Cynthia Chan, Grace Zhu, Clare Liddy, Daniel T Myran, Erin Keely, Arun Radhakrishnan
{"title":"初级保健提供者向成瘾医学专家询问的电子咨询问题:回顾性内容分析。","authors":"Cynthia Chan, Grace Zhu, Clare Liddy, Daniel T Myran, Erin Keely, Arun Radhakrishnan","doi":"10.46747/cfp.7105e82","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To determine the major themes among clinical questions asked to addiction medicine specialists sent by primary care providers (PCPs) via the Champlain Building Access to Specialists through the eConsultation (BASE™) electronic consultation (eConsult) service and the PCP-perceived benefits of this service.</p><p><strong>Design: </strong>A descriptive, retrospective study of the eConsult cases submitted to addiction medicine specialists between January 1, 2020, and December 31, 2021.</p><p><strong>Setting: </strong>Champlain region of eastern Ontario.</p><p><strong>Participants: </strong>Primary care providers who sent an eConsult to addiction medicine.</p><p><strong>Interventions: </strong>The BASE™ eConsult service was used to facilitate communication between PCPs and addiction medicine specialists.</p><p><strong>Main outcome measures: </strong>The classification of question types and clinical topics asked in eConsult cases sent to addiction medicine specialists by PCPs, and the answers in the close-out surveys completed by PCPs after eConsult was completed.</p><p><strong>Results: </strong>Primary care providers sought advice regarding opioids (38.0%) and alcohol (34.9%). The most common question types involved pharmacologic (77.5%) and nonpharmacologic (65.1%) management of patients with substance use. Electronic consultations were most frequently related to the clinical topic of chronic pain (28.7%). Over 95% of eConsults were answered by a specialist within 7 calendar days. Providers reported finding the eConsult responses helpful, with nearly one-third of PCPs reporting a potential referral was avoided following an eConsult from specialists.</p><p><strong>Conclusion: </strong>This study demonstrates that PCPs sought advice on management regarding opioids and alcohol, reflecting the challenges in controlled substance prescribing during an opioid crisis, with alcohol use disorder being the most prevalent substance use disorder in Canada. The eConsult service provided an accessible, timely, and beneficial process for PCPs to obtain addiction medicine specialist advice. Given the overlap with the COVID-19 pandemic and the study timeframe, further studies to examine postpandemic eConsults will allow for better generalizability of the findings.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 5","pages":"e82-e89"},"PeriodicalIF":2.4000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087554/pdf/","citationCount":"0","resultStr":"{\"title\":\"Electronic consultation questions asked to addiction medicine specialists by primary care providers: Retrospective content analysis.\",\"authors\":\"Cynthia Chan, Grace Zhu, Clare Liddy, Daniel T Myran, Erin Keely, Arun Radhakrishnan\",\"doi\":\"10.46747/cfp.7105e82\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To determine the major themes among clinical questions asked to addiction medicine specialists sent by primary care providers (PCPs) via the Champlain Building Access to Specialists through the eConsultation (BASE™) electronic consultation (eConsult) service and the PCP-perceived benefits of this service.</p><p><strong>Design: </strong>A descriptive, retrospective study of the eConsult cases submitted to addiction medicine specialists between January 1, 2020, and December 31, 2021.</p><p><strong>Setting: </strong>Champlain region of eastern Ontario.</p><p><strong>Participants: </strong>Primary care providers who sent an eConsult to addiction medicine.</p><p><strong>Interventions: </strong>The BASE™ eConsult service was used to facilitate communication between PCPs and addiction medicine specialists.</p><p><strong>Main outcome measures: </strong>The classification of question types and clinical topics asked in eConsult cases sent to addiction medicine specialists by PCPs, and the answers in the close-out surveys completed by PCPs after eConsult was completed.</p><p><strong>Results: </strong>Primary care providers sought advice regarding opioids (38.0%) and alcohol (34.9%). The most common question types involved pharmacologic (77.5%) and nonpharmacologic (65.1%) management of patients with substance use. Electronic consultations were most frequently related to the clinical topic of chronic pain (28.7%). Over 95% of eConsults were answered by a specialist within 7 calendar days. Providers reported finding the eConsult responses helpful, with nearly one-third of PCPs reporting a potential referral was avoided following an eConsult from specialists.</p><p><strong>Conclusion: </strong>This study demonstrates that PCPs sought advice on management regarding opioids and alcohol, reflecting the challenges in controlled substance prescribing during an opioid crisis, with alcohol use disorder being the most prevalent substance use disorder in Canada. The eConsult service provided an accessible, timely, and beneficial process for PCPs to obtain addiction medicine specialist advice. Given the overlap with the COVID-19 pandemic and the study timeframe, further studies to examine postpandemic eConsults will allow for better generalizability of the findings.</p>\",\"PeriodicalId\":55288,\"journal\":{\"name\":\"Canadian Family Physician\",\"volume\":\"71 5\",\"pages\":\"e82-e89\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087554/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Canadian Family Physician\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.46747/cfp.7105e82\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Family Physician","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.46747/cfp.7105e82","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Electronic consultation questions asked to addiction medicine specialists by primary care providers: Retrospective content analysis.
Objective: To determine the major themes among clinical questions asked to addiction medicine specialists sent by primary care providers (PCPs) via the Champlain Building Access to Specialists through the eConsultation (BASE™) electronic consultation (eConsult) service and the PCP-perceived benefits of this service.
Design: A descriptive, retrospective study of the eConsult cases submitted to addiction medicine specialists between January 1, 2020, and December 31, 2021.
Setting: Champlain region of eastern Ontario.
Participants: Primary care providers who sent an eConsult to addiction medicine.
Interventions: The BASE™ eConsult service was used to facilitate communication between PCPs and addiction medicine specialists.
Main outcome measures: The classification of question types and clinical topics asked in eConsult cases sent to addiction medicine specialists by PCPs, and the answers in the close-out surveys completed by PCPs after eConsult was completed.
Results: Primary care providers sought advice regarding opioids (38.0%) and alcohol (34.9%). The most common question types involved pharmacologic (77.5%) and nonpharmacologic (65.1%) management of patients with substance use. Electronic consultations were most frequently related to the clinical topic of chronic pain (28.7%). Over 95% of eConsults were answered by a specialist within 7 calendar days. Providers reported finding the eConsult responses helpful, with nearly one-third of PCPs reporting a potential referral was avoided following an eConsult from specialists.
Conclusion: This study demonstrates that PCPs sought advice on management regarding opioids and alcohol, reflecting the challenges in controlled substance prescribing during an opioid crisis, with alcohol use disorder being the most prevalent substance use disorder in Canada. The eConsult service provided an accessible, timely, and beneficial process for PCPs to obtain addiction medicine specialist advice. Given the overlap with the COVID-19 pandemic and the study timeframe, further studies to examine postpandemic eConsults will allow for better generalizability of the findings.
期刊介绍:
Mission: Canadian Family Physician (CFP), a peer-reviewed medical journal, is the official publication of the College of Family Physicians of Canada. Our mission is to ensure that practitioners, researchers, educators and policy makers are informed on current issues and in touch with the latest thinking in the discipline of family medicine; to serve family physicians in all types of practice in every part of Canada in both official languages; to advance the continuing development of family medicine as a discipline; and to contribute to the ongoing improvement of patient care.