Physician perspectives on electronic consultations for specialty care delivery for patients: implications for person-centered medicine

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Rajeev Chaudhry
Barbara Spurrier
Douglas Wood
Nicholas F. LaRusso


Background: Electronic consultations between primary care physicians and specialists can innovate care delivery for patients. We aimed to evaluate the effect of electronic rather than face-to-face consultations with primary care physicians and specialists on the quality of patient care.Methods: We surveyed primary care physicians and specialists physicians at the Mayo Clinic, Rochester, in relation to the effects of this mode of specialty care delivery on the quality of patient care, patient satisfaction and physician workload.Results: Eighty-five percent of specialists said that electronic consultations can be effective if the specialist has access to the patient’s history and laboratory and imaging results. Eighty-one percent of the primary care physicians surveyed said that electronic consultations allowed them effectively to manage the needs of their patients. Fifty-seven percent said that the consultations improved the quality of care and 43% said that they did not alter the quality of care.Conclusions: The majority of primary care physicians and specialists, when surveyed, indicated a strong interest in electronic consultations for the provision of specialty care.

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Clinical and Electronic Communication


Congressional Budget Office: Projected Financial Spending in the Long Run. Last accessed: March 12, 2010, Spending.pdf. 2007

Cutler, D. (1995). Economics Roundtable on Biomedical Research: Technology, Health Costs, and the NIH, Last accessed: March 12, 2010,,%20Health%20Costs%20and%20the%20NIH.pdf

Fisher, E.S., Wennberg, D.E., Stukel, T.A., Gottlieb, D.J., Lucas, F.L. & Pinder, E.L. (2003). The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Annals of Internal Medicine 138, 273-287.

Institute of Medicine: To Err is Human: Building a Safer Health System. Last accessed: March 12, 2010, id=9728. 2000.

Leavitt, M. (2008). U.S. Department of Health and Human Services: Building a Value-based Health Care System. Last accessed: March 12, 2010,

Cortese, D.A. & Korsmo, J.O. (2009). Putting U.S. health care on the right track. New England Journal of Medicine 361, 1326-1327.

Crosson, F.J. (2009). 21st-century health care--the case for integrated delivery systems. New England Journal of Medicine 361,1324-1325.

Bodenheimer, T. (2008). Coordinating care--a perilous journey through the health care system. New England Journal of Medicine 358, 1064-1071.

Angstman, K.B., Adamson, S.C., Furst, J.W., Houston, M.S. & Rohrer, J.E. (2009). Provider satisfaction with virtual specialist consultations in a family medicine department. Health Care Management (Frederick) 28, 14-18.

Wegner, S.E., Humble, C.G., Feaganes, J. & Stiles, A.D. (2008). Estimated savings from paid telephone consultations between subspecialists and primary care physicians. Pediatrics 122, e1136-1140.