一项电子咨询服务如何应对新出现的 COVID-19 问题。

How One eConsult Service Is Addressing Emerging COVID-19 Questions.

机构信息

From Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (CL, JS); C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, Ontario, Canada (CL, SG, JS); Ontario eConsult Centre of Excellence, Ottawa, Ontario, Canada (CL, RM, SG, and EK); Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada (EK); Division of Endocrinology/Metabolism, The Ottawa Hospital, Ottawa, Ontario, Canada (EK).

出版信息

J Am Board Fam Med. 2022 May-Jun;35(3):601-604. doi: 10.3122/jabfm.2022.03.210264.

DOI:10.3122/jabfm.2022.03.210264

PMID:35641045

Abstract

INTRODUCTION

The COVID-19 pandemic has made innovative solutions to providing safe, effective care paramount. eConsult allows primary care providers to access specialist advice for their patients without necessitating an in-person visit. This study aims to explain how an eConsult service adapted to providing care for COVID-19 patients and examine its impact on patient care.

METHODS

We conducted a cross-sectional analysis of cases submitted to COVID-19 specialties through the Ontario eConsult service between October 2020 and April 2021. Utilization data were extracted from all eligible cases to assess number of cases submitted, patterns of use, response times, and case outcomes (ie, whether eConsult resulted in new or additional information, whether or not a referral was needed).

RESULTS

2783 eConsults were submitted to 5 COVID-19 specialty groups during the study period. 71% of the cases were for vaccine-related questions. The median response interval was 12 hours. Providers received advice for a new or additional course of action in 36% of cases. 84% of the cases did not require a referral.

CONCLUSIONS

Our study demonstrated the effectiveness of rapidly adapting eConsult for COVID-19 care and supports similar action for other services.

摘要

简介

COVID-19 大流行使得创新解决方案成为提供安全、有效的护理的首要任务。eConsult 允许初级保健提供者在无需亲自就诊的情况下为患者获得专家建议。本研究旨在解释如何调整 eConsult 服务以提供 COVID-19 患者的护理，并探讨其对患者护理的影响。

方法

我们对 2020 年 10 月至 2021 年 4 月期间通过安大略省 eConsult 服务提交给 COVID-19 专科的病例进行了横断面分析。从所有符合条件的病例中提取利用数据，以评估提交的病例数量、使用模式、响应时间和病例结果（即 eConsult 是否导致新的或额外的信息，是否需要转诊）。