Adopting innovation in gynaecology: The introduction of e‐consult

Mann, Rebecca; Weijer, P. H. M. van de

doi:10.1111/ajo.12764

Cited by 13 publications

(32 citation statements)

References 8 publications

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“…An integrated maternal health system with shared electronic medical records and mobile technology tools can also make a significant contribution to COC through the enhancement of coordination between different healthcare providers at different levels and the provision of tailored maternity services [85, 86]. Mobile health (m-health) can potentially enhance pregnant women’s engagement with and trust in health professionals’ skills and can improve women-provider interaction.…”

Section: Discussionmentioning

confidence: 99%

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The quality of maternal-fetal and newborn care services in Jordan: a qualitative focus group study

Alyahya

Khader

Batieha

et al. 2019

BMC Health Serv Res

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Background The antenatal, intrapartum, and postnatal periods are considered high-risk periods for the health of mothers and their newborns. Although the current utilization rate of some maternal and child care services in Jordan is encouraging, detailed information about the quality of these services is limited. Therefore, this study aimed to explore the quality of maternal-fetal and newborn antenatal care (ANC), delivery, and postnatal care (PNC) services in Jordan. Methods We conducted 12 focus group discussions (FGDs) with pregnant and postpartum women who attended maternal-child care services in three major hospitals in Jordan. All FGDs were recorded and transcribed verbatim. An inductive thematic analysis approach was used to identify themes and subthemes. Results The content analysis of the FGDs revealed a consensus among the discussants regarding the importance of ANC and PNC services for the health of mothers and their newborns. However, the participating women viewed ANC to be much more important than PNC. With regards to the choice between public and private antenatal care services, some of the discussants were disposed towards the private sector. Reasons for this included longer consultation time, a higher quality of services, better interpersonal and communication skills of healthcare providers, better treatment, more advanced equipment and devices, availability of female obstetricians, and more flexible appointment times. These women only perceived public hospital services to be necessary in cases of pregnancy-related complications and labor, as the costs of private sector services in such cases are too high. The findings also revealed that mothers usually only seek PNC services to check up on their newborn’s health and not their own. Conclusion Visiting private ANC clinics throughout pregnancy while giving birth in public facilities leads to the discontinuity and fragmentation in maternal-fetal and child healthcare services. To address this fragmentation, healthcare systems are proposed to establish interprofessional teamwork that requires different healthcare providers with complementary skills and practices in both public and private settings to work co-operatively and collectively. Investment in new technologies and interventions which enhance coordination and collaboration between public and private healthcare settings is necessary for the provision of non-traditional maternal healthcare. Electronic supplementary material The online version of this article (10.1186/s12913-019-4232-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…The introduction of new technology has proved to make mothers feel heard [87]. This requires the adoption of a new structure and the development of new practices based on collaboration to achieve the concept of “collective action” [85, 86].…”

Section: Discussionmentioning

confidence: 99%

The quality of maternal-fetal and newborn care services in Jordan: a qualitative focus group study

Alyahya

Khader

Batieha

et al. 2019

BMC Health Serv Res

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“…More than half of the included studies were from 1 of 2 settings: 26 from the Champlain BASE program and 13 from VA settings. 7,[37][38][39][40][41][42][43][44][45][46][47][48] Of the remaining 24 studies, there were 12 from community health centers or large public health care systems, 43,[49][50][51][52][53][54][55][56][57][58][59] 8 from academic medical centers, [60][61][62][63][64][65][66][67] 2 from a nongovernmental humanitarian organization, 68, 69 1 from a not-for-profit integrated health care delivery system, 70 and 1 from a private company providing e-consult services. 71 Most studies were observational in design and lacked a control group.…”

