Servicio de Neumología, Complejo Hospitalario Clínico-Universitario de Santiago, Grupo Interdisciplinar de Investigación en Neumología, Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, Spain.
Servicio de Neumología, Complejo Hospitalario Clínico-Universitario de Santiago, Santiago de Compostela, Spain.
Can Respir J. 2022 Oct 31;2022:2423272. doi: 10.1155/2022/2423272. eCollection 2022.
This study assesses the impact of an electronic physician-to-physician consultation program on the waiting list and the costs of a Pulmonology Unit.
A prepost intervention study was conducted after a new ambulatory pulmonary care protocol was implemented and the capacity of the unit was adopted. In the new model, physicians at all levels of healthcare send electronic consultations to specialists.
In the preintervention year (2019), the Unit of Pulmonology attended 7,055 consultations (466 e-consultations and 6,589 first face-to-face visits), which decreased to 6,157 (3,934 e-consultations and 2,223 first face-to-face visits; 12.7% reduction) in the postintervention year (all were e-consultations). The mean wait time for the first appointment was 25.7 days in 2019 versus 3.2 days in 2021 ( < 0.001). In total, 43.5% of cases were solved via physician-to-physiciane-consultation. A total of 2,223 patients needed a face-to-face visit, with a mean wait time of 7.5 days. The mean of patients in the waiting listing decreased from 450.8 in 2019 to 44.8 in 2021 (90% reduction). The annual time devoted to e-consultations and first face-to-face visits following an e-consultation diminished significantly after the intervention (1,724 hours versus 2,312.8; 25.4% reduction). Each query solved via e-consultation represented a saving of €652.8, resulting in a total annual saving of €827,062.
Physician-to-physiciane-consultations reduce waiting times, improve access of complex patients to specialty care, and ensure that cases are managed at the appropriate level. E-consultation reduces costs, which benefits both, society and the healthcare system.
本研究评估了电子医生间咨询项目对肺病学单元的候诊名单和成本的影响。
在实施新的门诊肺部护理方案并采用该单位的能力后，进行了一项前后干预研究。在新模式中，各级医疗保健医生向专家发送电子咨询。
在干预前一年（2019 年），肺病学单元共接待了 7055 次咨询（466 次电子咨询和 6589 次首次面对面就诊），在干预后一年减少到 6157 次（全部为电子咨询）（减少 12.7%）。2019 年首次预约的平均等待时间为 25.7 天，而 2021 年为 3.2 天（<0.001）。共有 43.5%的病例通过医生间电子咨询得到解决。共有 2223 名患者需要进行面对面就诊，平均等待时间为 7.5 天。候诊名单上的患者人数从 2019 年的 450.8 人减少到 2021 年的 44.8 人（减少 90%）。干预后，电子咨询后的电子咨询和首次面对面就诊的年度时间显著减少（1724 小时对 2312.8 小时；减少 25.4%）。通过电子咨询解决的每个查询都节省了 652.8 欧元，因此每年节省 827062 欧元。
医生间电子咨询可缩短候诊时间，改善复杂患者获得专科护理的机会，并确保在适当的层面上管理病例。电子咨询可降低成本，使社会和医疗保健系统受益。
