TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Attitude of Health Personnel
KW - California
KW - Child
KW - Child, Preschool
KW - Developmental Disabilities
KW - Electronic Mail
KW - Humans
KW - Interdisciplinary Communication
KW - Medicine/methods
KW - Middle Aged
KW - Physicians, Family/psychology
KW - Pilot Projects
KW - Primary Health Care/methods
KW - Prospective Studies
KW - Questionnaires
KW - Remote Consultation/standards
KW - Rural Health Services/standards
KW - Specialization
KW - Telephone
AU - D. M. Hilty
AU - R. L. Ingraham
AU - S. P. Yang
AU - T. F. Anders
A1 - 
AB - The University of California (UC), Davis Health System, and California Department of Developmental Services (CDDS) developed the Physician Assistance, Consultation and Training Network (PACT Net) to assist primary-care providers (PCPs) care for patients with developmental disabilities in rural California. This manuscript describes PACT Net, a warm line using phone and e-mail, and its multispecialty panel. A pilot study evaluated whether or not PCPs needed such a consultation service, whether or not it assisted them in providing care, and their overall satisfaction with the service. PCPs were informed on how to request a consultation. Data were collected from patients (demographics), PCPs (satisfaction with preexisting consultation availability and quality, PACT Net consultation reason, preferred mode of contact, duration, and, satisfaction), and specialists (ease, quality of request, and satisfaction). Satisfaction was measured prospectively using a 7-point Likert scale. Data were collected on 30 consultations, 28 by telephone and 2 by e-mail; other data were by combined methods. The average duration of consultation was 47 minutes, and 24 responses occurred within one business day. The top three services requested for consultation were psychiatry (e.g., management of behavioral disturbance), medical genetics (diagnosis), and gastroenterology (miscellaneous). PCPs rated baseline satisfaction with: (1) pre-existing local services at 3.37, (2) timeliness of the PACT Net consultation at 5.45, (3) quality of the communication at 6.3, and (4) overall quality and utility of the consultation at 6.2. Specialists rated the quality of the communication at 6.45, and the ease of the service at 6.46. Phone and e-mail consultation appears satisfactory to PCPs and specialty providers as a way to enhance specialty input to rural patients.
BT - Telemedicine journal and e-health : the official journal of the American Telemedicine Association
C5 - HIT & Telehealth
CP - 4
CY - United States
IS - 4
JF - Telemedicine journal and e-health : the official journal of the American Telemedicine Association
N2 - The University of California (UC), Davis Health System, and California Department of Developmental Services (CDDS) developed the Physician Assistance, Consultation and Training Network (PACT Net) to assist primary-care providers (PCPs) care for patients with developmental disabilities in rural California. This manuscript describes PACT Net, a warm line using phone and e-mail, and its multispecialty panel. A pilot study evaluated whether or not PCPs needed such a consultation service, whether or not it assisted them in providing care, and their overall satisfaction with the service. PCPs were informed on how to request a consultation. Data were collected from patients (demographics), PCPs (satisfaction with preexisting consultation availability and quality, PACT Net consultation reason, preferred mode of contact, duration, and, satisfaction), and specialists (ease, quality of request, and satisfaction). Satisfaction was measured prospectively using a 7-point Likert scale. Data were collected on 30 consultations, 28 by telephone and 2 by e-mail; other data were by combined methods. The average duration of consultation was 47 minutes, and 24 responses occurred within one business day. The top three services requested for consultation were psychiatry (e.g., management of behavioral disturbance), medical genetics (diagnosis), and gastroenterology (miscellaneous). PCPs rated baseline satisfaction with: (1) pre-existing local services at 3.37, (2) timeliness of the PACT Net consultation at 5.45, (3) quality of the communication at 6.3, and (4) overall quality and utility of the consultation at 6.2. Specialists rated the quality of the communication at 6.45, and the ease of the service at 6.46. Phone and e-mail consultation appears satisfactory to PCPs and specialty providers as a way to enhance specialty input to rural patients.
PP - United States
PY - 2004
SN - 1530-5627; 1530-5627
SP - 413
EP - 421
EP - 
T1 - Multispecialty telephone and e-mail consultation for patients with developmental disabilities in rural California
T2 - Telemedicine journal and e-health : the official journal of the American Telemedicine Association
TI - Multispecialty telephone and e-mail consultation for patients with developmental disabilities in rural California
U1 - HIT & Telehealth
U2 - 15689644
VL - 10
VO - 1530-5627; 1530-5627
Y1 - 2004
ER -