ArticleBMC psychiatry2018
Evaluation of an electronic consultation service in psychiatry for primary care providers.
Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Family Physician-to-Hospital Specialist Electronic Consultation and Access to Hospital Care: A Systematic Review.JAMA network open · 2024Pooled it
- Electronic consultations (E-consults) and their outcomes: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Collaboration between general practitioners and psychiatrists via digital platforms in the Netherlands: advantages and specific limiting factors.BMC primary care · 2025Article
- Increased access to pediatric specialist healthcare using eConsult: A retrospective observational cohort and case-control study.Paediatrics & child health · 2025Article
- Ontario Primary Care Practitioners and Access to Ophthalmologists Through Electronic Consultation.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Evaluating preferences for medication formulation and treatment model among people who use opioids non-medically: A web-based cross-sectional study.Journal of substance use and addiction treatment · 2024Article
- Health equity for persons with disabilities: a global scoping review on barriers and interventions in healthcare services.International journal for equity in health · 2023Article
- Does virtual consultation between primary and specialised care improve healthcare quality? A scoping review of healthcare quality domains assessment.BMJ open quality · 2023Article
- Psychiatric consultation: Characteristics, satisfaction, and perceived opportunities among referrers to a 1-time service.Canadian family physician Medecin de famille canadien · 2023Article
- General Practitioner Use of e-Consultation to Consult Hospital Specialists: Interview Study to Obtain Physician's Perceptions About Digital Interprofessional Communication.Journal of medical Internet research · 2023Article
- Formalizing the curbside: digitally enhancing access to specialty care.Proceedings (Baylor University. Medical Center) · 2023Article
- Technology-Based Approaches for Supporting Perinatal Mental Health.Current psychiatry reports · 2022Review
- Health complaints in individual visiting primary health care: population-based national electronic health records of Iran.BMC health services research · 2022Article
- Primary Care Psychiatry eConsults at a Rural Academic Medical Center: Descriptive Analysis.Journal of medical Internet research · 2021Article
- Evaluation of an electronic consultation service for transgender care.BMC family practice · 2021Article
- Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study.Frontiers in psychiatry · 2021Article
- Reducing the Treatment Gap for LGBT Mental Health Needs: the Potential of Telepsychiatry.The journal of behavioral health services & research · 2020Article
- Clinical Questions Asked by Long-Term Care Providers Through eConsult: A Retrospective Study.Gerontology & geriatric medicineArticle
- Obsessive-Compulsive Disorder: A Medical School Curriculum and Textbook Review.Journal of medical education and curricular developmentArticle
- Evaluation of an Electronic Consultation Service for COVID-19 Care.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study explores the effectiveness of an electronic consultation (eConsult) service between primary care providers and psychiatry, and the types and content of the clinical questions that were asked.
methodsThis is a retrospective eConsult review study. All eConsults directed to Psychiatry from July 2011 to January 2015 by Primary care providers were reviewed. Response time and the amount of time reported by the specialist to answer each eConsult was analyzed. Each eConsult was also categorized by clinical topic and question type in predetermined categories. Mandatory post-eConsult surveys for primary care providers were analyzed to determine the number of traditional consults avoided and to gain insight into the perceived value of eConsults.
resultsOf the 5597 eConsults, 169 psychiatry eConsults were completed during the study period. The average response time for a specialist to a primary care provider was 2.3 days. Eighty-seven percent of clinical responses were completed by the psychiatrist in less than 15 min. The primary care providers most commonly asked clinical questions were about depressive and anxiety disorders. 88.7% of PCPs rated the eConsult service a 5 (excellent value) or 4.
conclusionsThis study indicates that an eConsult psychiatry service has tremendous potential to improve access to psychiatric advice and expand the capacity to treat mental illness in primary care. Future research may include follow-up with PCPs regarding the implementation of specialist advice.
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