کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3466036 1596541 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Medical teleconsultation to general practitioners reduces the medical error vulnerability of internal medicine patients
ترجمه فارسی عنوان
مشاوره تلفنی پزشکی به پزشکان عمومی آسیب پذیری بیمارستانی داخلی را کاهش می دهد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی


• e-Health strategies can improve the performance of health systems.
• Medical teleconsultation is a component of the e-Health strategies.
• Medical teleconsultation to general practitioners supports internal medicine case solving.
• Medical teleconsultation reduces the medical error vulnerability of the patient.
• Medical teleconsultation on a large scale may be supportive to the health system.

Backgrounde-Health strategies are supposed to improve the performance of national health systems. Medical teleconsultation (MT) is an important component of such e-Health strategies.ObjectivesThe outcome of MT was evaluated with regard to the impact on the medical error vulnerability (MEV) of internal medicine patients.MethodsA team of internal medicine doctors plus a network of forty specialists was set-up in one health district belonging to a unified and universal national health system of a country of Western Europe, in order to provide free-of-charge MT to support general practitioners in solving internal medicine cases. In this observational study, the case series of 2013 is reviewed.Resultsa) Only 21% of the MT fell short to the general practitioner's expectations about the case solving focus; b) throughout the medical care process of the patient, 49% of the cases met with one or more of the five MEVs, namely: 1) clinical test mishandling; 2) inaccurate differential diagnosis; 3) inadequate information flow between health providers at different levels of care (transition care); 4) poor coordination between health providers; and 5) poor reconciliation of medications or hazardous therapies. c) MT canceled or prevented MEVs in 56% and mitigate MEVs in 15% of the cases; d) MT canceled or prevented 85% of MEV caused by poor information exchange in transition care, therefore improving patient referral and counter-referral.ConclusionsMT reduces MEV and therefore, whenever implemented to a large extent, may improve the quality of health care delivery and the performance of national health systems.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Internal Medicine - Volume 26, Issue 9, November 2015, Pages 675–679
نویسندگان
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