Ontario Primary Care Practitioners and Access to Ophthalmologists Through Electronic Consultation
Notice bibliographique
Résumé
Purpose: In Canada, accessing specialty services remains a significant challenge, leading to growing wait times for specialist care. To address this concern, the Champlain Building Access to Specialists through eConsultation (BASE) service was introduced. The Champlain BASE eConsult service is a secure web-based program that enables access to medical specialists by PCPs. The primary objective is to investigate the types of questions primary care providers (PCP) are asking ophthalmologists through the BASE service. Patients and Methods: Descriptive and retrospective analysis of 116 eConsults sent from PCPs to the ophthalmology specialty between January and December 2022, within the Champlain region, covering ~ 1.3 million people in Eastern Ontario. Using two validated taxonomies, the “content” and “type” of questions asked were coded. A closeout survey was used to determine PCP’s subsequent course of action, referral outcomes, and perceived helpfulness of eConsult responses. Results: 116 eConsults (37 pediatric; 79 adult) were reviewed with an average patient age of 36.8 years. The most common types of questions asked related to general management (61%) and referral appropriateness (43%). The most common content questions related to other non-specified content – adults (28%), lid lesions (24%) and other non-specified content – pediatrics (12%). The ophthalmologist’s median response time was 0.67 days (16.1 hours) after eConsult creation, with 84% of responses being received within seven days. PCPs received a new or additional course of action in 47% of cases. Unnecessary in-person referrals were avoided in 44% of cases. Over 88% of cases were rated at least 4/5 in value, and in 94% of eConsults, the ophthalmologists’ recommendations were accepted. Conclusion: The use of the eConsult service improves access to ophthalmologists by providing quicker, helpful, and generally accepted specialist advice while decreasing the requirement for patients to attend in-person consultations. Plain Language Summary: In Canada, long wait times to see specialists like eye doctors are a significant concern for patients. Our study looked at how family doctors and nurse practitioners used an eConsult service to ask eye doctors questions about how to manage their patients’ eye issues. We examined how many in-person referrals were prevented, how helpful the service was to the family doctors and nurse practitioners, and how quickly they received responses. We found that the online service helped patients get faster advice from eye doctors and reduced the need for in-person visits. The family doctors and nurse practitioners felt that the service was useful for their own learning and improved their ability to manage eye issues for future patients. Keywords: family medicine, specialist, healthcare access, eConsult
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».