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Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Building access to specialist care through e-consultation.

Clare Liddy1, Margo S Rowan, Amir Afkham

  • 1Department of Family Medicine, University of Ottawa, Ontario, Canada. CLiddy@bruyere.org

Open Medicine : a Peer-Reviewed, Independent, Open-Access Journal
|May 21, 2013
PubMed
Summary

An electronic consultation system improved access to specialist care and reduced wait times for patients in Canada. This low-cost system offers a viable alternative to traditional in-person referrals.

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Area of Science:

  • Health Informatics
  • Telemedicine
  • Healthcare Management

Background:

  • Limited access to specialist care is a significant healthcare barrier in Canada.
  • Long wait times and inequitable availability affect patients and primary care providers.
  • An electronic consultation (e-consultation) system was developed to address these challenges.

Purpose of the Study:

  • To evaluate the effectiveness and acceptability of a secure web-based e-consultation system.
  • To assess the impact of e-consultation on patient access and provider satisfaction.
  • To determine the potential for broader implementation of the e-consultation system.

Main Methods:

  • A 15-month pilot program in Eastern Ontario, Canada, involving primary care providers and specialists.
  • Data collection included system utilization, satisfaction surveys, focus groups, and interviews.
  • Analysis of 77 e-consultation requests processed between January 2010 and April 2011.

Main Results:

  • High provider satisfaction and good system uptake were observed.
  • E-consultations improved referral integration and avoided unnecessary specialist visits.
  • Key benefits included enhanced patient access to specialists, reduced wait times, and improved clinical decision-making for primary care providers.

Conclusions:

  • The e-consultation system demonstrated effectiveness and acceptability among healthcare providers.
  • The system offers a low-cost solution with potential for wider implementation.
  • Adaptation of physician payment models is necessary for broader adoption.