{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:57:48Z","timestamp":1773298668999,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,6,2]],"date-time":"2017-06-02T00:00:00Z","timestamp":1496361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Prolonged wait times have become common. Electronic consultations (eConsults) have been shown in previous studies to reduce unnecessary face\u2010to\u2010face consultations to specialists, but no prior study has investigated the feasibility or efficacy of eConsults in an otolaryngology\u2013head and neck surgery (OTO\u2010HNS) practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Champlain BASE eConsult system is a secure web portal allowing primary care physicians (PCPs) to communicate asynchronously with specialists about a patient, without requiring a formal face\u2010to\u2010face consult. The data from all eConsults sent through this portal to OTO\u2010HNS practices between July 2011 and January 2015 were collected and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Response time was rapid; over 40% of eConsults received a response within 24 hours, and nearly all eConsults were answered within 7 calendar days. The median response time was nearly 29 times faster than traditional face\u2010to\u2010face consultation. Unnecessary face\u2010to\u2010face referrals were avoided in 33.4% of all eConsults, and in nearly 50% of cases where the PCP initially planned a formal referral. PCPs reported adopting a new or additional course of action over 50% of the time following an eConsult. Eighty\u2010eight percent of PCPs reported the service to be valuable for their patients, and 92% found it valuable for themselves. eConsults require only a limited time commitment from specialists, with over 75% taking less than 10 minutes to complete.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>eConsultation is a cost\u2010effective system that can lead to decreased wait times, improved communication between PCPs and otolaryngologists, and help guide the development of targeted continuing professional development modules for PCPs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 128:350\u2013355, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.26677","type":"journal-article","created":{"date-parts":[[2017,6,2]],"date-time":"2017-06-02T07:13:32Z","timestamp":1496387612000},"page":"350-355","source":"Crossref","is-referenced-by-count":40,"title":["Improving access to otolaryngology\u2013head and neck surgery expert advice through eConsultations"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1814-0776","authenticated-orcid":false,"given":"Scott","family":"Kohlert","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Ottawa Hospital Ottawa Ontario Canada"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Ottawa Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Ottawa Hospital Ottawa Ontario Canada"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Ottawa Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren","family":"Tse","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Ottawa Hospital Ottawa Ontario Canada"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Ottawa Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Liddy","sequence":"additional","affiliation":[{"name":"C.T. Lamont Primary Health Care Research Centre Bruy\u00e8re Research Institute Ottawa Ontario Canada"},{"name":"Department of Family Medicine University of Ottawa Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Afkham","sequence":"additional","affiliation":[{"name":"Champlain Local Health Integration Network Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Keely","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Ottawa Ottawa Ontario Canada"},{"name":"Division of Endocrinology\/Metabolism The Ottawa Hospital Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,2]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"1","volume-title":"Waiting Your Turn: Wait Times for Health Care in Canada, 2015 Report","author":"Barua B","year":"2016"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2011.08.003"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2016.05.005"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP14297.OR"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16633553"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0007"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.4158\/E161321.OR"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001431"},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1177\/1357633X16644095","article-title":"Ask the eConsultant: improving access to haematology expertise using an asynchronous eConsult system","volume":"23","author":"Fogel A","year":"2017","journal-title":"J Telemed Telecare"},{"key":"e_1_2_6_11_1","first-page":"e1","article-title":"Building access to specialist care through e\u2010consultation","volume":"7","author":"Liddy C","year":"2013","journal-title":"Open Med"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0056"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7258.429"},{"key":"e_1_2_6_14_1","volume-title":"Health Care in Canada, 2012: A Focus on Wait Times","author":"Abushomar H","year":"2012"},{"key":"e_1_2_6_15_1","volume-title":"Waiting Too Long: Reducing and Better Managing Wait Times in BC","author":"Milliken D","year":"2006"},{"key":"e_1_2_6_16_1","unstructured":"Nanos.Wait times project summary. Wait Time Alliance. Available at:http:\/\/www.waittimealliance.ca\/wp-content\/uploads\/2014\/09\/2014-581-WTA-Report-Final.pdf. Published September2014."},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-15-00258"},{"key":"e_1_2_6_18_1","unstructured":"Blue Shield of California Foundation.eConsult. Available at:http:\/\/www.blueshieldcafoundation.org\/programs\/fostering-innovation\/sub-program\/econsult. Accessed April 1 2017."},{"key":"e_1_2_6_19_1","unstructured":"VeselyR.Expanding access to specialty care. University Of California website. Available at:https:\/\/www.universityofcalifornia.edu\/news\/expanding-access-specialty-care. Accessed April 1 2017."},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0573-5"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1197\/jamia.M1700"},{"key":"e_1_2_6_22_1","first-page":"67","article-title":"What are the costs of improving access to specialists through eConsultation?. The Champlain BASE Experience","volume":"209","author":"Liddy C","year":"2015","journal-title":"Stud Health Technol Inform"},{"key":"e_1_2_6_23_1","doi-asserted-by":"crossref","first-page":"e010920","DOI":"10.1136\/bmjopen-2015-010920","article-title":"What are the cost savings associated with providing access to specialist care through the Champlain BASE eConsult service?. 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