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Differences in Electronic Consultation Conversion Rates Between Advanced Practice Providers and Board-Certified

Dakota Hitchcock1, Sabrina Newman2

  • 1Department of Internal Medicine, Saint Joseph Hospital, 1960 Ogden Street Suite 400, Denver, CO, 80218, United States, 1 303-318-1540.

JMIR Dermatology
|January 30, 2026
PubMed
Summary

Advanced practice providers had higher conversion rates to in-person dermatology visits than dermatologists. This finding suggests potential impacts on patient access and healthcare resource use.

Keywords:
advanced practice providerdermatologye-consultteledermatologytelehealth

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Area of Science:

  • Dermatology
  • Health Services Research
  • Clinical Informatics

Background:

  • Electronic consultations (e-consults) are increasingly used in dermatology to improve access and efficiency.
  • The role of advanced practice providers (APPs) in e-consult workflows is evolving.
  • Understanding conversion rates from e-consults to in-person visits is crucial for optimizing care delivery.

Purpose of the Study:

  • To compare the conversion rates of dermatology e-consults to in-person visits between advanced practice providers (APPs) and board-certified dermatologists.
  • To analyze the potential implications of differing conversion rates on patient access to dermatological care.
  • To evaluate the impact on healthcare resource utilization within an academic health system.

Main Methods:

  • Retrospective analysis of dermatology e-consult data from a large academic health system.
  • Comparison of conversion rates to in-person visits between APPs and board-certified dermatologists.
  • Statistical analysis to determine the significance of observed differences.

Main Results:

  • APPs demonstrated nearly threefold higher conversion rates to in-person dermatology visits compared to board-certified dermatologists.
  • The analysis identified significant differences in care pathways initiated by APPs versus dermatologists via e-consults.
  • These findings highlight variations in how different provider types manage e-consult referrals.

Conclusions:

  • Advanced practice providers may facilitate a higher rate of transition to in-person dermatology consultations.
  • The observed differences in conversion rates have significant implications for patient access to dermatologists.
  • Optimizing e-consult workflows requires consideration of provider type to enhance resource allocation and patient care pathways.