一个旨在改善遗传专家服务可及性的综合电子咨询项目。
A pooled electronic consultation program to improve access to genetics specialists.
作者信息
Folkerts Emma K, Pelletier Renée C, Chung Daniel C, Goldstein Susan A, Micalizzi Douglas S, Shannon Kristen M, Sweetser David A, Wong Eugene K, Rehm Heidi L, Hull Leland E
机构信息
Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
The Broad Institute of MIT and Harvard, Cambridge, MA.
出版信息
Genet Med Open. 2023 May 20;1(1):100819. doi: 10.1016/j.gimo.2023.100819. eCollection 2023.
PURPOSE
Given limited ambulatory access to genetics specialists, innovative service delivery solutions are needed. Electronic consultation (e-consult) programs are growing to connect clinicians to specialists. We explored the utilization and outcomes of a genetics and genomics e-consult program at Massachusetts General Hospital system in its first year.
METHODS
A retrospective observational analysis of genetics e-consults ordered between April 2021 and March 2022.
RESULTS
In its first year, the e-consult service triaged 153 requests and completed 122 in a median of 2.0 days. Of the 97 e-consults with actionable recommendations, there was documentation that most ordering clinicians followed through (82%). A variety of providers used the service, though the majority (77%) were generalists.
CONCLUSION
e-Consult models should be considered as one way to increase access to genetics expertise.
目的
鉴于患者难以门诊预约到遗传学专家，需要创新的服务提供解决方案。电子会诊（e-会诊）项目不断发展，以连接临床医生与专家。我们探讨了麻省总医院系统的遗传学和基因组学电子会诊项目第一年的使用情况和结果。
方法
对2021年4月至2022年3月期间下达的遗传学电子会诊进行回顾性观察分析。
结果
在第一年，电子会诊服务对153项请求进行了分类，并在中位数2.0天内完成了122项。在97项有可行建议的电子会诊中，有记录表明大多数开单临床医生都采取了后续行动（82%）。各类医疗服务提供者都使用了该服务，不过大多数（77%）是全科医生。
结论
电子会诊模式应被视为增加遗传学专业知识获取途径的一种方式。
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