The Provincial Spread and Scale of the Ontario eConsult Service: Evaluation of the First 2 Years

C. Liddy, Rhea Mitchell, S. Guglani, Ariana Mihan, Claire Sethuram, Andrea Miville, E. Keely
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引用次数: 2

Abstract

This paper reports on a multimethod cross-sectional study of the Ontario electronic consultation (eConsult) service. Utilization and closeout survey data from July 2018 through June 2020 were analyzed using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. Requesting clinicians submitted 60,474 eConsults, and monthly cases increased from 1,487 in July 2018 to 4,179 in June 2020. The median specialist response time was 1 day. An originally contemplated referral was avoided in 51% of cases. Ontario eConsult showed successful uptake across Ontario, demonstrating continued spread and scale, and offering a template for trailblazers looking to implement digital health innovations in their own jurisdictions.
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安大略省咨询服务的省级分布和规模:前两年的评估
本文报告了安大略省电子咨询(eConsult)服务的多方法横断面研究。使用Reach有效性采用实施维护(RE-AIM)框架分析了2018年7月至2020年6月的利用率和关闭调查数据。请求临床医生提交了60474份eConsults,每月病例数从2018年7月的1487例增加到2020年6月的4179例。专家应答时间中位数为1天。51%的病例避免了最初设想的转诊。安大略省的eConsult显示了安大略省的成功应用,展示了持续的传播和规模,并为希望在自己的司法管辖区实施数字健康创新的开拓者提供了一个模板。
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