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Electronic Consultations for Endocrine Conditions: A Scoping Review
Bahaa Abdellatif1,2, Varun Natarajan1, Alison J Leibowitz1
1Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA 01730, USA.
Journal of the Endocrine Society
|October 15, 2024
Summary
Electronic consultations (e-consults) improve endocrine care access and quality. While data is limited, e-consults show promise, especially when primary care providers implement recommendations, suggesting comparable or better outcomes than traditional referrals.
Area of Science:
- Endocrinology
- Digital Health
- Health Services Research
Background:
- Electronic consultations (e-consults) are expanding access to specialized endocrine care.
- This method aims to reduce the need for in-person patient visits.
Purpose of the Study:
- To review models of endocrine e-consult delivery.
- To assess known outcomes of endocrine e-consults.
- To identify research gaps in endocrine e-consult literature.
Main Methods:
- A scoping review methodology was employed.
- Searched PubMed, Embase, CINAHL, and Cochrane databases (2000-2024).
- 19 articles were included after screening 2522 initial records.
Main Results:
- The endocrine e-consult literature is small and primarily observational.
- Feasibility, acceptability, and timeliness findings are positive.
- E-consults appear non-inferior to other referrals for A1C reduction, with greater gains when recommendations are implemented.
Conclusions:
- Existing studies support e-consult benefits for endocrine care quality, but the literature is nascent.
- Significant research gaps remain, particularly regarding specific conditions and comprehensive outcomes.
- Future research should utilize advanced designs to explore care coordination, costs, and best practices.
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