• Corpus ID: 44624241

Electronic consultations between primary and specialty care clinicians: early insights.

@article{Horner2011ElectronicCB,
  title={Electronic consultations between primary and specialty care clinicians: early insights.},
  author={Kathryn Horner and Ed Wagner and James Tufano},
  journal={Issue brief},
  year={2011},
  volume={23},
  pages={
          1-14
        }
}
Electronic consultation (e-consultation) is an emerging tool that primary care clinicians can use to communicate with specialists about patients asynchronously--that is, at different times that are convenient for each physician. To conduct an e-consultation, clinicians use either a Web-based program or a shared electronic medical record. Early adopters of e-consultation describe positive experiences for patients, clinicians, and health systems, including improved continuity of care, access to… 
Electronic Consultations to Improve the Primary Care-Specialty Care Interface for Cardiology in the Medically Underserved: A Cluster-Randomized Controlled Trial
TLDR
E-consultation referrals improved access to and timeliness of care for an underserved population, reduced overall specialty utilization, and streamlined specialty referrals without any increase in adverse cardiovascular outcomes.
Building access to specialist care through e-consultation
TLDR
This low-cost referral system has potential for broader implementation, once payment models for physicians are adapted to cover e-consultation.
Utilization, benefits, and impact of an e-consultation service across diverse specialties and primary care providers.
  • E. Keely, C. Liddy, A. Afkham
  • Medicine, Political Science
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association
  • 2013
TLDR
A regional e-consultation service was established that was used across a wide range of specialty services and PCPs and was perceived as highly beneficial to providers and patients and was highly valued.
A retrospective study on how primary care providers manage specialists’ recommendations after an e-consultation
TLDR
Managing recommendations from e-consultations results in a new workflow for primary care providers who have multiple options (face-to-face, telephone, letter, secure message) to communicate the e-Consultation recommendations.
Electronic consultations (e-consults) to improve access to specialty care: A systematic review and narrative synthesis
TLDR
E-consultations are feasible in a variety of settings, flexible in their application, and facilitate timely specialty advice and provide timely access to specialty care and are well-received by primary care providers.
A study of 6,000 electronic specialty consultations for person-centered care at The Mayo Clinic
TLDR
The electronic consult is a new modality for a primary care physician to solicit specialists' input and can provide significant value beyond that of a traditional face-to-face consultation.
Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations
TLDR
Key informant interviews were conducted to identify drivers, facilitators, barriers and evaluation metrics of diverse eCR systems to inform widespread implementation of this model of specialty care delivery, which has great potential to streamline access to and enhance the coordination of special care delivery.
Primary Care Practitioners’ Perceptions of Electronic Consult Systems: A Qualitative Analysis
TLDR
While associated with improved specialty care access, eConsult systems simultaneously created new challenges for PCPs, such as an increased burden of work in providing specialty care, providing insights on challenges future primary care transformation efforts may face.
Common Ground: Primary Care and Specialty Clinicians' Perceptions of E-Consults in the Veterans Health Administration.
TLDR
Perceptions of e-consults that may be relevant to increasing adoption in the VA were understood and four themes emerged across both PCPs and specialists that are informative for further adoption of high-quality e- Consultation in theVA.
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