Literature DB >> 33313867

Electronic consultations and clinician burnout: An antidote to our emotional pandemic?

Michelle S Lee1, Vinod E Nambudiri2.   

Abstract

Health information technology is a major source of clinician burnout due to increased administrative burden and inefficient work processes. Electronic consultations (eConsults) represent a promising innovation to improve access to specialty care by reducing wait times for specialist visits and reducing unnecessary in-person specialist visits. While eConsults have clear benefits for patients and healthcare systems, their potential effects on provider burnout should be considered. Using a framework which outlines that the loss of autonomy, competence, and relatedness as the main contributing factors to clinician "amotivation" and burnout, we discuss the use of eConsults and their potential to mitigate or exacerbate burnout for primary care providers and specialists, as well as recommendations for implementation of eConsults to reduce burnout.
© The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Entities:  

Keywords:  Health information technology; access; burnout; electronic consultations; referrals; specialty care

Mesh:

Year:  2021        PMID: 33313867      PMCID: PMC8068428          DOI: 10.1093/jamia/ocaa300

Source DB:  PubMed          Journal:  J Am Med Inform Assoc        ISSN: 1067-5027            Impact factor:   4.497


  17 in total

1.  Los Angeles Safety-Net Program eConsult System Was Rapidly Adopted And Decreased Wait Times To See Specialists.

Authors:  Michael L Barnett; Hal F Yee; Ateev Mehrotra; Paul Giboney
Journal:  Health Aff (Millwood)       Date:  2017-03-01       Impact factor: 6.301

2.  Integrating Telemedicine Into Training: Adding Value to Graduate Medical Education Through Electronic Consultations.

Authors:  Michelle S Lee; Vinod Nambudiri
Journal:  J Grad Med Educ       Date:  2019-06

3.  e-Consult implementation success: lessons from 5 county-based delivery systems.

Authors:  Margae Knox; Elizabeth J Murphy; Timi Leslie; Rachel Wick; Delphine S Tuot
Journal:  Am J Manag Care       Date:  2020-01-01       Impact factor: 2.229

4.  Ten steps to establishing an e-consultation service to improve access to specialist care.

Authors:  Clare Liddy; Julie Maranger; Amir Afkham; Erin Keely
Journal:  Telemed J E Health       Date:  2013-09-27       Impact factor: 3.536

5.  Impact of and Satisfaction with a New eConsult Service: A Mixed Methods Study of Primary Care Providers.

Authors:  Clare Liddy; Amir Afkham; Paul Drosinis; Justin Joschko; Erin Keely
Journal:  J Am Board Fam Med       Date:  2015 May-Jun       Impact factor: 2.657

6.  Improved patient access and outcomes with the integration of an eConsult program (teledermatology) within a large academic medical center.

Authors:  Rebecca F Wang; John Trinidad; Jeffrey Lawrence; Llana Pootrakul; L Arick Forrest; Kevin Goist; Edward Levine; Shalina Nair; Milisa Rizer; Andrew Thomas; Randell Wexler; Benjamin H Kaffenberger
Journal:  J Am Acad Dermatol       Date:  2019-10-31       Impact factor: 11.527

Review 7.  Electronic consultation systems: worldwide prevalence and their impact on patient care-a systematic review.

Authors:  Clare Liddy; Paul Drosinis; Erin Keely
Journal:  Fam Pract       Date:  2016-04-13       Impact factor: 2.267

8.  Specialist Perspectives on Ontario Provincial Electronic Consultation Services.

Authors:  Erin Keely; Rob Williams; Gilad Epstein; Amir Afkham; Clare Liddy
Journal:  Telemed J E Health       Date:  2018-05-10       Impact factor: 3.536

9.  Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance access to specialist care: a scoping review.

Authors:  Mohamed A Osman; Kara Schick-Makaroff; Stephanie Thompson; Liza Bialy; Robin Featherstone; Julia Kurzawa; Deenaz Zaidi; Ikechi Okpechi; Syed Habib; Soroush Shojai; Kailash Jindal; Branko Braam; Erin Keely; Clare Liddy; Braden Manns; Marcello Tonelli; Brenda Hemmelgarn; Scott Klarenbach; Aminu K Bello
Journal:  BMJ Glob Health       Date:  2019-09-13

10.  Not perfect, but better: primary care providers' experiences with electronic referrals in a safety net health system.

Authors:  Yeuen Kim; Alice Hm Chen; Ellen Keith; Hal F Yee; Margot B Kushel
Journal:  J Gen Intern Med       Date:  2009-03-24       Impact factor: 5.128

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  3 in total

1.  Health information technology and clinician burnout: Current understanding, emerging solutions, and future directions.

Authors:  Eric G Poon; S Trent Rosenbloom; Kai Zheng
Journal:  J Am Med Inform Assoc       Date:  2021-04-23       Impact factor: 4.497

2.  Change in nurses' psychosocial characteristics pre- and post-electronic medical record system implementation coinciding with the SARS-CoV-2 pandemic: pre- and post-cross-sectional surveys.

Authors:  Rebecca M Jedwab; Alison M Hutchinson; Elizabeth Manias; Rafael A Calvo; Naomi Dobroff; Bernice Redley
Journal:  Int J Med Inform       Date:  2022-04-29       Impact factor: 4.730

Review 3.  Psychosocial Considerations for the Child with Rare Disease: A Review with Recommendations and Calls to Action.

Authors:  Leslee T Belzer; S Margaret Wright; Emily J Goodwin; Mehar N Singh; Brian S Carter
Journal:  Children (Basel)       Date:  2022-06-21
  3 in total

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