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Updated: Oct 15, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Feasibility of an asynchronous general practitioner-to-general physician eConsultant outpatient substitution program:
Jennifer Job1, Maria Donald2, Samantha J Borg3
1PhD, MAppSc, GradDipNutr@Diet, BSc, APD, Research Fellow, Centre for Health System Reform and Integration, Mater Research Institute, University of Queensland, Brisbane, Qld.
Background And Objectives:
The use of an 'eConsultant' to support the family physician is an established outpatient substitution model in North America. This pilot study investigates the feasibility of the eConsultant model for complex chronic disease management within the Australian setting.
Method:
This pilot study was implemented in one urban and four rural/remote general practices in one state. The general practitioner (GP) sent a request for advice (RFA), a clinical summary with a specific clinical question/s, via secure messaging to a physician working remotely. Responses were required for GP/patient follow-up within 72 hours.
Results:
The mean (standard deviation [SD]) time for general physician reply was 2.1 (1.2) days, and mean (SD) time from initial to subsequent GP/patient review was 14.8 (16.7) days. Only 13.3% of eConsultations required a subsequent face-to-face outpatient department appointment.
Discussion:
The eConsultant model is feasible in Australia, with potential for improving access and reducing time to non-GP specialist input.
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