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. 2021 Apr 6:8:23743735211007696.
doi: 10.1177/23743735211007696. eCollection 2021.

Perspectives of Health Care Providers in an Integrated Health Care Delivery Network on Inpatient Electronic Consultation (e-Consult) Use During the COVID-19 Pandemic

Nitin Bhanot  1 , George Dimitriou  2 , Lori McAninch  3 , Caitlan Rossi  3 , Diane Thompson  3 , Susan Manzi  4
Affiliations

Perspectives of Health Care Providers in an Integrated Health Care Delivery Network on Inpatient Electronic Consultation (e-Consult) Use During the COVID-19 Pandemic

Nitin Bhanot et al. J Patient Exp. .

Abstract

A large academic hospital system (Allegheny Health Network) introduced inpatient electronic consultations (e-Consults) during the COVID-19 crisis. Providers were invited to complete an anonymous survey on their perceptions of e-Consults. Descriptive statistics were used to analyze Likert-scale data. Cronbach's alpha was used to assess internal consistency. Ninety-five providers completed the survey. Requesting and consulting providers agreed that e-Consults were easy to use (100% and 96.2%, respectively). Both groups also concurred that e-Consults either decreased or did not significantly impact their workload (81% and 74%, respectively) and that training was appropriate (77.8% and 86.8%, respectively). The advantage and barrier selected most frequently by specialists was "timelier completion of the consult versus in-person" and "inadequate information to complete the consult," respectively. The disadvantage selected most frequently by requesting physicians was "lack of communication between providers." Open-ended comments were categorized into themes. Concerns were raised regarding whether provider-provider communication via this platform offered enough information to make recommendations compared to traditional encounters. The perceived benefits and barriers of e-Consults should be further explored with the goal of improving patient care delivery and provider satisfaction.

Keywords: e-consultation; electronic consultation; tele-medicine.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Flannery D, Jarrin R. Building a regulatory and payment framework flexible enough to withstand technological progress. Health Aff (Millwood). 2018;37(12):2052–2059. - PubMed
    1. Mehrotra A. The convenience revolution for treatment of low-acuity conditions. JAMA. 2013;310:35–36. - PMC - PubMed
    1. Uscher-Pines L, Mehrotra A. Analysis of Teladoc use seems to indicate expanded access to care for patients without prior connection to a provider. Health Aff (Millwood). 2014;33(2):258–264. - PubMed
    1. Wootton R. Twenty years of telemedicine in chronic disease management—an evidence synthesis. J Telemed Telecare. 2012;18:211–20. - PMC - PubMed
    1. American Medical Association. Physicians’ motivations and requirements for adopting digital health adoption and attitudinal shifts from 2016 to 2019. 2019. Retrieved March 29, 2021 from: www.ama-assn.org/system/files/2020-02/ama-digital-health-study.pdf.

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