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Interprofessional Consultations (eConsults) in Urology.

Milan Patel1,2, Adam J Gadzinski3, Alexander M Bell4

  • 1Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor.

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Electronic consultations (eConsults) help urologists manage common non-surgical conditions, reducing the need for in-person visits. This telehealth approach offers efficient specialist recommendations for primary care providers.

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Area of Science:

  • Urology
  • Telehealth
  • Digital Health

Background:

  • Interprofessional consultations (eConsults) are asynchronous telehealth services.
  • Primary care providers use eConsults to request specialist input, replacing in-person visits.
  • eConsults are established in many specialties but understudied in urology.

Purpose of the Study:

  • To evaluate the utility and effectiveness of urological eConsults.
  • To analyze eConsult conversion rates, response times, and completion times.
  • To identify common diagnosis categories addressed via urological eConsults.

Main Methods:

  • Retrospective analysis of 462 urological eConsults from four academic institutions (2019).
  • Data collected on eConsult conversion to in-person visits, response, and completion times.
  • Categorization of diagnoses managed through the eConsult platform.

Main Results:

  • 36% of urological eConsults were converted to in-person visits.
  • For resolved eConsults, 53.8% received a response in under 1 day.
  • eConsult completion times were predominantly under 20 minutes.

Conclusions:

  • eConsults are effective for managing common, low-complexity urological conditions.
  • This telehealth modality can help avoid unnecessary in-person consultations.
  • Further research is needed on eConsults' impact on healthcare costs and access to urological care.