评估加拿大安大略省一个新地区尚普兰BASE™电子咨询服务的实施情况：一项横断面研究。
Evaluating the Implementation of The Champlain BASE™ eConsult Service in a New Region of Ontario, Canada: A Cross-Sectional Study.
作者信息
Liddy Clare, Moroz Isabella, Afkham Amir, Keely Erin
机构信息
Clinician Investigator, C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON.
Research Associate, C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON.
出版信息
Healthc Policy. 2017 Nov;13(2):79-95. doi: 10.12927/hcpol.2017.25320.
OBJECTIVE
To replicate an existing electronic consultation (eConsult) service in a new jurisdiction to test its generalizability.
METHODS
We conducted a cross-sectional study of all eConsults submitted by providers in the region of Mississauga Halton, Ontario, between January 5, 2015, and May 31, 2016. We compared our results to those from the original pilot in Eastern Ontario. The RE-AIM model served as our study framework.
RESULTS
Providers submitted 594 patient cases to 46 different specialty groups during the study period. Specialists responded in a median of 1.1 days, with 75% of cases answered within four days. Providers rated the service as having high or very high value for themselves and their patients in 92% of cases. The service yielded a net program cost of $10,321.56.
CONCLUSION
Our findings resembled those of the initial implementation, though with a faster rate of uptake and lower cost because of the avoidance of start-up and administrative costs.
目的
在一个新的辖区复制现有的电子会诊（eConsult）服务，以测试其普遍性。
方法
我们对2015年1月5日至2016年5月31日安大略省密西沙加-哈尔顿地区的医疗服务提供者提交的所有电子会诊进行了横断面研究。我们将研究结果与安大略省东部最初试点的结果进行了比较。RE-AIM模型作为我们的研究框架。
结果
在研究期间，医疗服务提供者向46个不同的专科小组提交了594例患者病例。专科医生的回复中位数为1.1天，75%的病例在四天内得到回复。在92%的病例中，医疗服务提供者认为该服务对他们自己和患者具有高或非常高的价值。该服务产生的净项目成本为10321.56美元。
结论
我们的研究结果与最初实施的结果相似，不过由于避免了启动和管理成本，采用率更高且成本更低。
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