESULTS
The median response time by the rheumatologists was 1.9 days. Clinical questions included drug treatment (34%), diagnosis (26%), or management (14%). Osteoporosis was the most common diagnosis (22%), followed by pain in multiple joints (11%), and polyarthritis (10%). A face-to-face referral was avoided in 38% of cases.
CONCLUSION
There are clinical questions that can be answered quickly by an eConsult, improving access to rheumatologists.
目的
描述一种创新的电子咨询服务的使用和益处，以改善风湿病患者的就诊机会。
方法
共有 225 例电子咨询被转介至风湿病学，根据问题类型和对面对面转诊率的影响进行分类。
结果
风湿病医生的平均回复时间为 1.9 天。临床问题包括药物治疗（34%）、诊断（26%）或管理（14%）。最常见的诊断是骨质疏松症（22%），其次是多个关节疼痛（11%）和多发性关节炎（10%）。有 38%的情况下避免了面对面转诊。
结论
有一些临床问题可以通过电子咨询快速解答，从而改善风湿病患者的就诊机会。
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