Why Have Doctors Been So Slow to Embrace Email?

Electronic consultations (econsults) are a growing method for primary care doctors and specialists to communicate securely, reducing unnecessary specialist visits and freeing up healthcare capacity. They are particularly beneficial for patients on Medicaid or in rural areas. Econsults have been shown to decrease waiting times for specialist appointments and improve satisfaction among primary care doctors and patients. However, some specialists express concerns about unclear questions and liability. While econsults are less expensive than in-person visits, they may increase healthcare spending due to higher patient volumes.

What is one of the main benefits of electronic consultations (eConsults) for patients?

• They eliminate the need for any doctor visits.

• They help avoid unnecessary specialist visits.

• They provide free medication to patients.

• They allow patients to self-diagnose their conditions.

Which health system was the first in the US to adopt eConsults?

• Mayo Clinic

• San Francisco Department of Public Health

• Veterans Health Administration

• Los Angeles County Department of Health Services

What was a significant outcome of implementing eConsults in the Los Angeles County health system?

• Increased waiting times for specialist appointments

• Reduced waiting times for specialist appointments

• Higher dissatisfaction among primary care doctors

• Increased costs for patients

What is a concern expressed by some specialists regarding eConsults?

• Lack of patient satisfaction

• Unclear clinical questions and potential liability

• Higher costs for patients

• Increased workload for specialists

What is a potential downside of eConsults despite their lower cost compared to in-person visits?

• They are only available in urban areas.

• They are not covered by any insurance.

• They require patients to travel more.

• They may lead to increased healthcare spending.