E-Consult and Care Coordination Decisions During the Pandemic
Specialists’ use of virtual communications to deliver care instead of in-person recommendations increased during the pandemic.
Specialists’ use of virtual communications to deliver care instead of in-person recommendations increased during the pandemic.
Pediatric dermatology e-consults reduce needs for face-to-face visits and offer potential costs savings for payers and patients. Access the article here.
The study found high rates of appropriate e-consults across specialties, supporting that e-consults are efficient compared with in-person visits https://www.acpjournals.org/doi/full/10.7326/M19-3852
E-Consults provide a safe and effective means of triaging and providing recommendations for patients with vascular disease. https://pubmed.ncbi.nlm.nih.gov/31611112/
In this opinion piece, Dr. Barnett argues that fewer visits caused by the pandemic is a much needed and welcome change in managing patients’ healthcare.
E-consult implementation resulted in decreased in-person wait times despite an increase in overall consult volume. https://www.jaci-inpractice.org/article/S2213-2198(19)30496-9/abstract
Communication between primary doctors and specialists using e-consult reduces delays in specialty care and decreases costs. https://www.nytimes.com/2019/03/18/upshot/when-email-comes-to-the-doctors-office-wait-times-decrease.html
An e-consult simulation tool estimates lead time, queue length, and specialist workload in rheumatology. https://ieeexplore.ieee.org/abstract/document/8632444/figures#figures
Dermatology e-consult demonstrated high patient satisfaction, provider efficiency and acceptance. https://journals.sagepub.com/doi/abs/10.1177/1357633X18799805
E-consults eliminate unnecessary office visits and improve the efficiency of specialty referrals. https://journals.sagepub.com/doi/abs/10.1177/0003489419882726
E-consults have the potential to unlock medical expertise for the underserved. https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0122
The majority of e-consults demonstrate an improved care plan and are seen as educational for the primary care provider. https://journals.sagepub.com/doi/abs/10.1177/1357633X18784416
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
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
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