ArticleJournal of medical Internet research2017
Psychiatric Consultation at Your Fingertips: Descriptive Analysis of Electronic Consultation From Primary Care to Psychiatry.
Article in Journal of medical Internet research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis 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
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Family Physician-to-Hospital Specialist Electronic Consultation and Access to Hospital Care: A Systematic Review.JAMA network open · 2024Pooled it
- Primary Care Physician Adherence to Telepsychiatry Recommendations: Intermediate Outcomes from a Randomized Clinical Trial.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Trial
- Development, Implementation, and Refinement of a Mental Health Consultation-Liaison Model in the Neonatal Intensive Care Unit: A Learning Health System Approach.Behavioral sciences (Basel, Switzerland) · 2026Article
- Referral patterns and requested interventions in a cancer pain e-consult system.Interventional pain medicine · 2026Article
- Collaboration between general practitioners and psychiatrists via digital platforms in the Netherlands: advantages and specific limiting factors.BMC primary care · 2025Article
- Psychiatric consultation: Characteristics, satisfaction, and perceived opportunities among referrers to a 1-time service.Canadian family physician Medecin de famille canadien · 2023Article
- Improving Patient Access to Hospital Pharmacists Using eConsults: Retrospective Descriptive Study.JMIR formative research · 2023Article
- Technology-Based Approaches for Supporting Perinatal Mental Health.Current psychiatry reports · 2022Review
- Telepsychiatry and mental healthcare referrals: Recommendations for low- and middle-income countries.Perspectives in psychiatric care · 2021Article
- Primary Care Psychiatry eConsults at a Rural Academic Medical Center: Descriptive Analysis.Journal of medical Internet research · 2021Article
- The impact of the COVID-19 pandemic and its related restrictions on people with pre-existent mental health conditions: A scoping review.Archives of psychiatric nursing · 2021Article
- Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study.Frontiers in psychiatry · 2021Article
- The Use of Psychiatric eConsults in Primary Care.Journal of general internal medicine · 2020Article
- Telepsychiatry and integrated primary care: setting expectations and creating an effective process for success.mHealth · 2020Review
- Evaluation of an electronic consultation service in psychiatry for primary care providers.BMC psychiatry · 2018Article
- Optimizing Electronic Consultation Between Primary Care Providers and Psychiatrists: Mixed-Methods Study.Journal of medical Internet research · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental health problems are commonly encountered in primary care, with primary care providers (PCPs) experiencing challenges referring patients to specialty mental health care. Electronic consultation (eConsult) is one model that has been shown to improve timely access to subspecialty care in a number of medical subspecialties. eConsults generally involve a PCP-initiated referral for specialty consultation for a clinical question that is outside their expertise but may not require an in-person evaluation.
objectiveOur aim was to describe the implementation of eConsults for psychiatry in a large academic health system.
methodsWe performed a content analysis of the first 50 eConsults to psychiatry after program implementation. For each question and response, we coded consults as pertaining to diagnosis and/or management as well as categories of medication choice, drug side effects or interactions, and queries about referrals and navigating the health care system. We also performed a chart review to evaluate the timeliness of psychiatrist responses and PCP implementation of recommendations.
resultsDepression was the most common consult template selected by PCPs (20/50, 40%), followed by the generic template (12/50, 24%) and anxiety (8/50, 16%). Most questions (49/50, 98%) pertained primarily to management, particularly for medications. Psychiatrists commented on both diagnosis (28/50, 56%) and management (50/50, 100%), responded in an average of 1.4 days, and recommended in-person consultation for 26% (13/50) of patients. PCPs implemented psychiatrist recommendations 76% (38/50) of the time.
conclusionsFor the majority of patients, psychiatrists provided strategies for ongoing management in primary care without an in-person evaluation, and PCPs implemented most psychiatrist recommendations. eConsults show promise as one means of supporting PCPs to deliver mental health care to patients with common psychiatric disorders.
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