e.g. mhealth
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For moderate levels of DD on the T1-DDAS or T2-DDAS, the provider will discuss the main sources of distress with the patient and determine if an e Consult or referral might be indicated based on the needs of the patient in addition to the AI chatbot. An e Consult to the following specialists can include endocrinology, clinical pharmacy, social work or care management, diabetes education, and behavioral health.
JMIR Res Protoc 2025;14:e62916
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Participants in the study were PCPs who were registered to 1 of the 2 e Consult services and who submitted at least 1 e Consult to the long COVID group within the study timeframe.
Two multispecialty e Consult services currently operate in Ontario under the umbrella of Ontario e Consult.
JMIR Hum Factors 2025;12:e58582
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A number of recent studies have evaluated the educational value of the e Consult Service for PCPs [62-65]. Other works also focused on the costs of e Consult services [13,66-68].
JMIR Form Res 2024;8:e52921
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Reference 9: Rapid implementation of inpatient eConsult programme addresses new challenges for patienteconsult
J Med Internet Res 2024;26:e55623
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Improving Patient Access to Hospital Pharmacists Using eConsults: Retrospective Descriptive Study
In a 2015 systematic review by Vimalananda et al [10], 27 studies on e Consult services were reviewed. The authors found high levels of provider satisfaction (70%-95%), faster replies (less than 3 days), and a decline in specialist referrals. Barriers to implementing an e Consult tool include low levels of patient engagement and awareness, staff inexperience and limited availability, and lack of suitability for all patient groups and financial obstacles [7].
JMIR Form Res 2023;7:e38518
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However, electronic consultation (e Consult) can greatly improve access to specialist advice in many cases by allowing requesting providers, usually PCPs, to communicate directly with specialists electronically regarding a patient’s care, often avoiding the need for a traditional consultation. Studies of e Consult services have found that they improve access, lower costs, and deliver high rates of patient and provider satisfaction [7,8].
JMIR Form Res 2022;6(4):e32101
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Primary Care Psychiatry eConsults at a Rural Academic Medical Center: Descriptive Analysis
The responding psychiatrist reviews the specific consultation question and information in the e Consult referral template and may also choose to review additional clinical information available in the EHR, such as the PCP’s most recent progress note. An example e Consult is shown in Textbox 1, with a standard disclaimer included at the end of every e Consult in Textbox 2. Response time is expected within 3 business days (72 hours) and both the request and response become part of the patient’s EHR.
J Med Internet Res 2021;23(9):e24650
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