Cardiology electronic consultation (e-consult) use by primary care providers at VA medical centres in New England

Journal of Telemedicine and Telecare
Eun Ji KimVarsha Vimalananda

Abstract

E-consultations (e-consults) were implemented at VA medical centers to improve access to specialty care. Cardiology e-consults are among the most commonly requested, but little is known about how primary care providers (PCPs) use cardiology e-consults to access specialty care. This is a retrospective analysis of 750 patients' medical charts with cardiology e-consults requested by medical providers (October 2013-September 2015) in the VA New England Healthcare System. We described the patients and referring provider characteristics, and e-consult questions. We reviewed cardiologists' responses and examined their recommendations. Among the 424 e-consults requested from PCPs, 92.7% were used to request answers to clinical questions, while 7.3% were used for administrative purposes. Among the 393 e-consults with clinical questions, 60 e-consults were regarding preoperative management; these questions most commonly addressed general risk assessment (n = 44), anti-coagulation/anti-platelet management (n = 33), and EKG interpretation (n = 20). Cardiologists provided answers for the majority (89.6%) of clinical questions. Among the e-consults in which cardiologists did not provide answers or clinical guidance (n = 41), the reasons incl...Continue Reading

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Citations

Feb 1, 2019·Current HIV/AIDS Reports·Rebecca Touger, Brian R Wood
Jul 29, 2019·World Journal of Urology·Peris Castaneda, Chad Ellimoottil
Aug 3, 2021·Journal of the American Medical Informatics Association : JAMIA·Ekaterina AndersonVarsha G Vimalananda

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