Ongoing effects of eConsultation in nephrology on hospital referral rates: An observational study.

Abstract:

INTRODUCTION:eConsultation in nephrology is an innovative way for general practitioners (GPs) to consult a nephrologist. Studies have shown that questions from GPs can be answered and intended referrals can be avoided by eConsultation. However, follow-up data are lacking. The primary aim of this study was therefore to assess whether patients for whom a referral to the outpatient clinic of a medical specialist was avoided in the short term were not then referred for the same problem within one year after the eConsultation. METHODS:All eConsultations sent between June 2017 and April 2018 to seven nephrologists in three different hospitals in The Netherlands were included. Exclusion criteria were duplications and missing data on follow-up. Data were obtained from the eConsultation application forms and from GP medical records. RESULTS:A total of 173 eConsultations were included. Of the 32 patients for whom a referral was initially prevented, 91% (95% confidence interval 75-98) had not been referred to a specialist for the same problem within one year after the eConsultation. DISCUSSION:eConsultation in the field of nephrology can prevent referrals in the long term. It can therefore contribute to a more modern and efficient health-care system in which chronic care is provided by GPs in close proximity to patients, while specialist support is easily available and accessible through eConsultation when necessary.

journal_name

J Telemed Telecare

authors

Boom VE,van der Kamp LT,van Zuilen AD,De Ranitz WL,Bos WJ,Jellema WT,Mui KW,Later AF,Prinssen M,Kaasjager K

doi

10.1177/1357633X20942037

subject

Has Abstract

pub_date

2020-08-03 00:00:00

pages

1357633X20942037

eissn

1357-633X

issn

1758-1109

pub_type

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