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Primary Care Psychiatry eConsults at a Rural Academic Medical Center: Descriptive Analysis.

Jade Avery1, Dennis Dwan2, Gillian Sowden3

  • 1Department of Psychiatry, New York Presbyterian, Columbia University, New York City, NY, United States.

Journal of Medical Internet Research
|September 1, 2021
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Summary
This summary is machine-generated.

Psychiatry eConsults provide timely specialist advice for primary care physicians, with high rates of recommendation implementation for conditions like depression and anxiety.

Keywords:
eConsultelectronic consultationpsychiatryruraltelehealthtelemedicine

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Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Health Services Research

Background:

  • Primary care providers (PCPs) manage many mental health needs.
  • Psychiatric specialists' input is vital for complex cases.
  • Psychiatry eConsults bridge the gap when direct referral is difficult.

Purpose of the Study:

  • To evaluate the content and implementation of psychiatry eConsults.
  • To assess the utility of eConsults in a rural academic medical center.

Main Methods:

  • Retrospective review of 343 psychiatry eConsults (May 2016-Feb 2019).
  • Analysis of diagnoses, question types, recommendations, demographics, and implementation rates.
  • Evaluation of response times.

Main Results:

  • Depression (36%) and anxiety (26%) were most common diagnoses.
  • Medication management was the most frequent consult question (84%).
  • PCPs implemented recommendations in 94% of cases; average response time was 26 hours.

Conclusions:

  • Psychiatry eConsults are a timely and effective tool.
  • PCPs highly value and implement specialist recommendations.
  • eConsults enhance mental healthcare delivery in primary care settings.