Patient and paramedic experiences with a direct electronic referral program for focused hypoglycemia education following paramedic service assist‐requiring hypoglycemia in London and Middlesex County, Ontario, Canada

2021 ◽  
Author(s):  
Selina L. Liu ◽  
Shannon L. Sibbald ◽  
Andrew Rosa ◽  
Jeffrey L. Mahon ◽  
Dustin R. Carter ◽  
...  
Keyword(s):  
Middlesex County ◽  
Electronic Referral

16-LB: Patient and Paramedic Experiences with a Direct Electronic Referral Program for Hypoglycemia (HG) Education following Paramedic Service Assist–Requiring HG: A Qualitative Study

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 16-LB
Author(s):  
SELINA L. LIU ◽  
ANDREW ROSA ◽  
SHANNON L. SIBBALD ◽  
JEFFREY MAHON ◽  
DUSTIN R. CARTER ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Electronic Referral

Telemedicine and COVID-19: Pandemic

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1580-1584
Author(s):  
Radhika Kulkarni ◽  
Kumar Gaurav Chhabra ◽  
Gargi Nimbulkar ◽  
Amit Reche
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Oral Surgery ◽  
Oral Disease ◽  
Caries Detection ◽  
Dental Practice ◽  
Care Providers ◽  
Difficult Time ◽  
Electronic Referral ◽  
National Emergency

To decrease the chance of spread of highly infectious coronavirus disease, the complete lockdown has been taking place in India as well as many other countries of the world. At this difficult time, telehealth can play a major role as it is ideal for the treatment and management of infectious diseases, thus fulfilling the purpose of ‘social distancing’. Telehealth can be beneficial to those who are at higher risk of getting infected and also to the health care providers by decreasing the exposure as well as the workload of health care providers. Telehealth uses computer technology to convey clinical data for diagnosis, treatment as well as management of the disease. Tele-dentistry is telemedicine in dental practice which can also be helpful in the current national emergency. Within the dental practice, teledentistry is widely used in disciplines like preventive dentistry, orthodontics, endodontics, oral surgery, periodontal conditions, early dental caries detection, and education. Patients, oral medication and diagnosis. Some of the main modes and methods used in teledentistry are electronic health records, electronic referral systems, image scanning, teleconvention and telediagnosis. All applications used in teledentistry aim to improve efficiency, provide access to an ineligible population, improve quality of care, and reduce the burden of oral disease. This article provides a review of the use of telemedicine and teledentistry in the time of coronavirus disease.

scholarly journals Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Delphine S. Tuot ◽  
Kiren Leeds ◽  
Elizabeth J. Murphy ◽  
Urmimala Sarkar ◽  
Courtney R. Lyles ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Organizations ◽  
Facilitators And Barriers ◽  
Electronic Referral

scholarly journals Danish teleophthalmology platform reduces optometry referrals into the national eye care system

2021 ◽  
Vol 6 (1) ◽  
pp. e000671
Author(s):  
Danson Vasanthan Muttuvelu ◽  
Heidi Buchholt ◽  
Mads Nygaard ◽  
Marie Louise Roed Rasmussen ◽  
Dawn Sim
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort ◽  
Care Service ◽  
Posterior Segment ◽  
Eye Care ◽  
Use Of Technology ◽  
New Models ◽  
Electronic Referral ◽  
Care System

ObjectiveThe purpose of this study was to evaluate the stratification of follow-up and referral pathways after implementation of a systematic cloud-based electronic-referral teleophthalmological service for optometry-initiated ocular posterior segment disease referrals to the Danish national eye care system.Methods and AnalysisA retrospective cohort study was conducted in the period from 1 August 2018 to 31 July 2019. Patients with suspected ocular posterior segment disease reviewed by the telemedical ophthalmology service were included. The service stratified patients into the categories: no need for follow-up, follow-up by optometrist, follow-up by the telemedical service and referral to the national Danish eye care service.ResultsFrom a pool of 386 361 customers, 9938 patients were enrolled into this study. 19.5% of all patients were referred to the Danish national eye care system, while 80.5% of the patients in the telemedical service were not, in the period from 1 August 2018 to 31 July 2019. 14.4% of the optometrist referrals did not need any follow-up, while a majority of 66.1% needed some follow-up either by the optometrist themselves or within the telemedical service.ConclusionOptometrist posterior segment disease referrals can be considerably reduced with a risk stratified approach and optimal use of technology. New models can improve and streamline the healthcare system.

scholarly journals Disparities in access to palliative care facilities for patients with and without cancer: A retrospective review

2021 ◽  
pp. 026921632110073
Author(s):  
Christine Lau ◽  
Christopher Meaney ◽  
Matthew Morgan ◽  
Rose Cook ◽  
Camilla Zimmermann ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Cancer Patients ◽  
Performance Status ◽  
Retrospective Chart Review ◽  
Care Needs ◽  
Care Facilities ◽  
Palliative Care Services ◽  
Low Performance ◽  
Electronic Referral

Background: To date, little is known about the characteristics of patients who are admitted to a palliative care bed for end-of-life care. Previous data suggest that there are disparities in access to palliative care services based on age, sex, diagnosis, and socioeconomic status, but it is unclear whether these differences impact access to a palliative care bed. Aim: To better identify patient factors associated with the likelihood/rate of admission to a palliative care bed. Design: A retrospective chart review of all initiated palliative care bed applications through an electronic referral program was conducted over a 24-month period. Setting/participants: Patients who apply and are admitted to a palliative care bed in a Canadian metropolitan city. Results: A total of 2743 patients made a total of 5202 bed applications to 9 hospice/palliative care units in 2015–2016. Referred and admitted cancer patients were younger, male, and more functional than compared to non-cancer patients (all p < 0.001). Referred and admitted patients without cancer were more advanced in their illness trajectory, with an anticipated prognosis <1 month and Palliative Performance Status of 10%–20% (all p < 0.001). On multivariate analysis, a diagnosis of cancer and a prognosis of <3 months were associated with increased likelihood and/or rate of admission to a bed, whereas the presence of care needs, a longer prognosis and a PPS of 30%–40% were associated with decreased rates and/or likelihood of admission. Conclusion: Patients without cancer have reduced access to palliative care facilities at end-of-life compared to patients with cancer; at the time of their application and admission, they are “sicker” with very low performance status and poorer prognoses. Further studies investigating disease-specific clinical variables and support requirements may provide more insights into these observed disparities.

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