Design and Implementation of Intelligent International Law Online Consultation System

Author(s):  
Peiyu Zhai
BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e016901 ◽  
Author(s):  
Hannah B Edwards ◽  
Elsa Marques ◽  
William Hollingworth ◽  
Jeremy Horwood ◽  
Michelle Farr ◽  
...  

ObjectivesEvaluation of a pilot study of an online consultation system in primary care. We describe who used the system, when and why, and the National Health Service costs associated with its use.Design15-month observational study.SettingPrimary care practices in South West England.Results36 General practices covering 396 828 patients took part in the pilot. The online consultation website was viewed 35 981 times over the pilot period (mean 9.11 visits per 1000 patients per month). 7472 patients went on to complete an ‘e-consultation’ (mean 2.00 online consultations per 1000 patients per month). E-consultations were mainly performed on weekdays and during normal working hours. Patient records (n=485) were abstracted for eight practices and showed that women were more likely to use e-consultations than men (64.7% vs 35.3%) and users had a median age of 39 years (IQR 30–50). The most common reason for an e-consultation was an administrative request (eg, test results, letters and repeat prescriptions (22.5%)) followed by infections/immunological issues (14.4%). The majority of patients (65.2%) received a response within 2 days. The most common outcome was a face-to-face (38%) or telephone consultation (32%). The former were more often needed for patients consulting about new conditions (OR 1.56, 95% CI 1.05 to 2.27, p=0.049). The average cost of a practice’s response to an e-consultation was £36.28, primarily triage time and resulting face-to-face/telephone consultations needed.ConclusionsUse of e-consultations is very low, particularly at weekends. Unless this can be improved, any impact on staff workload and patient waiting times is likely to be negligible. It is possible that use of e-consultations increases primary care workload and costs. Online consultation systems could be developed to improve efficiency both for staff and patients. These findings have implications for software developers as well as primary care services and policy-makers who are considering investing in online consultation systems.


1996 ◽  
Vol 36 (314) ◽  
pp. 551-553
Author(s):  
Jean-François Pitteloud

In July 1995 the ICRC's Executive Board asked the Archives Division and the Directorate for International Law and Policy to draw up new rules governing access to ICRC archives. On 17 January 1996 the ICRC Assembly adopted the text submitted by them and instructed the Archives Division to organize a consultation system for the institution's public archives.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Yaling Li

In order to overcome the problems of low security and high message delay in traditional counseling systems, this article designs and proposes a new counseling system based on the weighted hybrid algorithm. According to the principle of system design, the system architecture diagram and system role are designed. In the hardware part of the system, the user management module, online consultation module, and knowledge base module are designed to realize the psychological consultation function of the system. In the software part, the weighted hybrid algorithm is used to divide the psychological information state of the consultants effectively. Combined with the hardware and software of the system, the overall design of the system is completed. The experimental results show that, compared with the traditional consulting system, the designed system can effectively ensure the information security of consultants and reduce the message delay of the system, which has higher practical application value.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dewy Nijhof ◽  
Andy Ingram ◽  
Rebecca Ochieng ◽  
Emma-Jane Roberts ◽  
Barnaby Poulton ◽  
...  

Abstract Background Increasing pressure threatens to overwhelm primary care services, affecting the quality of care and their role as gatekeepers to specialised care services. This study investigated healthcare users’ acceptability of – and the effectiveness of – an e-consultation system in primary care services. Methods Seven GP practices in East-Midlands, all of whom use online consultation system participated in the study, with a retrospective review being undertaken of 189 electronic patients’ records (age range of 18–76 years) over 5 months. The focus was on the electronic records of patients who accessed the service for five different conditions identified as presenting common conditions seen by the GPs practices. Statistical analysis was done using SPSS to perform an exploratory data analysis and descriptive statistics. Results The results showed a positive reception of the online consultation platform, with an average satisfaction score of 4.15 (most likely to recommend score = 5). Given the nature of the conditions, 47.6% of patients had experienced a previous episode of the health condition they were seeking consultation for, and a total of 72% had existing comorbidities. Follow-up activity occurred for 87.3% of patients, 66.1% of which included at least one follow-up visit for the same condition as the initial online consultation. Conclusion The results suggest that online consultation is convenient for patients, and it also has the potential to relieve pressure placed on primary care services. Although a number of challenges were identified, such as patient verification, this study gives insight into – and enhances our understanding of – the use of online GP consultations.


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