AMIA Annu Symp Proc - Implementation of an electronic referral system for outpatient specialty care.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ patient(1821) servic(1111) care(1106) }
{ implement(1333) system(1263) develop(1122) }
{ use(2086) technolog(871) perceiv(783) }
{ patient(2837) hospit(1953) medic(668) }
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{ data(3963) clinic(1234) research(1004) }
{ monitor(1329) mobil(1314) devic(1160) }
{ data(1714) softwar(1251) tool(1186) }
{ howev(809) still(633) remain(590) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ process(1125) use(805) approach(778) }
{ can(774) often(719) complex(702) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ patient(2315) diseas(1263) diabet(1191) }
{ search(2224) databas(1162) retriev(909) }
{ risk(3053) factor(974) diseas(938) }
{ record(1888) medic(1808) patient(1693) }
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{ health(3367) inform(1360) care(1135) }
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{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
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{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
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{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
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{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Poor communication between primary care and specialists often leads to delays, inefficiencies and suboptimal patient outcomes. This study examined implementation of an electronic referral system (eReferral) that creates direct communication between primary care providers and specialist reviewers. Semi-structured interviews were conducted to assess factors affecting the success of eReferral implementation; transcripts were analyzed using qualitative methods. Primary and specialty care providers were enthusiastic about the system. Primary care providers had favorable attitudes despite a number of challenges including increased workload due to a shift in tasks from specialists and administrative personnel, poor connectivity, and insufficient hardware. System acceptance was driven by perceptions of improved access to specialty care, better appointment tracking, and improved communication between primary and specialty care providers. Synergy among development processes, implementation practices, and technical factors, including human-centered design, iterative development, a phased rollout, and an intuitive user interface, also fostered uptake of the system.

Resumo Limpo

poor communic primari care specialist often lead delay ineffici suboptim patient outcom studi examin implement electron referr system ereferr creat direct communic primari care provid specialist review semistructur interview conduct assess factor affect success ereferr implement transcript analyz use qualit method primari specialti care provid enthusiast system primari care provid favor attitud despit number challeng includ increas workload due shift task specialist administr personnel poor connect insuffici hardwar system accept driven percept improv access specialti care better appoint track improv communic primari specialti care provid synergi among develop process implement practic technic factor includ humancent design iter develop phase rollout intuit user interfac also foster uptak system

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