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Related Experiment Video

Updated: May 22, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

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Perceived Emergency Department Avoidance Following Virtual Provider-to-Provider Consultation: A Cross-Sectional

Daniel Rasic¹, Ashfaq Adib¹, Jacob Cookey¹

¹Virtual Hallway Consults Inc, Halifax, NS, Canada.

Journal of Primary Care & Community Health

|May 21, 2026

Summary

Virtual peer-to-peer consultations may reduce emergency department (ED) visits by nearly one-third, particularly in rural areas. This technology enhances primary care management and decreases unnecessary ED utilization.

Keywords:

access to care electronic consultation emergency department utilization health service delivery primary care provider-to-provider consultation telehealth

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Published on: August 1, 2019

Area of Science:

Healthcare Management
Telemedicine
Primary Care

Background:

Limited access to specialty care exacerbates emergency department (ED) crowding in Canada.
Virtual provider-to-provider consultation platforms offer a potential solution for primary care management and reducing ED visits.

Purpose of the Study:

To evaluate primary care providers' perceptions on whether virtual peer-to-peer consultations prevented emergency department (ED) visits.

Main Methods:

Cross-sectional analysis of post-consultation surveys from clinicians using the Virtual Hallway platform in Nova Scotia.
Providers reported on patient management, ED visit prevention, and urgency of avoided escalations.
Descriptive analyses were conducted by provider type, specialty, and geographic zone.

Main Results:

29.1% of respondents believed the consultation prevented an ED visit, with higher perceived avoidance in rural zones (35.0%) compared to urban (22.4%).
Nearly all respondents (96.3%) reported improved patient management.
Among avoided visits, 53.2% were moderately urgent and 36.8% were not urgent.

Conclusions:

Virtual peer-to-peer consultations are perceived to prevent ED visits in approximately one-third of cases, showing a greater impact in rural settings.
These findings indicate potential system-level benefits for reducing avoidable emergency care utilization.
The Virtual Hallway platform demonstrates promise in supporting primary care and mitigating ED crowding.