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Choosing a Model for eConsult Specialist Remuneration: Factors to Consider

C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON K1R 6M1, Canada
Department of Family Medicine, University of Ottawa, Ottawa, ON K1R 6M1, Canada
Department of Economics, University of Ottawa, Ottawa, Ontario K1N 6N5, Canada
Champlain Local Health Integration Network, Ottawa, ON K1J 1A3, Canada
Division of Endocrinology and Metabolism, The Ottawa Hospital, Ottawa, ON K1H 7W9, Canada
Author to whom correspondence should be addressed.
Academic Editor: Francisco Falcone
Informatics 2016, 3(2), 8;
Received: 8 April 2016 / Revised: 10 June 2016 / Accepted: 13 June 2016 / Published: 18 June 2016
(This article belongs to the Special Issue Smart Health 2016)
PDF [462 KB, uploaded 18 June 2016]


Electronic consultation (eConsult) is an innovative solution that allows specialists and primary care providers to communicate electronically, improving access to specialist care. Understanding the cost implications of different remuneration models available to pay specialists is of critical importance as adoption of these services continues to increase. We used data collected through the Champlain BASE (Building Access to Specialists through eConsultation) eConsult service to simulate the cost implications of different remuneration models in Canada. The prorated hourly rate model averaged $45.72 CAD (Canadian Dollar) per eConsult while the prorated hourly rate with incentive averaged $51.90 CAD per eConsult, and the fee for service cost $60.50 CAD per eConsult. Paying all specialty groups to block three hours per week for eConsults averaged $337.44 CAD per eConsult and paying for 1-h blocks averaged $133.41 CAD per eConsult. As the remuneration of specialists is the largest cost driver of an established eConsult service, our findings can inform policymakers considering the implementation of eConsult or wishing to further develop an existing service. View Full-Text
Keywords: access to care; health services research; primary care; wait times access to care; health services research; primary care; wait times

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Liddy, C.; Deri Armstrong, C.; McKellips, F.; Drosinis, P.; Afkham, A.; Keely, E. Choosing a Model for eConsult Specialist Remuneration: Factors to Consider. Informatics 2016, 3, 8.

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