Health Services Research Clinical Trial
— eConsultOfficial title:
Building Capacity for Specialized Services Through eConsultation
Verified date | February 2017 |
Source | Bruyere Research Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The consultation-referral process is complex, involving several steps including 1) the PCP
recognizing the need for specialist advice/intervention, 2) patient agreement on seeing the
specialist, 3) referral letter and information sent to specialist, 4) appointment booked and
communicated, 5) patient visit(s) with the specialist and 6) communication back to the PCP.
There are many factors during this process which limit the effectiveness and efficiency of
patient care. These include inequitable access for patients and providers, long wait times
before specialist advice received/implemented, delayed communication and mismatched consult
expectations. These gaps result in significant breakdowns in transitions of care,
inappropriate treatment, patient dissatisfaction and potential harm. Moreover, not all
individuals are willing or able to travel to see specialists in a large academic medical
centre even when recommended by the PCP.
Electronic consultation (eConsult) service is a form of asynchronous communication whereby
primary care providers (PCP) and specialists can communicate directly about a patient through
a secure web-based application. eConsult has the potential for improving transitions in care
through improved communication ensuring that patients are seen by the right specialist, when
necessary, with the right information and in a timely manner. The goal of this project is to
evaluate the impact of eConsult on specialist referral rates using health administrative
data.
Status | Completed |
Enrollment | 113 |
Est. completion date | December 31, 2017 |
Est. primary completion date | December 31, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Any practicing primary care provider (PCP) in Ontario who is not currently registered to use the Champlain BASE eConsult service may be recruited to participate in the research study, beginning with the Champlain and South East Local Health Integration Networks. Exclusion Criteria: - Those not meeting the inclusion criteria. |
Country | Name | City | State |
---|---|---|---|
Canada | Bruyere Research Institute, C. T. Lamont Primary Health Care Research Centre | Ottawa | Ontario |
Lead Sponsor | Collaborator |
---|---|
Bruyere Research Institute | Champlain Local Health Integration Network, Ontario Medical Association, Ontario Ministry of Health and Long Term Care, The Ottawa Hospital |
Canada,
Keely E, Liddy C, Afkham A. Utilization, benefits, and impact of an e-consultation service across diverse specialties and primary care providers. Telemed J E Health. 2013 Oct;19(10):733-8. doi: 10.1089/tmj.2013.0007. Epub 2013 Aug 27. — View Citation
Liddy C, Maranger J, Afkham A, Keely E. Ten steps to establishing an e-consultation service to improve access to specialist care. Telemed J E Health. 2013 Dec;19(12):982-90. doi: 10.1089/tmj.2013.0056. Epub 2013 Sep 27. — View Citation
Liddy C, Rowan MS, Afkham A, Maranger J, Keely E. Building access to specialist care through e-consultation. Open Med. 2013 Jan 8;7(1):e1-8. Print 2013. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Specialist referral rate per 100 patients seen (to medical specialties available through eConsult) | Specialist referral rate defined as the total number of referrals to all medical specialties available through eConsult service during the study period per 100 unique patients (not encounters) seen. The denominator "patients seen" included patients who were seen at least once during the assessment period (baseline or post-intervention). | 24 months | |
Secondary | Specialist referral rates per 100 patients seen (to all medical specialties) | Specialist referral rate defined as the total number of referrals to all medical specialties per 100 unique patients (not encounters) seen. The denominator "patients seen" included patients who were seen at least once during the assessment period (baseline or post-intervention). | 24 months |
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