异步全科医生到普通医生电子咨询门诊替代项目的可行性：昆士兰试点研究。
Feasibility of an asynchronous general practitioner-to-general physician eConsultant outpatient substitution program: A Queensland pilot study.
机构信息
PhD, MAppSc, GradDipNutr@Diet, BSc, APD, Research Fellow, Centre for Health System Reform and Integration, Mater Research Institute, University of Queensland, Brisbane, Qld.
PhD, BA (Hons), Senior Research Fellow, Primary Care Clinical Unit, and Deputy Director (Research), Centre for Health System Reform and Integration, Mater Research Institute, University of Queensland, Brisbane, Qld.
出版信息
Aust J Gen Pract. 2021 Nov;50(11):857-862. doi: 10.31128/AJGP-11-20-5707.
BACKGROUND AND OBJECTIVES
The use of an 'eConsultant' to support the family physician is an established outpatient substitution model in North America. This pilot study investigates the feasibility of the eConsultant model for complex chronic disease management within the Australian setting.
METHOD
This pilot study was implemented in one urban and four rural/remote general practices in one state. The general practitioner (GP) sent a request for advice (RFA), a clinical summary with a specific clinical question/s, via secure messaging to a physician working remotely. Responses were required for GP/patient follow-up within 72 hours.
RESULTS
The mean (standard deviation [SD]) time for general physician reply was 2.1 (1.2) days, and mean (SD) time from initial to subsequent GP/patient review was 14.8 (16.7) days. Only 13.3% of eConsultations required a subsequent face-to-face outpatient department appointment.
DISCUSSION
The eConsultant model is feasible in Australia, with potential for improving access and reducing time to non-GP specialist input.
背景和目的
在北美的门诊替代模式中，使用“电子顾问”来支持家庭医生已得到广泛应用。本试点研究旨在探讨电子顾问模式在澳大利亚复杂慢性病管理中的可行性。
方法
该试点研究在一个州的一个城市和四个农村/偏远地区的全科医生诊所进行。全科医生（GP）通过安全消息向远程工作的医生发送咨询请求（RFA），这是一份带有特定临床问题/疑问的临床总结。回复需要在 72 小时内进行，以便 GP/患者跟进。
结果
全科医生回复的平均（标准差[SD]）时间为 2.1（1.2）天，从初次到后续 GP/患者复诊的平均（SD）时间为 14.8（16.7）天。只有 13.3%的电子咨询需要后续的门诊面对面预约。
讨论
电子顾问模式在澳大利亚是可行的，具有提高可及性和缩短非全科医生专科医生输入时间的潜力。
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