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Electronic Consultation Services Worldwide: Environmental Scan.

Justin Joschko¹, Erin Keely^2,3, Rachel Grant⁴

¹CT Lamont Primary Health Care Research Centre, Department of Family Medicine, University of Ottawa, Ottawa, ON, Canada.

Journal of Medical Internet Research

|December 23, 2018

Summary

This summary is machine-generated.

Electronic consultations (eConsults) improve specialist access and patient satisfaction globally. Despite varied implementations, common challenges and successes in eConsult adoption exist across different healthcare systems.

Keywords:

electronic consultation interviews primary care quality of care referral-consultation process specialist care telemedicine

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Area of Science:

Health Services Research
Digital Health Innovation
Healthcare Management

Background:

Long wait times for specialist appointments negatively impact patient health and increase healthcare costs.
Technological solutions, such as electronic consultations (eConsults), are being adopted to streamline patient referrals and specialist access.
eConsults facilitate secure communication between primary care providers and specialists for timely patient care discussions.

Purpose of the Study:

To conduct a global examination of various electronic consultation (eConsult) services.
To compare the implementation strategies, challenges, and successes of eConsults across diverse healthcare settings.
To identify common themes related to eConsult service structure, benefits, barriers, and enablers.

Main Methods:

An environmental scan was performed, including literature reviews (MEDLINE, EMBASE) and gray literature searches (Google).
Semistructured interviews were conducted with key informants from identified eConsult services, utilizing the RE-AIM framework.
Thematic synthesis analysis was applied to interview transcripts to identify overarching themes.

Main Results:

A total of 53 eConsult services were identified through the literature and gray literature search.
Ten services participated in interviews, revealing four major themes: service structure, benefits, implementation challenges, and enablers.
Key findings highlight common barriers and facilitators to eConsult implementation and growth across different health systems.

Conclusions:

eConsult services are implemented globally across varied healthcare contexts and system structures.
Despite structural and platform differences, common barriers and enablers influence eConsult implementation and scalability.
Reported outcomes include enhanced patient access to specialists and high levels of user satisfaction with eConsult platforms.