دورية أكاديمية
Increasing primary care capacity and referral efficiency: A case study of a telehealth centre eConsult service in Brazil.
| العنوان: | Increasing primary care capacity and referral efficiency: A case study of a telehealth centre eConsult service in Brazil. |
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| المؤلفون: | Catapan SC; Centre for Online Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia., Bruckmann G; Public Health Department, Federal University of Santa Catarina, Florianopolis, Brazil.; Telehealth Centre of the Federal University of Santa Catarina, Florianopolis, Brazil., Nilson LG; Telehealth Centre of the Federal University of Santa Catarina, Florianopolis, Brazil.; Medicine and Public Health Department, Regional University of Blumenau, Blumenau, Brazil., Caffery LJ; Centre for Online Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia., Kelly JT; Centre for Online Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia., Calvo MCM; Public Health Department, Federal University of Santa Catarina, Florianopolis, Brazil.; Telehealth Centre of the Federal University of Santa Catarina, Florianopolis, Brazil., Boing AF; Public Health Department, Federal University of Santa Catarina, Florianopolis, Brazil.; Telehealth Centre of the Federal University of Santa Catarina, Florianopolis, Brazil. |
| المصدر: | Journal of telemedicine and telecare [J Telemed Telecare] 2024 Mar 06, pp. 1357633X241235426. Date of Electronic Publication: 2024 Mar 06. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Country of Publication: England NLM ID: 9506702 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-1109 (Electronic) Linking ISSN: 1357633X NLM ISO Abbreviation: J Telemed Telecare Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Dec. 2012- : London : Sage Original Publication: London : Published and distributed by Royal Society of Medicine Press, c1995- |
| مستخلص: | Introduction: eConsults are asynchronous digital communications for primary care professionals to seek timely specialist advice. Potential benefits include increased primary healthcare capacity and referral efficiency. Santa Catarina Telehealth Centre in Brazil has offered eConsults for an increasing number of specialties since 2008. This study described the characteristics of this service, including referral efficiency, sustainability, and satisfaction. Methods: Retrospective longitudinal analysis of eConsults activity data from 2015 to 2022 with three domains of the Model for Assessment of Telemedicine Applications used to structure the analysis. Results: Characteristics of the application : The total number of eConsults performed in 2015 was 4764, reaching 41,178 in 2022. While 30.3% of eConsults were synchronous in 2015, only asynchronous communication remained from 2021. Clinical effectiveness : eConsults requested to refer patients to specialist care resulting in primary care management remaining above 30% of the total for all specialties from 2019 to 2022, with hematology having the highest percentage (>52%). Organizational aspects : Established workflows with local specialists responding to eConsults (cardiology, endocrinology, hematology and orthopaedics) kept a constant or increasing number of eConsults and maintained the proportion of primary care management from 2019 to 2022, once recovered from COVID-19 and funding restrictions-related reductions. Over 90% of primary care professionals are either satisfied or very satisfied with the eConsult service. Conclusion: Over 8 years, 223,734 consultations were conducted, with high satisfaction, demonstrating the substantial potential for increased primary care-sensitive conditions management. Hiring local specialists, fostering integrated care, and enabling sustainable workflows are key to eConsults' success. |
| فهرسة مساهمة: | Keywords: eConsults; primary care; referral and consultation; telehealth; telemedicine |
| تواريخ الأحداث: | Date Created: 20240306 Latest Revision: 20240306 |
| رمز التحديث: | 20240307 |
| DOI: | 10.1177/1357633X241235426 |
| PMID: | 38446874 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1758-1109 |
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| DOI: | 10.1177/1357633X241235426 |