{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T13:42:48Z","timestamp":1783172568286,"version":"3.54.6"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T00:00:00Z","timestamp":1602806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Access to headache consultations by a headache specialist is limited. E\u2010consultations are an efficient approach shown to reduce costs and improve continuity of care with the primary care provider. Indications, suitability, and uptake in the headache population are not well studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This quality improvement pilot aims to explore the appropriateness of e\u2010consultations for patients referred to a headache specialist. E\u2010consultation feasibility was explored through (1) retrospective review of completed face\u2010to\u2010face consultations; (2) prospective survey of providers to identify face\u2010to\u2010face consultations appropriate for e\u2010consultation; (3) cross\u2010sectional review of the current waiting list to assess theoretical triaging to face\u2010to\u2010face vs e\u2010consultation; and (4) prospective review of all e\u2010consultations requested from an academic headache clinic to improve the understanding of e\u2010consultation feasibility and referral triage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The retrospective review included 75 face\u2010to\u2010face consultations with a mean (SD) wait time of 33 (39.4) days for consultations, of which 28\/75 (37.3%) were deemed to be feasible e\u2010consultations. The prospective survey of providers identified 10 face\u2010to\u2010face consultations that were felt to be theoretically appropriate for e\u2010consultation. The cross\u2010sectional review identified 20 patients on the clinic waiting list, of whom 5\/20 (25%) were theoretically triaged to e\u2010consultation. Finally, the prospective review found 12 requested e\u2010consultations, of which 6\/12 (50%) were for migraine prophylaxis recommendations. Chart data often lacked details for complete assessments, with 5\/12 (41.7%) converted to face\u2010to\u2010face consultations and only 4\/12 (33.3%) deemed appropriate for e\u2010consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>E\u2010consultation in headache medicine could be considered if appropriately triaged. Pathways are needed to reach patients earlier in their disease course to ensure headache care meets guideline recommendations, and e\u2010consultation is 1 option. However, better communication with primary care is required for system optimization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.13981","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T09:15:24Z","timestamp":1602839724000},"page":"2192-2201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["E\u2010Consultation in Headache Medicine: A Quality Improvement Pilot Study"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2556-1125","authenticated-orcid":false,"given":"Jennifer","family":"Robblee","sequence":"first","affiliation":[{"name":"Department of Neurology Barrow Neurological Institute, St. Joseph Hospital and Medical Center Phoenix AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1334-1157","authenticated-orcid":false,"given":"Amaal 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