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.

Discuss the impact of econsults on patients without insurance or on Medicaid.

What are some concerns specialists have regarding econsults?