评估虚拟紧急护理服务,以避免不必要的急诊科介绍,并提供专家主导的最终护理

IF 1.7 4区 医学 Q2 EMERGENCY MEDICINE
Laura R Joyce FACEM, AFRACMA, MBChB, BMed Sc(Hons), MMedEd, Marc Gutenstein FACEM, FDRHMNZ, BMBCh, MA(Hons), Mark Gilbert FACEM, MBChB, James Weaver FACEM, MBChB, Scott Pearson FACEM, MBChB, John W Pickering BSc(Hons), PhD, BA(Hons), Martin Than FACEM, MBBS
{"title":"评估虚拟紧急护理服务,以避免不必要的急诊科介绍,并提供专家主导的最终护理","authors":"Laura R Joyce FACEM, AFRACMA, MBChB, BMed Sc(Hons), MMedEd,&nbsp;Marc Gutenstein FACEM, FDRHMNZ, BMBCh, MA(Hons),&nbsp;Mark Gilbert FACEM, MBChB,&nbsp;James Weaver FACEM, MBChB,&nbsp;Scott Pearson FACEM, MBChB,&nbsp;John W Pickering BSc(Hons), PhD, BA(Hons),&nbsp;Martin Than FACEM, MBBS","doi":"10.1111/1742-6723.70048","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>A quantitative and qualitative evaluation of the impact of a peer-to-peer telehealth service called Specialist Telehealth Aotearoa (STAR) on transfers to the ED.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This mixed-methods study reviewed STAR between 31 July 2023 and 31 October 2023. Reasons for presentation and outcomes were analysed. Thematic analysis was used to examine responses to an electronic survey from referrers to the STAR service, exploring the benefits and barriers to engagement with the service.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Eight hundred and sixty-seven consultations occurred, with hospital transfer avoided for 500 (58%) patients. Fifty-one patients (10.2%) re-presented to Christchurch Hospital within 7 days with the same/related issue, similar to the overall hospital 7-day re-presentation rate of 9.5%. Survey responses were received from 130 ambulance staff and rural practitioners, with 97% reporting a ‘very good’ or ‘excellent’ experience with STAR. Thematic analysis of responses from referrers identified four main benefits: local FACEMs who understand the local context, mutual trust built on pre-existing relationships, empowering pre-hospital and rural clinicians and putting the patient first: providing right care–right place–right time.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>STAR prevented unnecessary transfers to ED with a 7-day representation rate comparable to the wider hospital. Referrers reported a number of benefits to the service, as well as identifying potential barriers to engagement. The integration of a specialist emergency care telehealth service into the health system could alleviate pressure on EDs in Aotearoa New Zealand.</p>\n </section>\n </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 3","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70048","citationCount":"0","resultStr":"{\"title\":\"Evaluation of a virtual emergency care service to avoid unnecessary emergency department presentations and provide specialist-led definitive care\",\"authors\":\"Laura R Joyce FACEM, AFRACMA, MBChB, BMed Sc(Hons), MMedEd,&nbsp;Marc Gutenstein FACEM, FDRHMNZ, BMBCh, MA(Hons),&nbsp;Mark Gilbert FACEM, MBChB,&nbsp;James Weaver FACEM, MBChB,&nbsp;Scott Pearson FACEM, MBChB,&nbsp;John W Pickering BSc(Hons), PhD, BA(Hons),&nbsp;Martin Than FACEM, MBBS\",\"doi\":\"10.1111/1742-6723.70048\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>A quantitative and qualitative evaluation of the impact of a peer-to-peer telehealth service called Specialist Telehealth Aotearoa (STAR) on transfers to the ED.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This mixed-methods study reviewed STAR between 31 July 2023 and 31 October 2023. Reasons for presentation and outcomes were analysed. Thematic analysis was used to examine responses to an electronic survey from referrers to the STAR service, exploring the benefits and barriers to engagement with the service.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Eight hundred and sixty-seven consultations occurred, with hospital transfer avoided for 500 (58%) patients. Fifty-one patients (10.2%) re-presented to Christchurch Hospital within 7 days with the same/related issue, similar to the overall hospital 7-day re-presentation rate of 9.5%. Survey responses were received from 130 ambulance staff and rural practitioners, with 97% reporting a ‘very good’ or ‘excellent’ experience with STAR. Thematic analysis of responses from referrers identified four main benefits: local FACEMs who understand the local context, mutual trust built on pre-existing relationships, empowering pre-hospital and rural clinicians and putting the patient first: providing right care–right place–right time.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>STAR prevented unnecessary transfers to ED with a 7-day representation rate comparable to the wider hospital. Referrers reported a number of benefits to the service, as well as identifying potential barriers to engagement. The integration of a specialist emergency care telehealth service into the health system could alleviate pressure on EDs in Aotearoa New Zealand.</p>\\n </section>\\n </div>\",\"PeriodicalId\":11604,\"journal\":{\"name\":\"Emergency Medicine Australasia\",\"volume\":\"37 3\",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70048\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Emergency Medicine Australasia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.70048\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EMERGENCY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Emergency Medicine Australasia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.70048","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0

