ArticleJournal of general internal medicine2020
Comparing Patients' Experiences with Electronic and Traditional Consultation: Results from a Multisite Survey.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 45 citations in OpenAlex.
- From Pilot to Practice: A Large-Scale Evaluation of Gastroenterology E-Consultations at an Academic Medical Center.Gastro hep advances · 2026Article
- Increased access to pediatric specialist healthcare using eConsult: A retrospective observational cohort and case-control study.Paediatrics & child health · 2025Article
- A systematic review of consumers' and healthcare professionals' trust in digital healthcare.NPJ digital medicine · 2025Article
- Tools for Improving Access to Subspecialty Care Among Rural Children.Pediatric clinics of North America · 2025Review
- Successful Electronic Consultation Service Initiative in Quebec, Canada With Primary Care Physicians' and Specialists' Experiences on Acceptance and Use of Technological Innovation: Cross-Sectional Exploratory Study.JMIR formative research · 2024Article
- Remote Symptom Monitoring Using Patient-Reported Outcomes in Patients With Chronic Kidney Disease: Process Evaluation of a Randomized Controlled Trial.JMIR formative research · 2024Article
- Consultants' and referrers' perceived barriers to closing the cross-institutional referral loop, and perceived impact on clinical care.International journal of medical informatics · 2023Article
- Does virtual consultation between primary and specialised care improve healthcare quality? A scoping review of healthcare quality domains assessment.BMJ open quality · 2023Article
- Article
- Primary Care Practice Transformation in the Era of COVID-19 and Beyond: Key Principles for General Internal Medicine Practitioners.Journal of general internal medicine · 2022Article
- A Quantitative and Qualitative Study on Patient and Physician Perceptions of Nephrology Telephone Consultation During COVID-19.Canadian journal of kidney health and disease · 2022Article
- The Association Between Patient Satisfaction and Mode of Visit (Telemedicine Versus In-Person) in a Large Orthopaedic Practice During the COVID-19 Pandemic Lockdown: A Retrospective Study.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- Patients' and Clinicians' Perceived Trust in Internet-of-Things Systems to Support Asthma Self-management: Qualitative Interview Study.JMIR mHealth and uHealth · 2021Article
- Telemedicine in Peru as a Result of the COVID-19 Pandemic: Perspective from a Country with Limited Internet Access.The American journal of tropical medicine and hygiene · 2021Article
- Patient Satisfaction and Trust in Telemedicine During the COVID-19 Pandemic: Retrospective Observational Study.JMIR human factors · 2021Article
- Delivering remote consultations: Talking the talk.Musculoskeletal science & practice · 2021Article
- Leveraging Telehealth to improve access to care: a qualitative evaluation of Veterans' experience with the VA TeleSleep program.BMC health services research · 2021Article
- Perceived Factors Influencing the Public Intention to Use E-Consultation: Analysis of Web-Based Survey Data.Journal of medical Internet research · 2021Article
- Improving consumer trust in digital health: A mixed methods study involving people living with chronic kidney disease.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere have been no large-scale studies to date of patients' experiences with electronic consultation (eConsult) between primary and specialty care.
objectiveCompare experiences with eConsult and referral for in-person specialist consultation.
designOnline survey 2-6 weeks following eConsult or referral at 9 US academic medical centers.
participantsAdult patients with no more than one eConsult or referral order from a primary care provider (PCP) in the prior month. Over 9 months, 29,291 email invitations were sent (88% referral; 12% eConsult). MAIN MEASURES: Trust in and satisfaction with PCP; consult type awareness; agreement with decision to seek specialist input; timeliness of care; mode of PCP-patient eConsult communication; satisfaction with specialist's recommendations; future preference for eConsult or referral. KEY
resultsA 27.6% response rate yielded 8087 respondents (88.4% referral; 11.6% eConsult). Many did not know that their PCP had placed a referral (32.8% unaware) or eConsult (52.9%), and eConsult awareness was significantly higher among patients reporting better health (OR 1.62, 95% CI 1.18-2.23). Most (81.4% eConsult; 82.0% referral) were satisfied with the specialist's recommendations. Those who had a good primary care experience were more likely to be satisfied (eConsult: OR 10.63, 95% CI 2.95-38.32; referral: OR 2.87, 95% CI 1.86-4.44). For a similar problem in the future, 78% of eConsult and 32% percent of referral patients preferred eConsult.
conclusionsThis multisite study demonstrates that many patients find virtual consultation to be an acceptable strategy for the management of their medical condition and that trust and confidence in one's PCP are crucial ingredients for a satisfying eConsult experience. The lack of awareness of eConsult among many patients who were beneficiaries of the service warrants an increased effort to include patients in eConsult decision-making and communication. Further research is needed to assess eConsult acceptability and satisfaction in more diverse patient populations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.