Effect of a Multi-specialty E-consultation Service on Hospital Referrals: An Interrupted Time-Series Study in the Netherlands - Report - MDSpire

Effect of a Multi-specialty E-consultation Service on Hospital Referrals: An Interrupted Time-Series Study in the Netherlands

  • By

  • Ken M. M. Peeters

  • Dennis M. J. Muris

  • Luc G. Gidding

  • Karin Hek

  • Mariëlle Krekels

  • Jochen W. L. Cals

  • May 19, 2026

Share

Clinical Report: Impact of a Multi-disciplinary E-consultation Program on Hospital Referral Rates

Overview

This study evaluates the effect of a multi-disciplinary e-consultation program on hospital referral rates in the Netherlands. The findings indicate a significant reduction in referrals post-implementation, suggesting e-consultations can enhance healthcare efficiency.

Background

As healthcare costs rise due to an aging population and advanced medical technologies, there is a pressing need to manage these expenses while maintaining care quality. E-consultations, which facilitate communication between family physicians and specialists, have the potential to reduce unnecessary hospital referrals, thus improving healthcare accessibility and cost-effectiveness. This study provides critical insights into the broader impact of e-consultations on healthcare utilization in a European context.

Data Highlights

Remove placeholder text; include relevant data or state explicitly that data is not available.

Key Findings

  • The study utilized a quasi-experimental design to assess referral trends before and after e-consultation implementation.
  • Referral data were collected from 11 hospital specialties at the Zuyderland Medical Centre.
  • E-consultations were shown to significantly reduce the number of hospital outpatient referrals.
  • The impact on referral rates varied by specialty and was influenced by the volume of e-consultations per family practice.
  • This research is the first of its kind to evaluate e-consultations in a multi-specialty setting in Europe.

Clinical Implications

Suggest specific strategies for integrating e-consultation programs based on findings.

Conclusion

The implementation of a multi-disciplinary e-consultation program has demonstrated a significant reduction in hospital referral rates, highlighting its potential as a valuable tool in managing healthcare costs and improving patient access to care.

Related Resources & Content

  1. Cross-Departmental Dissemination of Innovations: A Multicenter Analysis of the Enhanced Recovery After Surgery Initiative, 2018 -- Title
  2. An individualized approach fails to decrease the incidence of unnecessary MRIs and arthroscopies in degenerative knee disease, 2022 -- Title
  3. Referral Patterns for Colorectal Cancer Patients Between Hospitals, 2021 -- Title
  4. Primary Care Checklist, WHO -- Title
  5. Infection — Evaluating the Effects of a Sepsis Quality Improvement Initiative in the Emergency Department: A Pre- and Post-Intervention Analysis
  6. Primary Care Checklist
  7. Teleconsultations’ Impact on Referral Streamlining and Waitlist Reduction: A Large-Scale Retrospective Cohort Study of Over 200,000 Cases - Juliana Nunes Pfeil, Natan Katz, Dimitris Rucks Varvaki Rados, Rodolfo Souza da Silva, Roberto Nunes Umpierre, Rita Mattiello, Rudi Roman, Erno Harzheim, 2025
  8. Implementation of hospital-wide referral management by triage of non-urgent primary care referrals and experiences of specialists and general practitioners: a mixed methods study | medRxiv

Original Source(s)

Related Content