Int J Med Inform - The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care.

Tópicos

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Resumo

JECTIVES: To evaluate the medical professionals and medical students perceived usefulness of an emergency medical card (EMC) and a continuity of care (CoC) report, in enhancing CoC.METHODS: The study reviewers included medical professionals from outpatient clinics at Intermountain Healthcare and fourth-year medical students from the University of Utah. Three cases we randomly extracted from a database of patients who had added new care information at the time. EMCs and CoC reports were populated for the cases, and information then de-identified. Using patient information in the electronic medical record (EMR), reviewers evaluated if the EMR information was adequate to support medical decisions made on the patient's diagnosis, medications, laboratory tests, and disposition. The reviewer assessed if the EMC and CoC report information would influence the medical decisions made. An online survey was used to assess the reviewers' perception on the usefulness of the two documents.RESULTS: On average, 94% of the reviewers perceived the EMC to be useful in enhancing medical decision making at the point of care, and 74% found the CoC report to be useful. More specifically, the two documents were found to be useful in decreasing encounter time (100% each), increasing overall knowledge of healthcare providers (100% each), influencing decision on the treatment (94% each), and new laboratory test orders (87% and 90%, respectively).CONCLUSIONS: The EMC and CoC report were found to be useful methods for transporting patient healthcare information across the healthcare continuum. The documents were found more specifically to be useful for effective decision making, improving efficiency and quality of care, at the point of care.

Resumo Limpo

jectiv evalu medic profession medic student perceiv use emerg medic card emc continu care coc report enhanc cocmethod studi review includ medic profession outpati clinic intermountain healthcar fourthyear medic student univers utah three case random extract databas patient ad new care inform time emc coc report popul case inform deidentifi use patient inform electron medic record emr review evalu emr inform adequ support medic decis made patient diagnosi medic laboratori test disposit review assess emc coc report inform influenc medic decis made onlin survey use assess review percept use two documentsresult averag review perceiv emc use enhanc medic decis make point care found coc report use specif two document found use decreas encount time increas overal knowledg healthcar provid influenc decis treatment new laboratori test order respectivelyconclus emc coc report found use method transport patient healthcar inform across healthcar continuum document found specif use effect decis make improv effici qualiti care point care

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