Section: Methodsmentioning

confidence: 99%

“…61 Several studies employing manual review of the medical record found no increase in adverse events (eg, ED visits, hospitalizations, and/or death within 1-6 months) following e-consult. 40,55,60,[64][65][66] Among 500 patients referred for cardiology e-consults, 2.2% required hospitalization related to the problem addressed in the e-consult within 6 months; no comparable rate of hospitalization after face-to-face consults was provided. 40 A study of surgical e-consults reported that 4 of 36 patients who did not have clinic visits following e-consultation had ED visits for problems related to the initial reason for referral.…”

Section: Quality and Safety Outcomesmentioning

confidence: 99%

Electronic consultations (E-consults) and their outcomes: a systematic review

Vimalananda

Orlander

Afable

et al. 2019

Journal of the American Medical Informatics Association

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Objective Electronic consultations (e-consults) are clinician-to-clinician communications that may obviate face-to-face specialist visits. E-consult programs have spread within the US and internationally despite limited data on outcomes. We conducted a systematic review of the recent peer-reviewed literature on the effect of e-consults on access, cost, quality, and patient and clinician experience and identified the gaps in existing research on these outcomes. Materials and Methods We searched 4 databases for empirical studies published between 1/1/2015 and 2/28/2019 that reported on one or more outcomes of interest. Two investigators reviewed titles and abstracts. One investigator abstracted information from each relevant article, and another confirmed the abstraction. We applied the GRADE criteria for the strength of evidence for each outcome. Results We found only modest empirical evidence for effectiveness of e-consults on important outcomes. Most studies are observational and within a single health care system, and comprehensive assessments are lacking. For those outcomes that have been reported, findings are generally positive, with mixed results for clinician experience. These findings reassure but also raise concern for publication bias. Conclusion Despite stakeholder enthusiasm and encouraging results in the literature to date, more rigorous study designs applied across all outcomes are needed. Policy makers need to know what benefits may be expected in what contexts, so they can define appropriate measures of success and determine how to achieve them.

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“…Electronic-consultations (e-consults), in which physicians communicate with specialists using secure email or web-based requests, provide an opportunity for family physicians to access clinical advice in a timely manner. Dermatology, gynecology, psychiatry, and rheumatology are among various health disciplines that have been serviced in e-consultations [5][6][7][8], though no studies are known to have examined the use of e-consultation to support SCI care. Reported benefits of e-consultation include quicker response time from specialist and thus more timely clinical care, decrease in unnecessary specialist visits, decrease in travel for patients and facilitation of knowledge translation [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Enhancing Spinal Cord Injury Primary Care through E-Consultation: A Pilot Study

Milligan¹,

Craven²,

Burns³

et al. 2019

Fortune J Health Sci

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This pilot study explored the feasibility of using an e-consultation service to link family physicians with physiatrists to improve timely access to information and advice regarding SCI care. Sixteen family physicians and two tertiary care physiatrists were recruited. Family physicians could access physiatrists using a secure e-consultation system.Following pilot testing, nine physicians and two physiatrists completed an individual interview to obtain their perceptions of the service. The number and reasons for e-consultation were tracked. A total of 14 e-consultations were completed, most frequently for bladder (n=4) and bowel issues (n=4). Analysis generated six themes regarding e-consultation: (i) provides improved access to SCI information and expertise, (ii) can avoid specialist referrals and emergency department visits, (iii) is easy and convenient to use, (iv) is a secured system; (v) is facilitated by dedicated resource support, (vi) is limited by the system (technological) constraints. A SCI specific e-consultation service can provide family physicians with timely access to advice not otherwise easily available and that has a direct impact on patient care. Larger scale studies are needed to explore impacts on capacity building in primary care, health system utilization, and patient health and well-being.

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Adopting innovation in gynaecology: The introduction of e‐consult

Cited by 13 publications

References 8 publications

The quality of maternal-fetal and newborn care services in Jordan: a qualitative focus group study

The quality of maternal-fetal and newborn care services in Jordan: a qualitative focus group study

Electronic consultations (E-consults) and their outcomes: a systematic review

Enhancing Spinal Cord Injury Primary Care through E-Consultation: A Pilot Study

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