摘要

目的定量和定性评价点对点远程医疗服务专家远程医疗Aotearoa (STAR)对转至急诊室的影响。方法采用混合方法研究2023年7月31日至2023年10月31日期间的STAR。分析了出现的原因和结果。专题分析用于检查转诊者对STAR服务的电子调查的答复,探索参与该服务的好处和障碍。结果共就诊867例,避免转院500例(58%)。51名患者(10.2%)因相同或相关问题在7天内再次到基督城医院就诊,与医院总体7天再就诊率9.5%相似。收到了130名救护人员和农村从业人员的调查回复,其中97%的人报告了“非常好”或“优秀”的STAR体验。对转诊者答复的专题分析确定了四个主要好处:了解当地情况的当地facem、建立在已有关系基础上的相互信任、赋予院前和农村临床医生权力以及将患者放在首位:在正确的时间、正确的地点提供正确的护理。结论STAR避免了不必要的转到急诊科,其7天的代表率与其他医院相当。推荐人报告了该服务带来的诸多好处,同时也指出了影响用户参与度的潜在障碍。将专家紧急护理远程保健服务纳入卫生系统可以减轻新西兰奥特罗阿急诊科的压力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Evaluation of a virtual emergency care service to avoid unnecessary emergency department presentations and provide specialist-led definitive care

Evaluation of a virtual emergency care service to avoid unnecessary emergency department presentations and provide specialist-led definitive care

Objective

A quantitative and qualitative evaluation of the impact of a peer-to-peer telehealth service called Specialist Telehealth Aotearoa (STAR) on transfers to the ED.

Methods

This mixed-methods study reviewed STAR between 31 July 2023 and 31 October 2023. Reasons for presentation and outcomes were analysed. Thematic analysis was used to examine responses to an electronic survey from referrers to the STAR service, exploring the benefits and barriers to engagement with the service.

Results

Eight hundred and sixty-seven consultations occurred, with hospital transfer avoided for 500 (58%) patients. Fifty-one patients (10.2%) re-presented to Christchurch Hospital within 7 days with the same/related issue, similar to the overall hospital 7-day re-presentation rate of 9.5%. Survey responses were received from 130 ambulance staff and rural practitioners, with 97% reporting a ‘very good’ or ‘excellent’ experience with STAR. Thematic analysis of responses from referrers identified four main benefits: local FACEMs who understand the local context, mutual trust built on pre-existing relationships, empowering pre-hospital and rural clinicians and putting the patient first: providing right care–right place–right time.

Conclusions

STAR prevented unnecessary transfers to ED with a 7-day representation rate comparable to the wider hospital. Referrers reported a number of benefits to the service, as well as identifying potential barriers to engagement. The integration of a specialist emergency care telehealth service into the health system could alleviate pressure on EDs in Aotearoa New Zealand.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Emergency Medicine Australasia
Emergency Medicine Australasia 医学-急救医学
CiteScore
3.70
自引率
13.00%
发文量
217
审稿时长
6-12 weeks
期刊介绍: Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信