Current Research
E-Consult—Transforming Primary Care or Exacerbating Clinician Burnout?
Guidance on how to implement econsults without adding provider frustration and professional burnout. https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2678458
Read MorePCP Perceptions of E-Consult: A Qualitative Analysis
Lessons learned include anticipating challenges with PCP expectations, workflow changes, and health IT adoption challenges. https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2678459
Read MoreE-Consults Improve the Primary Care-Specialty Care Interface for Cardiology in the Medically Underserved
E-consults improved access to and timeliness of care for an underserved population, reduced overall specialty utilization, and streamlined specialty referrals. https://journals.sagepub.com/doi/abs/10.1177/1357633X18774468
Read MoreCardiology E-Consult Use by PCPs at New England VA Medical Centers
Educating PCPs and standardizing e-consult templates may help reduce the number of unanswered e-consults. https://journals.sagepub.com/doi/abs/10.1177/1357633X18774468
Read MoreOptimizing E-Consult Between Primary Care Providers and Psychiatrists
E-consult is a viable and timely way for PCPs to get much-needed psychiatric advice. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5910533/
Read MoreSustainability of a Primary Care-Driven eConsult Service
Canadian program demonstrates potential of e-consult to affect wait times for specialty care when integrated into existing referral workflows. https://www.annfammed.org/content/16/2/120.full
Read MoreInnovative Use of E-Consult In Anesthesiology at VA Medical Centers
Clinicians at sites with high use of e-consults noted that they improved workflow efficiency. https://econsulttoolkit.com/wp-content/uploads/2018/02/HealthAffairs_2018.pdf
Read MoreCost-Effectiveness of Cardiology eConsults for Medicaid Patients
E-consults impact total cost savings reducing the cost of cardiac outpatient procedures. https://www.ajmc.com/view/a-costeffectiveness-analysis-of-cardiology-econsults-for-medicaid-patients
Read MoreE-Consult Adoption in a Fee-for-Service Setting
E-referrals can improve access to care, clarity of questions, and improved PCP satisfaction. https://www.sciencedirect.com/science/article/pii/S2213076415300865?via%3Dihub
Read MoreLos Angeles E-Consult Program Was Rapidly Adopted And Decreased Specialty Wait Times
E-consult systems are a promising and sustainable intervention that could improve access to specialist care for underserved patients. https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2016.1283
Read MoreE-Consult Educational Opportunities for PCPs and Specialists
E-consult implementers should consider educational benefits, specialty provider selection, platform and workflow design. https://journals.lww.com/academicmedicine/Fulltext/2017/01000/Unique_Educational_Opportunities_for_PCPs_and.19.aspx
Read MoreHow Primary Care Providers Manage Specialists’ Recommendations after an E-Consult
E-consult demonstrated provider notification of patient recommendations 63% of the time and nursing staff patient notification 37% of the time. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5354179/
Read MoreDisruptive Innovation: E-Consult Implementation in a Veterans Affairs Health Care System
Primary and specialty care providers reported usability but expressed concern about e-consult workload. https://medinform.jmir.org/2016/1/e6/
Read MoreMinding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange
Gastroenterology e-referrals not scheduled resulted in few adverse outcomes. https://pubmed.ncbi.nlm.nih.gov/27456415/
Read MoreLeveraging e-referral to build a medical neighborhood
Specialists can use e-referral and e-consult to enhance specialty care delivery when the process is embraced by PCPs. https://pubmed.ncbi.nlm.nih.gov/26699344/
Read More