ArticleCanadian journal of kidney health and disease2019
Electronic Advice Request System for Nephrology in Alberta: Pilot Results and Implementation.
Article in Canadian journal of kidney health and disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Examining the Role of a Comprehensive eConsult System to Enhance Access to Nephrology Care.Kidney 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
- Measuring person-centered integrated care for people living with mild to moderate chronic kidney disease and multimorbidity: a cross-sectional survey.Frontiers in health services · 2025Article
- Trends in nephrology referral patterns for patients with chronic kidney disease: Retrospective cohort study.PloS one · 2022Article
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Authors and funding
16 authors.
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Abstract
backgroundResidents of rural areas of Alberta face significant barriers regarding access to specialist care, resulting in delays in provision of optimal care. Electronic referral and consultation systems are promising tools for facilitating timely access to specialist care, especially for people living in rural locations.
objectiveTo report our initial experience with the launch of an electronic advice request system for ambulatory kidney care in Alberta, Canada.
methodsWe analyzed electronic advice requests for nephrology services in Alberta after the system's pilot launch, from October 2016 to December 2017. Data for province-wide advice request utility by primary care providers (PCPs) were extracted from Alberta Netcare for analysis.
resultsThe total number of electronic advice requests directed to nephrology was 118 (mean number of requests: 2 per week). Only 31 (26.3%) of the cases required a face-to-face clinic visit with a nephrologist. Most (87; 73.7%) cases were managed by PCPs with ongoing nephrologist support via the advice request tool. Typical nephrologist response time was 5.7 ± 0.6 (mean ± SEM) days.
conclusionThese preliminary data suggest that the electronic advice request program has potential to enhance timely access to specialist kidney care and minimize unnecessary nephrologist visits while reducing response time. Broad implementation of this system may have a substantial positive impact on health outcomes and improve cost-effectiveness for nephrology care in the long term, particularly in rural communities of Alberta.
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