Utility, Appropriateness, and Content of Electronic Consultations Across Medical Subspecialties

Ahmed, Salman; Kelly, Yvelynne P.; Behera, Tapas Ranjan; Zelen, Michelle H.; Kuye, Ifedayo; Blakey, R; Goldstein, Susan A.; Wasfy, Jason H.; Erskine, Alistair; Licurse, Adam; Mendu, Mallika L.

doi:10.7326/m19-3852

Cited by 41 publications

(42 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 21 It could reduce in-person visits by 25% to 75% across specialties, including rheumatology. 22 – 24 Virtual consulting has reduced mortality and length of hospital stay even in critical care settings. 25 In developed countries with an established infrastructure, linking the app-based services with the hospital information services could provide a reliable record base of future reference as soon as logistics to resolve legal and insurance issues are developed.…”

Section: Remote Monitoring and Health Carementioning

confidence: 99%

Social Media in the Times of COVID-19

2020

View full text Add to dashboard Cite

Section: Remote Monitoring and Health Carementioning

confidence: 99%

Social Media in the Times of COVID-19

2020

View full text Add to dashboard Cite

“…One of the significant gaps that were mentioned in the studies is the unnecessary referrals of patients to outpatient offices [ 93 , 94 ]. These unnecessary visits in the event of pandemics can also lead to the spread of disease [ 95 , 96 ].…”

Section: Discussionmentioning

confidence: 99%

Applied techniques for putting pre-visit planning in clinical practice to empower patient-centered care in the pandemic era: a systematic review and framework suggestion

Gholamzadeh

Abtahi

Ghazisaeeidi

2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background One of the main elements of patient-centered care is an enhancement of patient preparedness. Thus, pre-visit planning assessment tools was emerged to prepare and involve patients in their treatment process. Objective The main objective of this article was to review the applied tools and techniques for consideration of putting pre-visit planning into practice. Methods Web of Science, Scopus, IEEE, and PubMed databases were searched using keywords from January 2001 to November 2020. The review was completed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Then, qualitative analysis was done to suggest an appropriate framework by mapping the main concepts. Results Out of 385 citations were retrieved in initial database searches, 49 studies from ten countries were included. Applied pre-visit techniques can be classified into eight categories. Our results showed that almost 81% of studies were related to procedures that were done between each visit, while 42% of articles were related to before visits. Accordingly, the main approach of included articles was patient preparedness. While 38 studies reported this approach is effective, three studies reported the effectiveness of such tools as moderate, only two articles believed it had a low effect on improving patient-centered care. Conclusion This survey summarized the characteristics of published studies on pre-visit planning in the proposed framework. This approach could enhance the quality of patient care alongside enhancement patient-provider communication. However, such an approach can also be helpful to control pandemic diseases by reducing unnecessary referrals.

show abstract

“…Recently Ahmed et al concluded that over 70% of rheumatology consults could be satisfactorily managed remotely after their extensively review across 5 medical specialities. [ 17 ] The appropriateness of e-consult inquiries was assessed with 4 parameters: not answerable by reviewing evidence-based summary sources (“point-of-care resource test”), not merely requesting logistic information, having appropriate clinical urgency, and having appropriate patient complexity. These metrics were published at a date beyond our study inception date, are very insightful of such a study design, which we would like to incorporate in subsequent similar studies.…”

Section: Discussionmentioning

confidence: 99%

Teleconsultation experience with the idiopathic inflammatory myopathies: a prospective observational cohort study during the COVID-19 pandemic

et al. 2020

View full text Add to dashboard Cite

Teleconsultation has assumed a central role in the management of chronic and disabling rheumatic diseases, such as the idiopathic inflammatory myopathies (IIM), during COVID-19. However, the feasibility, challenges encountered, and outcomes remain largely unexplored. Here, we describe our teleconsultation experience in a prospectively followed cohort of adult and juvenile IIM. 250 IIM enrolled into the MyoCite cohort (2017-ongoing) were offered the option of audio/visual teleconsultation using WhatsApp during the nationwide lockdown. Clinical outcomes (major/minor relapse) and prescription changes were compared between IIM subsets. Socio-demographic and clinico-serological characteristics of those who sought teleconsultation were compared with those who did not. 151 teleconsultations were sought over a 93 day period by 71 (52.2%) of 136 IIM (median age 38 years, F:M 4.5:1). Nearly one-third (38%) consulted on an emergency basis, with voice consultations being the primary medium of communication. Over a quarter (26.8%) reported relapse (15.5% minor, 11.3% major), these being more common in JDM [71.4%, OR 8.9 (1.5–51)] as compared with adult IIM, but similar across various antibody-based IIM subtypes. Patients who relapsed required more consultations [2(2–3) vs 1(1–2), p 0.009]. The demographic and socioeconomic profile of the patients seeking consultation ( n = 71) was not different from those who did not ( n = 65). Voice-based teleconsultations may be useful to diagnose and manage relapses in IIM during the pandemic. Patient education for meticulous and timely reporting may be improve care, and larger multicentre studies may identify subsets of IIM that require greater care and early tele-triage for effective management of the condition.

show abstract

Utility, Appropriateness, and Content of Electronic Consultations Across Medical Subspecialties

Cited by 41 publications

References 16 publications

Social Media in the Times of COVID-19

Social Media in the Times of COVID-19

Applied techniques for putting pre-visit planning in clinical practice to empower patient-centered care in the pandemic era: a systematic review and framework suggestion

Teleconsultation experience with the idiopathic inflammatory myopathies: a prospective observational cohort study during the COVID-19 pandemic

Contact Info

Product

Resources

About