ArticleJournal of the Canadian Association of Gastroenterology2018
Improving Access to Gastroenterologist Using eConsultation: A Way to Potentially Shorten Wait Times.
Article in Journal of the Canadian Association of Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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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
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Defining the Roles of Inflammatory Bowel Disease Clinical Pharmacists in the United States: A Systematic Review and National RAND/UCLA Consensus.Inflammatory bowel diseases · 2024Pooled it
- Electronic consultations (E-consults) and their outcomes: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Effect of Peer Benchmarking on Specialist Electronic Consult Performance in a Los Angeles Safety-Net: a Cluster Randomized Trial.Journal of general internal medicine · 2022Trial
- Ontario Primary Care Practitioners and Access to Ophthalmologists Through Electronic Consultation.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- 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
- A model for the pandemic and beyond: Telemedicine for all outpatient gastroenterology referrals reduces unnecessary clinic visits.Journal of telemedicine and telecare · 2022Article
- Effect of Integrated Gastroenterology Specialists in a Primary Care Setting: a Retrospective Cohort Study.Journal of general internal medicine · 2021Article
- Evaluation of an electronic consultation service for transgender care.BMC family practice · 2021Article
- Telehealth in Pediatric Gastroenterology Can Be a Sustainable Long-Term Option: A Single-Center Experience.The Permanente journal · 2021Article
- Current and future implications of COVID-19 on gastroenterology training and clinical practice.International journal of clinical practice · 2020Article
- "Dr. Google, I am in Pain"-Global Internet Searches Associated with Pain: A Retrospective Analysis of Google Trends Data.International journal of environmental research and public health · 2020Article
- Electronic Consultations to Hepatologists Reduce Wait Time for Visits, Improve Communication, and Result in Cost Savings.Hepatology communications · 2019Article
- Evaluation of an Electronic Consultation Service for COVID-19 Care.Annals of family medicineArticle
- Clinical Questions Asked by Long-Term Care Providers Through eConsult: A Retrospective Study.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWait times for gastroenterologists in Canada continue to exceed recommended targets. Electronic consultation (eConsult) may reduce the need for face-to-face gastroenterologist visits.
objectiveThe goal of this study was to identify the cases submitted to gastroenterologists though the Champlain BASE™ (Building Access to Specialists through eConsultation) eConsult service and explore their impact on primary care physicians' (PCPs) courses of action.
methodsGastroenterology cases submitted between June 2013 and January 2015 were categorized using a modification of the International Classification for Primary Care (ICPC-2) taxonomy. Question type (e.g., diagnosis or management) was classified using a validated taxonomy.
resultsOf the 121 gastroenterology consults reviewed, 33% were related to hepatology, 23% to GI symptoms, and 13% to specific luminal diseases. Among hepatology eConsults (n=40), 47% pertained to abnormal liver function testing. Overall, 51% of eConsults were related to diagnosis, 30% to management, 9% to drug treatments and 7% to procedures. PCPs received a reply within a median of 2.9 days. Only 25% of cases resulted in a face-to-face referral.
conclusionsThe eConsult service provided timely, highly regarded advice from gastroenterologists directly to PCPs and often eliminated the need for a face-to-face consultation. An evaluation of the most commonly-posed questions could inform future continuing medical education activities for PCPs.
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