PTU-132 Hepatology E-consultation: The Way Forward? A Review Of Our Initial Experience And Cost Analysis. (9th June 2014)
- Record Type:
- Journal Article
- Title:
- PTU-132 Hepatology E-consultation: The Way Forward? A Review Of Our Initial Experience And Cost Analysis. (9th June 2014)
- Main Title:
- PTU-132 Hepatology E-consultation: The Way Forward? A Review Of Our Initial Experience And Cost Analysis
- Authors:
- Moreea, S
Southern, PB
Connolly, J
Appleby, VJ - Abstract:
- Abstract : Introduction: Outpatient visits to secondary care are costly to Primary Care (PC), time consuming for patients and not always appropriate. Our Trust having been a pioneer in nephrology e-Consultation (eC), we started a hepatology eC service in March 2012. This allows patients' records to be shared between PC and secondary care (SC) without the need for a detailed referral letter. Our aims were to analyse our initial experience and perform a cost analysis of hepatology eC. Methods: Retrospective analysis of eC between Mar 12- Oct 13 using SystmOne. Tariffs used for cost analysis: new patient (NP) referral £181, follow up (FU) £103, eC £24. Results: In 18 months there were 81 eC (31M/50F mean age 52/56 y), each taking 10–15 min to complete. The median response time was 2 days (43% within 1 day). Referral reasons: isolated raised bilirubin/ALT/ALP/GGT: 44/81 (54%), mixed raised LFT's: 16/81 (20%), abnormal radiology 10%, hyperferritinaemia 9%, HBV/HCV 4%, general advice 2%. There was one inappropriate referral. In 18 cases, SC referral was recommended (22%), with 10/18 being referred and seen. The mean number of FU appointments was 3. Total cost to PC was £8, 114: eC £1, 944 and £6, 170 for subsequent referrals. A minimum cost saving of £14, 890 was made (81 NP (£14, 661) and assuming one FU for each (£8, 343)). Conclusion: eC is a rapid, cost-effective method of providing hepatology advice. Hidden costs including consultant time, clinic costs etc are difficult toAbstract : Introduction: Outpatient visits to secondary care are costly to Primary Care (PC), time consuming for patients and not always appropriate. Our Trust having been a pioneer in nephrology e-Consultation (eC), we started a hepatology eC service in March 2012. This allows patients' records to be shared between PC and secondary care (SC) without the need for a detailed referral letter. Our aims were to analyse our initial experience and perform a cost analysis of hepatology eC. Methods: Retrospective analysis of eC between Mar 12- Oct 13 using SystmOne. Tariffs used for cost analysis: new patient (NP) referral £181, follow up (FU) £103, eC £24. Results: In 18 months there were 81 eC (31M/50F mean age 52/56 y), each taking 10–15 min to complete. The median response time was 2 days (43% within 1 day). Referral reasons: isolated raised bilirubin/ALT/ALP/GGT: 44/81 (54%), mixed raised LFT's: 16/81 (20%), abnormal radiology 10%, hyperferritinaemia 9%, HBV/HCV 4%, general advice 2%. There was one inappropriate referral. In 18 cases, SC referral was recommended (22%), with 10/18 being referred and seen. The mean number of FU appointments was 3. Total cost to PC was £8, 114: eC £1, 944 and £6, 170 for subsequent referrals. A minimum cost saving of £14, 890 was made (81 NP (£14, 661) and assuming one FU for each (£8, 343)). Conclusion: eC is a rapid, cost-effective method of providing hepatology advice. Hidden costs including consultant time, clinic costs etc are difficult to quantify. We would, however, recommend eC as the way forward with a more appropriate tariff. Disclosure of Interest: None Declared. … (more)
- Is Part Of:
- Gut. Volume 63(2014)Supplement 1
- Journal:
- Gut
- Issue:
- Volume 63(2014)Supplement 1
- Issue Display:
- Volume 63, Issue 1 (2014)
- Year:
- 2014
- Volume:
- 63
- Issue:
- 1
- Issue Sort Value:
- 2014-0063-0001-0000
- Page Start:
- A96
- Page End:
- A97
- Publication Date:
- 2014-06-09
- Subjects:
- Gastroenterology -- Periodicals
616.33 - Journal URLs:
- http://gut.bmjjournals.com ↗
http://www.bmj.com/archive ↗ - DOI:
- 10.1136/gutjnl-2014-307263.206 ↗
- Languages:
- English
- ISSNs:
- 0017-5749
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 18576.xml