ArticleJournal of medical Internet research2021
Primary Care Psychiatry eConsults at a Rural Academic Medical Center: Descriptive Analysis.
Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Family Physician-to-Hospital Specialist Electronic Consultation and Access to Hospital Care: A Systematic Review.JAMA network open · 2024Pooled it
- Redesigning Mental Health Care: Core Principles for Integrating Systems, Technology and Clinical Workflows.Current psychiatry reports · 2026Review
- Increased access to pediatric specialist healthcare using eConsult: A retrospective observational cohort and case-control study.Paediatrics & child health · 2025Article
- Article
- Processes and outcomes from a clinical genetics e-consultation service managed by a primary care physician champion.Genetics in medicine open · 2024Article
- The Role of Telemedicine in Rural Specialty Care: Priorities and Recommendations From Rural Primary Care Physicians.Kansas journal of medicine · 2024Article
- Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study.Frontiers in psychiatry · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care providers serve a crucial role in addressing the mental health needs of many patients. However, there are times when input from a psychiatric specialist may be helpful in supporting the mental health care provided in primary care. Psychiatry eConsults can serve as a valuable tool in providing specialist advice for primary care physicians when direct referral to specialty care is not readily available.
objectiveThe goal of this study is to evaluate the content and implementation of psychiatric eConsults by primary care providers in a rural academic medical center.
methodsThis is a retrospective review of 343 eConsults placed between May 2016 and February 2019 by primary care providers at a single academic medical center. The content of eConsult requests, including patient diagnosis, consult question type, specialist recommendations, patient demographics, the distance of patient and primary care providers from the consulting provider, rate of implementation of the recommendation, and response time, were analyzed.
resultsThe most common diagnoses associated with eConsults were depression (162/450, 36%) and anxiety (118/450, 26%). The most commonly asked eConsult question was regarding medication management, including medication choice, side effects, interactions, and medication taper (288/343, 84%). More than one recommendation was included in 76% (259/343) of eConsults, and at least one recommendation was implemented by the primary care provider in 94% (282/300) of eConsults. The average time to respond to an eConsult was 26 hours.
conclusionsThis study demonstrates that psychiatry eConsults can be conducted in a timely manner and that primary care providers implement the recommendations at a high rate.
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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.