ArticleBMJ open2017
Patient and provider perspectives on the design and implementation of an electronic consultation system for kidney care delivery in Canada: a focus group study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- When Tech Meets Touch: Multistakeholder Perspectives and Implementation Strategies for eHealth in Chronic Kidney Disease: A Systematic Review Using Computational Linguistics.Journal of nursing management · 2026Pooled it
- Digitally supported interprofessional interaction in healthcare-a scoping review.Frontiers in digital health · 2025Pooled it
- Social, Organizational, and Technological Factors Impacting Clinicians' Adoption of Mobile Health Tools: Systematic Literature Review.JMIR mHealth and uHealth · 2020Pooled it
- Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis.Journal of medical Internet research · 2019Pooled it
- Effect of a Multi-specialty E-consultation Service on Hospital Referrals: An Interrupted Time-Series Study in the Netherlands.Journal of general internal medicine · 2026Article
- Reducing health and cancer disparities: an environmental scan of three promising health care access interventions in Alberta, Canada.BMC health services research · 2025Article
- Disparities in ethnicity and metabolic disease burden in referrals to nephrology.Singapore medical journal · 2025Observational
- Review
- Current Implementation of Digital Health in Chronic Disease Management: Scoping Review.Journal of medical Internet research · 2024Article
- Analyzing the barriers and enablers to internet hospital implementation: a qualitative study of a tertiary hospital using TDF and COM-B framework.Frontiers in digital health · 2024Article
- Perspectives of patients with colorectal cancer liver metastases on e-consultation in transmural care: a qualitative study : Is privacy really an issue?BMC health services research · 2023Article
- Article
- Enhancing primary care capacity in chronic kidney disease management: a quality improvement educational initiative.BMJ open · 2021Article
- Factors Impacting Clinicians' Adoption of a Clinical Photo Documentation App and its Implications for Clinical Workflows and Quality of Care: Qualitative Case Study.JMIR mHealth and uHealth · 2020Article
- Uptake and Scalability of a Peritoneal Dialysis Virtual Care Solution: Qualitative Study.JMIR human factors · 2019Article
- Patient and provider experience and perspectives of a risk-based approach to multidisciplinary chronic kidney disease care: a mixed methods study.BMC nephrology · 2019Article
- Time Required to Create a Referral in Various Store-and-Forward Telemedicine Networks.Frontiers in public health · 2019Article
- Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance access to specialist care: a scoping review.BMJ global health · 2019Article
- Electronic Advice Request System for Nephrology in Alberta: Pilot Results and Implementation.Canadian journal of kidney health and disease · 2019Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe assessed stakeholder perceptions on the use of an electronic consultation system (e-Consult) to improve the delivery of kidney care in Alberta. We aim to identify acceptability, barriers and facilitators to the use of an e-Consult system for ambulatory kidney care delivery.
methodsThis was a qualitative focus group study using a thematic analysis design. Eight focus groups were held in four locations in the province of Alberta, Canada. In total, there were 72 participants in two broad stakeholder categories: patients (including patients' relatives) and providers (including primary care physicians, nephrologists, other care providers and policymakers).
findingsThe e-Consult system was generally acceptable across all stakeholder groups. The key barriers identified were length of time required for referring physicians to complete the e-Consult due to lack of integration with current electronic medical records, and concerns that increased numbers of requests might overwhelm nephrologists and lead to a delayed response or an unsustainable system. The key facilitators identified were potential improvement of care coordination, dissemination of best practice through an educational platform, comprehensive data to make decisions without the need for face-to-face consultation, timely feedback to primary care providers, timeliness/reduced delays for patients' rapid triage and identification of cases needing urgent care and improved access to information to facilitate decision-making in patient care.
conclusionsStakeholder perceptions regarding the e-Consult system were favourable, and the key barriers and facilitators identified will be considered in design and implementation of an acceptable and sustainable electronic consultation system for kidney care delivery.
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Registered trials
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