University of Colorado School of Medicine, Aurora, CO, USA.
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211005303. doi: 10.1177/21501327211005303.
As the COVID-19 health crisis continues to reshape healthcare, systems across the country face increasing pressure to adapt their models of care to expand access to care, while also improving efficiency and quality in the face of limited resources. Consequently, many have shown a growing interest and receptivity to the expansion of telehealth models to help meet these demands. Electronic consultations (eConsults) are a telehealth modality that allow for a non-face-to-face asynchronous consultation between a primary care provider (PCP) and a specialist aimed at facilitating specialist input without the need for a patient visit. The aim of this case study is to describe eConsults, how they differ from traditional in person models of care and other models of telemedicine and to review the evidence related to the effectiveness of eConsults by PCPs and clinicians from multiple specialties at the University of Colorado School of Medicine. We have worked to develop an infrastructure, delivery system integration, and care model adaptations that aim to improve delivery system performance by ensuring proper care in appropriate settings and lowering costs through reduced utilization. Lastly, we have increased care coordination, improved collaboration and better care transitions through strengthening of relationships between community-based PCPs and academic medical center-based specialists. This work has resulted in cost savings to patients and positive provider satisfaction.
随着 COVID-19 健康危机继续重塑医疗保健，全国各地的医疗系统面临着越来越大的压力，需要调整其护理模式，以扩大护理的可及性，同时在资源有限的情况下提高效率和质量。因此，许多人对扩大远程医疗模式表现出越来越大的兴趣和接受度，以帮助满足这些需求。电子咨询（eConsults）是一种远程医疗模式，允许初级保健提供者（PCP）和专家之间进行非面对面的异步咨询，旨在在无需患者就诊的情况下为专家提供意见。本案例研究旨在描述 eConsults，它们与传统的面对面护理模式以及其他远程医疗模式的区别，并回顾科罗拉多大学医学院的 PCP 和来自多个专业的临床医生对 eConsults 有效性的相关证据。我们努力开发基础设施、交付系统集成和护理模式的适应性，旨在通过确保在适当的环境中提供适当的护理和通过减少利用来降低成本，从而提高交付系统的性能。最后，我们通过加强社区初级保健提供者和学术医疗中心专家之间的关系，增加了护理协调，改善了协作和更好的护理过渡。这项工作为患者节省了成本，并提高了提供者的满意度。
