J Telemed Telecare - Integration of e-consultations into the outpatient care process at a tertiary medical centre.

Tópicos

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Resumo

An e-consultation is an asynchronous consultation performed by a specialist without a face-to-face patient visit. E-consultations have been available to primary care providers at the Mayo Clinic for several years. We reviewed e-consultations performed by specialists at the Mayo Clinic for the first six months of 2013. We included only "internal" e-consultations, originating from within the Rochester practice. During the study period a total of 3242 e-consultations were completed at the Mayo Clinic. After excluding those relating to patients who did not give research consent, 3008 e-consultations remained. We categorized our internal e-consultations into eight types. The most frequently used types were the first e-consultation processes to be implemented: the primary care to specialist e-consultation and the specialist to specialist e-consultation, accounting for 74% of the total. As these two types of e-consultation became widely used, the staff discovered that the e-consultation process could be adapted to meet specific practice needs and six more e-consultation types emerged. For example, intra-specialty e-consultations and surgical e-consultations accounted for 16% of the total. E-consultations appear to have improved access to specialists, and they are integrated into care processes when timely expert opinions are needed. As e-consultations evolve, it will be important to develop a standard, well-defined terminology to compare outcomes of these processes across practices.

Resumo Limpo

econsult asynchron consult perform specialist without facetofac patient visit econsult avail primari care provid mayo clinic sever year review econsult perform specialist mayo clinic first six month includ intern econsult origin within rochest practic studi period total econsult complet mayo clinic exclud relat patient give research consent econsult remain categor intern econsult eight type frequent use type first econsult process implement primari care specialist econsult specialist specialist econsult account total two type econsult becam wide use staff discov econsult process adapt meet specif practic need six econsult type emerg exampl intraspecialti econsult surgic econsult account total econsult appear improv access specialist integr care process time expert opinion need econsult evolv will import develop standard welldefin terminolog compar outcom process across practic

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