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Updated: Jul 16, 2025

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Improving Access to Osteoporosis Specialists Using Electronic Consultations.

Claire Sethuram1, Warren Brown2, Gurleen Gill3

  • 1C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, Ontario, Canada; Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
|September 18, 2023
PubMed
Summary

Primary care providers frequently use eConsults for osteoporosis treatment and bone density scan questions. Specialist advice via eConsult provides timely guidance, often resolving cases without referrals.

Keywords:
access to careelectronic consultationosteoporosis

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Area of Science:

  • Endocrinology
  • Primary Care Medicine
  • Health Informatics

Background:

  • Osteoporosis management requires timely specialist input.
  • Primary care providers (PCPs) face challenges in managing osteoporosis.
  • Electronic consultation (eConsult) platforms offer a potential solution for specialist access.

Purpose of the Study:

  • To identify common osteoporosis-related questions from PCPs.
  • To assess the impact of specialist advice provided through eConsult.
  • To evaluate the efficiency of eConsults in osteoporosis care.

Main Methods:

  • Cross-sectional study of osteoporosis eConsults to endocrinologists (Jan 2018-Dec 2020).
  • eConsults coded for clinical question and answer types.
  • Analysis of utilization data, response times, PCP satisfaction, and referral outcomes.

Main Results:

  • 16% of eConsults (408/2528) were osteoporosis-related.
  • Top PCP questions: initiating treatment (35%), initial therapy choice (25%), BMD scan frequency (15%).
  • Specialist recommendations: BMD scans (34%), initiating therapy (24%), bisphosphonate treatment (23%). Median response time: 3.1 days. 84% resolved without referral.

Conclusions:

  • Osteoporosis eConsults facilitate timely specialist advice, reducing unnecessary in-person visits.
  • Identified common PCP questions can guide future professional development.
  • eConsults improve access to expert osteoporosis management guidance.