Boston Children's Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
Clin Pediatr (Phila). 2022 Mar;61(3):270-279. doi: 10.1177/00099228221074856. Epub 2022 Jan 28.
This study examined caregiver impressions of an electronic consultation and referral (ECR) system. Participants included 56 caregivers of primary care patients referred through the ECR system. Semistructured interviews and surveys were conducted between August 2018 and April 2019. Transcripts were coded and themes developed using thematic content analysis. A total of 51% of caregivers stated that they would prefer to see their child's primary care provider (PCP) for a specialty issue if they could receive the same quality of care. All caregivers who received an electronic consult (n = 28) said that they would utilize that process again. Three themes emerged: (1) caregivers expect immediate action prior to or instead of a specialty referral; (2) caregiver preferences for PCP versus specialist are mediated by both child and provider characteristics; (3) caregiver attitudes toward the ECR system are influenced by external considerations and experiences with the system. Results suggest caregivers value enhanced communication and immediate access to specialty input facilitated by the ECR system.
本研究考察了照顾者对电子咨询和转诊（ECR）系统的印象。参与者包括通过 ECR 系统转介的 56 名初级保健患者的照顾者。2018 年 8 月至 2019 年 4 月期间进行了半结构化访谈和调查。使用主题内容分析对转录本进行编码和主题开发。共有 51%的照顾者表示，如果他们能够获得相同质量的护理，他们更愿意让孩子的初级保健提供者（PCP）看专科问题。所有接受电子咨询的照顾者（n=28）都说他们会再次使用该流程。出现了三个主题：（1）照顾者期望在专科转诊之前或代替专科转诊采取即时行动；（2）照顾者对 PCP 与专家的偏好受儿童和提供者特征的影响；（3）照顾者对 ECR 系统的态度受到外部考虑因素和系统使用经验的影响。结果表明，照顾者重视通过 ECR 系统增强的沟通和对专科意见的即时访问。
