Yale School of Medicine, New Haven, Connecticut, United States of America.
NYU Grossman School of Medicine, New York, New York, United States of America.
PLoS One. 2024 Sep 12;19(9):e0310122. doi: 10.1371/journal.pone.0310122. eCollection 2024.
Although the benefits of eConsults in increasing access and lowering unnecessary utilization have been well described, the development of a successful program can be challenging.
We sought to share the experiences of a large academic health system in implementing and evaluating a high-volume electronic consultation (eConsult) program across 34 adult and pediatric medical and surgical specialties.
Using a multi-method approach, we collected qualitative and quantitative data on operational and process outcomes to describe adoption of eConsults, and survey data to capture satisfaction and experience among referring and specialist clinicians.
Data evaluating this eConsult program demonstrated robust uptake of the eConsult workflow as well as high satisfaction amongst primary care and specialty clinicians. Effective implementation strategies included engaging leadership, building a dedicated team, and developing quality assurance mechanisms. These experiences and findings may inform implementation at health systems interested in eConsult programs.
尽管电子咨询在增加可及性和降低不必要的利用方面的益处已得到充分描述，但成功实施该项目可能具有挑战性。
我们旨在分享一个大型学术医疗系统在 34 个成人和儿科内科和外科专业中实施和评估高容量电子咨询（eConsult）项目的经验。
我们采用多方法收集有关运营和流程结果的定性和定量数据，以描述电子咨询的采用情况，并通过调查数据捕捉初级保健和专科临床医生的满意度和体验。
评估该电子咨询计划的数据表明，电子咨询工作流程的采用率很高，初级保健和专科临床医生的满意度也很高。有效的实施策略包括：领导参与、组建专门团队和建立质量保证机制。这些经验和发现可能为有兴趣实施电子咨询项目的医疗系统提供参考。
