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Keeping care connected: e-Consultation program improves access to nephrology care.

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Electronic consultations (eConsults) significantly reduced nephrology wait times and improved referral completion rates. This innovative solution enhances specialty care access and reduces unnecessary appointments for patients.

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Area of Science:

  • Health Services Research
  • Nephrology
  • Digital Health

Background:

  • Health systems face challenges in improving access to specialty care.
  • Electronic consultations (eConsults) offer a method for specialists to advise primary care providers (PCPs) remotely.
  • eConsults facilitate clinical recommendations based on patient chart review, bypassing traditional face-to-face visits.

Purpose of the Study:

  • To evaluate a nephrology eConsult pilot program in an academic primary care setting.
  • To compare referral wait times and completion rates between traditional referrals and eConsults.
  • To assess primary care provider satisfaction with the eConsult program.

Main Methods:

  • Implementation of a nephrology eConsult pilot program.
  • Analysis of primary care referral data to compare traditional referrals and eConsults.
  • Surveying PCPs to gauge satisfaction with the eConsult system.

Main Results:

  • eConsults demonstrated a median response time of one day and a 100% completion rate, compared to 51 days and 40.9% for traditional referrals.
  • 67.5% of eConsults obviated the need for a face-to-face visit.
  • PCPs reported high satisfaction, citing rapid turnaround time as a key benefit.

Conclusions:

  • The nephrology eConsult pilot program successfully reduced wait times and increased referral completion.
  • eConsults show significant potential for improving specialty care access in integrated health systems.
  • This approach can optimize specialist caseloads and reduce unnecessary in-person appointments.