AJMC January 15, 2021
David R. Saxon, MD, MS , Peter J. Kaboli, MD, MS , Bjarni Haraldsson, MS , Christopher Wilson, MS , Michael Ohl, MD , Matthew R. Augustine, MD, MS

This study evaluates the growth in electronic consultation use over the first 7 years after its implementation across the entire Veterans Health Administration system.

ABSTRACT

Objectives: To evaluate the growth and variation of electronic consultation, or e-consult, use in the Veterans Health Administration (VHA) across regions and specialties.

Study Design: Observational cohort study using administrative data of all veterans who received an e-consult for 41 specialties across 1269 VHA medical centers and associated clinical sites from January 1, 2012, through December 31, 2018.

Methods: Assessments included (1) the number and characteristics of all e-consults, (2) growth of e-consult use, (3) e-consults as a proportion of all consults by region and by specific specialty, (4) need for...

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Topics: Digital Health, Health IT, Patient / Consumer, Provider, Technology, Telehealth, VA / DoD
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