Interdisciplinary expert consultation via a teleradiology platform--influence on therapeutic decision-making and patient referral rates to an academic tertiary care center.
In addition to teleradiological reporting as a nighthawking or a regular service, teleradiological communication can be used for interdisciplinary expert consultation. We intended to evaluate an interdisciplinary consultation system based on a teleradiology platform with regard to its impact on therapeutic decision-making, directed patient referrals to an academic tertiary care center and the economic benefit for the hospital providing the service. Therefore, consultations from five secondary care centers and consecutive admissions to an academic tertiary care center were prospectively evaluated over a time period of six months. A total of 69 interdisciplinary expert consultations were performed. In 54 % of the cases the patients were consecutively referred to the university hospital for further treatment. In all acutely life-threatening emergencies (n = 9), fast and focused treatment by referral to the academic tertiary care center was achieved (average time to treat 130 min). The admissions to the academic tertiary care center led to improved utilization of its facilities with additional revenue of more than 1,000000 euro p. a. An interdisciplinary expert consultation via a teleradiology platform enables fast and efficient expert care with improved and accelerated patient management and improved utilization of the service providing hospital.
Department of Clinical Radiology, University of Munich, Germany. andreas.helck@med.uni-muenchen.de
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Helck
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Matzko
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Trumm
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Grosse
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Piltz
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Reiser
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Ertl-Wagner
D003299:Cooperative Behavior; D003362:Cost-Benefit Analysis; D003661:Decision Support Techniques; D017598:Efficiency, Organizational / Q000191:economics; D004630:Emergencies / Q000191:economics; D005858:Germany; D006785:Hospitals, University / Q000191:economics; D006801:Humans; D033183:Interdisciplinary Communication; D010343:Patient Admission / Q000191:economics; D011873:Radiology Information Systems / Q000191:economics / Q000295:instrumentation; D012017:Referral and Consultation / Q000191:economics; D019114:Remote Consultation / Q000191:economics / Q000295:instrumentation*; D019112:Teleradiology / Q000191:economics / Q000295:instrumentation*