Examination of Plastic Surgery Clinical Questions and Responses via an Electronic Consultation (eConsult) Service.

IF 0.7 4区 医学 Q4 SURGERY
Marisa Market, Vincent Dinh, Danica Goulet, Clare Liddy, Erin Keely, Kevin Cheung
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Abstract

Introduction: Average wait times for plastic surgery depend on priority, but access to specialist consultation can be upwards of 1-2 years for elective referrals. The Champlain eConsult BASE™ system was developed in 2010 and is a PHIPA-compliant system that allows primary care providers to electronically send specialists questions about specific patients, potentially avoiding the need for a formal in-person consultation. Methods: Electronic Consults (eConsults) through the Champlain eConsult BASE™ system to plastic surgery from January 2021 to December 2022 were assessed by 2 reviewers. A standardized data extraction form was used, categorizing consults for question type and clinical problem. A mandatory close-out survey allowed for analysis on referring physician satisfaction, referral outcome, and impact on patient care. Results: Three hundred and thirty-one eConsults were included and were answered in an average of 2.1 ± 3.1 days. Specialists spent a mean of 14.0 ± 5.7 minutes per case. The most common content of the consults was related to hand trauma (37%), non-hand skin/soft tissue lesions (13%), and hand masses/lesions (bony or soft tissue) (8%). A formal consultation was avoided in 32%. Thirty-nine percent of cases resulted in a change in management: a referral to plastic surgery was avoided but originally contemplated by the family physician in 32%, and a referral was recommended but not originally contemplated in 7%. Conclusions: Our study demonstrates the potential of eConsults to facilitate timely consultation and avoid unnecessary formal consultations with plastic surgeons. This may reduce wait times and improve access to plastic surgeon services.

通过电子咨询(eConsult)服务检查整形外科临床问题和答复。
导读:整形手术的平均等待时间取决于优先级,但获得专家咨询可以超过1-2年的选择性转诊。Champlain eConsult BASE™系统开发于2010年,是一个符合phipa的系统,允许初级保健提供者以电子方式向专家发送有关特定患者的问题,潜在地避免了正式的面对面咨询的需要。方法:由2名审稿人对2021年1月至2022年12月通过Champlain eConsult BASE™系统进行整形手术的电子咨询(eConsults)进行评估。使用标准化的数据提取表,根据问题类型和临床问题对咨询进行分类。一项强制性的结束调查允许对转诊医师满意度、转诊结果和对患者护理的影响进行分析。结果:共纳入331份问卷,平均回复时间为2.1±3.1天。专家平均花费14.0±5.7分钟每个病例。咨询中最常见的内容与手部创伤(37%)、非手部皮肤/软组织病变(13%)和手部肿块/病变(骨或软组织)(8%)有关。32%的人避免了正式的咨询。39%的病例导致了管理上的改变:32%的病例避免了转介到整形手术,但最初是由家庭医生考虑的;7%的病例推荐了转介,但最初没有考虑。结论:我们的研究证明了econts的潜力,以促进及时咨询和避免不必要的正式咨询整形外科医生。这可能会减少等待时间,并改善整形外科医生的服务。
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
Plastic surgery
Plastic surgery Medicine-Surgery
CiteScore
1.70
自引率
0.00%
发文量
73
期刊介绍: Plastic Surgery (Chirurgie Plastique) is the official journal of the Canadian Society of Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery, Group for the Advancement of Microsurgery, and the Canadian Society for Surgery of the Hand. It serves as a major venue for Canadian research, society guidelines, and continuing medical education.
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