IntroductionAssisted teleconsultation (ATC) is the act of telemedicine involving on one side a patient in the presence of a healthcare professional, and an expert on the other side. ATC in outpatient pharmacies may be an alternative to the emergency room for patients with a semi-urgent medical problem. This project aimed at pilot testing the ATC in an outpatient pharmacy to assess its feasibility and to collect initial real-world data.MethodsAfter initial evaluation and triage by the pharmacist, ATC was proposed to patients consulting at one outpatient pharmacy for semi-urgent medical problems. Prospective data on patients, consultation reasons, teleconsultation duration, patient's orientation and pharmacist’ satisfaction were prospectively collected.ResultsBetween December 2020 and June 2021, 39 consultations took place, 12 with video and 27 with telephone. Patients’ median age was 37 years (IQR 26–50), 59% were women. Near half of the consultations (19) happened during the weekend. Mean ATC duration was 22 min (IC95% 18.6–26.1). Twenty-nine (74%) consultations ended with a prescription, 8 (21%) with medical recommendations and 2 (5%) with an emergency care referral. Without teleconsultation, 34 (87%) patients would have consulted a physician for their problem, and 24 (62%) would have been to the emergency room (self-reported). Fourteen (36%) consultations involved ENT, ophthalmologic and dermatologic complaints.ConclusionA young population with semi-urgent medical problems can be managed in the pharmacy using ATC with a primary care physician. Financial, technical and training aspects should be developed and optimized in the future.

中文翻译：

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门诊药房协助远程会诊：瑞士日内瓦试点研究的结果

简介辅助远程会诊 (ATC) 是一种远程医疗行为，一侧有医疗保健专业人员在场，另一侧有专家在场。对于患有半紧急医疗问题的患者来说，门诊药房的 ATC 可能是急诊室的替代选择。该项目旨在在门诊药房对 ATC 进行试点测试，以评估其可行性并收集初步的真实数据。方法经过药剂师的初步评估和分诊后，向在一家门诊药房咨询半紧急医疗问题的患者建议使用 ATC 。前瞻性收集患者、就诊原因、远程会诊时长、患者就诊情况和药师满意度等前瞻性数据。结果2020年12月至2021年6月期间，共进行了39次咨询，其中视频咨询12次，电话咨询27次。患者的中位年龄为 37 岁（IQR 26-50），其中 59% 为女性。近一半的咨询（19 次）发生在周末。平均 ATC 持续时间为 22 分钟（IC95% 18.6–26.1）。29 次 (74%) 次咨询以处方结束，8 次 (21%) 次咨询以医疗建议结束，2 次 (5%) 次咨询以紧急护理转诊结束。如果没有远程会诊，34 名 (87%) 患者会就自己的问题咨询医生，24 名 (62%) 患者会去急诊室（自我报告）。14 次 (36%) 咨询涉及耳鼻喉科、眼科和皮肤科投诉。结论 具有半紧急医疗问题的年轻人可以在初级保健医生的指导下使用 ATC 在药房进行管理。未来应在资金、技术、培训等方面进行发展和优化。