基于医师对医师电子会诊的新型肺病门诊护理模式的成本效益分析。

IF 2.1 4区 医学 Q3 RESPIRATORY SYSTEM Canadian respiratory journal Pub Date : 2022-10-31 eCollection Date: 2022-01-01 DOI:10.1155/2022/2423272
José Manuel Álvarez-Dobaño, Malena Toubes, José Ángel Novo-Platas, Francisco Reyes-Santías, Gerardo Atienza, Manuel Portela, Carlos Rábade, Tamara Lourido, Ana Casal, Carlota Rodríguez-García, Vanessa Riveiro, Romina Abelleira, Jorge Ricoy, Nuria Rodríguez-Núñez, Carlos Zamarrón, Felipe Calle, Francisco Gude, Luis Valdés
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引用次数: 1

摘要

引言:本研究评估了电子医生对医生咨询计划对候诊名单的影响以及肺科病房的费用。材料和方法:在实施新的门诊肺科护理方案并采用该病房的容量后,进行了一项前置干预研究。在新模式中,各级医疗保健机构的医生都会向专家发送电子咨询。结果:在干预前一年(2019年),肺病科参加了7055次咨询(466次电子咨询和6589次首次面对面访问),干预后一年减少到6157次(3934次电子咨询,2223次首次面对面的访问;减少12.7%)(均为电子咨询)。2019年第一次预约的平均等待时间为25.7天,而2021年为3.2天(p<0.001)。总的来说,43.5%的病例是通过医生对医生的咨询解决的。共有2223名患者需要面对面就诊,平均等待时间为7.5天。等待名单上的患者平均人数从2019年的450.8人下降到2021年的44.8人(减少了90%)。干预后,每年用于电子咨询和电子咨询后首次面对面访问的时间显著减少(1724小时比2312.8小时;减少25.4%)。通过电子咨询解决的每个问题节省了652.8欧元,每年总共节省827062欧元。结论:医生对医生的咨询减少了等待时间,改善了复杂患者获得专科护理的机会,并确保病例得到适当的管理。电子咨询降低了成本,这对社会和医疗系统都有利。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Cost-Effectiveness of a New Outpatient Pulmonology Care Model Based on Physician-to-Physician Electronic Consultation.

Introduction: This study assesses the impact of an electronic physician-to-physician consultation program on the waiting list and the costs of a Pulmonology Unit.

Materials and methods: A prepost intervention study was conducted after a new ambulatory pulmonary care protocol was implemented and the capacity of the unit was adopted. In the new model, physicians at all levels of healthcare send electronic consultations to specialists.

Results: In the preintervention year (2019), the Unit of Pulmonology attended 7,055 consultations (466 e-consultations and 6,589 first face-to-face visits), which decreased to 6,157 (3,934 e-consultations and 2,223 first face-to-face visits; 12.7% reduction) in the postintervention year (all were e-consultations). The mean wait time for the first appointment was 25.7 days in 2019 versus 3.2 days in 2021 (p < 0.001). In total, 43.5% of cases were solved via physician-to-physiciane-consultation. A total of 2,223 patients needed a face-to-face visit, with a mean wait time of 7.5 days. The mean of patients in the waiting listing decreased from 450.8 in 2019 to 44.8 in 2021 (90% reduction). The annual time devoted to e-consultations and first face-to-face visits following an e-consultation diminished significantly after the intervention (1,724 hours versus 2,312.8; 25.4% reduction). Each query solved via e-consultation represented a saving of €652.8, resulting in a total annual saving of €827,062.

Conclusions: Physician-to-physiciane-consultations reduce waiting times, improve access of complex patients to specialty care, and ensure that cases are managed at the appropriate level. E-consultation reduces costs, which benefits both, society and the healthcare system.

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来源期刊
Canadian respiratory journal
Canadian respiratory journal 医学-呼吸系统
CiteScore
4.20
自引率
0.00%
发文量
61
审稿时长
6-12 weeks
期刊介绍: Canadian Respiratory Journal is a peer-reviewed, Open Access journal that aims to provide a multidisciplinary forum for research in all areas of respiratory medicine. The journal publishes original research articles, review articles, and clinical studies related to asthma, allergy, COPD, non-invasive ventilation, therapeutic intervention, lung cancer, airway and lung infections, as well as any other respiratory diseases.
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