Enhancing communication and care coordination: A scoping review of encounter notification systems between emergency departments and primary care providers

IF 3.7 2区医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS

International Journal of Medical Informatics Pub Date : 2024-08-06 DOI:10.1016/j.ijmedinf.2024.105579

Staria Joseph , Rebecca Tomaschek , Balthasar L. Hug , Patrick E. Beeler

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引用次数: 0

Abstract

Objective

This scoping review aims to explore the current state of encounter notification systems (ENS) between emergency departments (EDs) and primary care providers (PCPs), focusing on their mechanisms, effectiveness, impacts, and challenges in healthcare settings.

Methods

A systematic search was conducted using PubMed/MEDLINE and Google Scholar to identify relevant literature on ENS between EDs and PCPs. Eligible studies were selected based on predefined criteria, and data were synthesized narratively.

Results

The initial search yielded 1,396 articles, with 29 included in the review. Studies highlighted the significance of encounter notifications in improving communication and care coordination between EDs and PCPs, leading to enhanced patient outcomes. However, challenges such as technological barriers, privacy concerns, and variations in healthcare settings were identified.

Conclusion

ENS play a crucial role in enhancing communication and care coordination between EDs and PCPs. Despite challenges, these systems offer substantial benefits and opportunities for improving patient care in the ED-primary care continuum. Future research should focus on addressing implementation barriers and evaluating long-term impacts to optimize the effectiveness of ENS in this context.

查看原文本刊更多论文

加强沟通和护理协调：对急诊科和初级医疗服务提供者之间的会诊通知系统进行范围审查。

目的：本范围综述旨在探讨急诊科（ED）与初级保健提供者（PCP）之间的会诊通知系统（ENS）的现状，重点关注其在医疗机构中的机制、有效性、影响和挑战：使用 PubMed/MEDLINE 和 Google Scholar 进行了系统检索，以确定急诊科与初级保健提供者之间的 ENS 相关文献。根据预先确定的标准筛选出符合条件的研究，并对数据进行叙述性综合：结果：初步搜索共获得 1,396 篇文章，其中 29 篇被纳入综述。研究强调了会诊通知在改善急诊室和初级保健医生之间的沟通和护理协调方面的重要性，从而提高了患者的治疗效果。然而，研究也发现了一些挑战，如技术障碍、隐私问题和医疗环境的差异：ENS 在加强急诊室与初级保健医生之间的沟通和护理协调方面发挥着至关重要的作用。尽管存在挑战，但这些系统仍为改善急诊室-初级保健连续性中的患者护理带来了巨大的益处和机遇。未来的研究应侧重于解决实施障碍和评估长期影响，以优化 ENS 在这方面的有效性。

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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来源期刊

International Journal of Medical Informatics 医学-计算机：信息系统

CiteScore

8.90

自引率

4.10%

发文量

217

审稿时长

42 days

期刊介绍： International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.