University of California, San Francisco School of Medicine, San Francisco, California, USA.
Division of Pediatric Dermatology, University of California, San Francisco Department of Dermatology, San Francisco, California, USA.
Pediatr Dermatol. 2024 Nov-Dec;41(6):1114-1116. doi: 10.1111/pde.15698. Epub 2024 Jul 30.
Provider-to-provider outpatient pediatric dermatology eConsultation services increase access to care, but barriers exist that may prevent eConsult implementation and survival. We deployed cross-sectional surveys to referring pediatric primary care physicians and consulting pediatric dermatologists participating in our eConsult program to identify barriers to utilization and sustainability. Our data suggest that eConsultation increases access to care and offers iterative educational opportunities for primary care providers, which may ultimately reduce office referrals for common outpatient skin issues. Sustainability of eConsult services requires simple order templates, clear representative photos, concise submission reports, and provider reimbursement.
医疗机构间的儿科皮肤科门诊电子咨询服务增加了医疗服务的可及性，但仍存在一些障碍，可能会阻碍电子咨询的实施和持续发展。我们通过横断面调查，向参与电子咨询项目的儿科初级保健医生和咨询皮肤科医生了解利用和可持续发展的障碍。我们的数据表明，电子咨询增加了医疗服务的可及性，并为初级保健提供者提供了迭代的教育机会，这可能最终会减少常见门诊皮肤问题的转介。电子咨询服务的可持续性需要简单的医嘱模板、清晰的代表性照片、简洁的提交报告和提供者报销。
