---
title: "Triaging GP referrals to eConsultant: pilot study of TReC in endocrinology and neurology"
id: "pubmed-42557043"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42557043"
content_type: "clinical_feed_article"
specialty: "General"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42557043/"
doi: "10.1071/PY26029"
published_at: "2026-08-17T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Triaging GP referrals to eConsultant: pilot study of TReC in endocrinology and neurology
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42557043
- **Specialty:** [General](https://medichelpline.com/clinical-feed/general.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42557043/)
- **DOI:** [10.1071/PY26029](https://doi.org/10.1071%2FPY26029)
- **Published At:** 2026-08-17T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- This pilot evaluated a model called Triaging Referrals to eConsultant (**TReC**) where selected general practitioner (**GP**) referrals for outpatient **endocrinology** and **neurology** were triaged to an asynchronous digital clinician-to-clinician advice service (**eConsultant**). - The proof-of-concept was implemented for GP referrals to Mater Hospital Brisbane, Australia, over 11 months (October 2024–August 2025). - Of referrals considered, 51 endocrinology referrals (21% of endocrinology referrals) and 77 neurology referrals (6% of neurology referrals) were triaged to eConsultant. - Specialists took on average 20 minutes to prepare a response; responses were returned to GPs in a mean of 3.5 business days (SD 2.5). - Predominant presenting problems triaged were unexpected findings on imaging and **migraine** for neurology, and **osteoporosis** and **hyperthyroidism** for endocrinology. - Close-out surveys from GPs were received for 14.8% (n = 19) of referrals triaged; in nine of those cases GPs reported a change in patient care based on eConsultant advice. - Qualitative interviews with patients, GPs, and specialists identified perceived benefits including reduced treatment delays, greater convenience, and improved continuity of care. - Some GPs and patients preferred or required the option to continue to a face-to-face specialist appointment after receiving eConsultant advice. - Authors conclude TReC is feasible in the Australian context and has potential to reduce treatment delays; further evaluation and scale-up considerations were implied but specific future study designs were not reported in the source.
## Clinical Analysis & Structured Key Points
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more resources ](https://pubmed.ncbi.nlm.nih.gov/42557043/#linkout) Title & authors Abstract Similar articles MeSH terms Related information LinkOut - more resources Aust J Prim Health Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Aust+J+Prim+Health%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Aust+J+Prim+Health%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42557043/) . 2026 Aug 17;32(4):PY26029. doi: 10.1071/PY26029. # Triaging general practitioner referrals for specialist review to eConsultant - a pilot study [Jennifer Job](https://pubmed.ncbi.nlm.nih.gov/?term=Job+J&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia."), [Caroline Nicholson](https://pubmed.ncbi.nlm.nih.gov/?term=Nicholson+C&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia."), [Ruby Strauss](https://pubmed.ncbi.nlm.nih.gov/?term=Strauss+R&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia."), [Min-Chia Tsai](https://pubmed.ncbi.nlm.nih.gov/?term=Tsai+MC&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia."), [H David McIntyre](https://pubmed.ncbi.nlm.nih.gov/?term=McIntyre+HD&cauthor_id=42557043)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-3 "Endocrinology Department, Mater Health, Brisbane, Qld, Australia.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-4 "Mater Research, The University of Queensland, Brisbane, Qld, Australia."), [Reuben Beer](https://pubmed.ncbi.nlm.nih.gov/?term=Beer+R&cauthor_id=42557043)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia.")[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-5 "Mater Centre for Neurosciences, Mater Health, Brisbane, Qld, Australia."), [Andrew Swayne](https://pubmed.ncbi.nlm.nih.gov/?term=Swayne+A&cauthor_id=42557043)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia.")[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-5 "Mater Centre for Neurosciences, Mater Health, Brisbane, Qld, Australia."), [Joel Petre](https://pubmed.ncbi.nlm.nih.gov/?term=Petre+J&cauthor_id=42557043)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia."), [Claire Jackson](https://pubmed.ncbi.nlm.nih.gov/?term=Jackson+C&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia.")[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#full-view-affiliation-6 "General Practice Clinical Unit, The University of Queensland, Brisbane, Qld, Australia.") Affiliations Expand ### Affiliations * 1 Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia. * 2 Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia. * 3 Endocrinology Department, Mater Health, Brisbane, Qld, Australia. * 4 Mater Research, The University of Queensland, Brisbane, Qld, Australia. * 5 Mater Centre for Neurosciences, Mater Health, Brisbane, Qld, Australia. * 6 General Practice Clinical Unit, The University of Queensland, Brisbane, Qld, Australia. * PMID: **42557043** * DOI: [ 10.1071/PY26029 ](https://doi.org/10.1071/py26029) Free article Item in Clipboard # Triaging general practitioner referrals for specialist review to eConsultant - a pilot study Jennifer Job et al. Aust J Prim Health. 2026. Free article Show details Display options Display options Format Abstract PubMed PMID Aust J Prim Health Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Aust+J+Prim+Health%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Aust+J+Prim+Health%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42557043/) . 2026 Aug 17;32(4):PY26029. doi: 10.1071/PY26029. ### Authors [Jennifer Job](https://pubmed.ncbi.nlm.nih.gov/?term=Job+J&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia."), [Caroline Nicholson](https://pubmed.ncbi.nlm.nih.gov/?term=Nicholson+C&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia."), [Ruby Strauss](https://pubmed.ncbi.nlm.nih.gov/?term=Strauss+R&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia."), [Min-Chia Tsai](https://pubmed.ncbi.nlm.nih.gov/?term=Tsai+MC&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia."), [H David McIntyre](https://pubmed.ncbi.nlm.nih.gov/?term=McIntyre+HD&cauthor_id=42557043)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-3 "Endocrinology Department, Mater Health, Brisbane, Qld, Australia.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-4 "Mater Research, The University of Queensland, Brisbane, Qld, Australia."), [Reuben Beer](https://pubmed.ncbi.nlm.nih.gov/?term=Beer+R&cauthor_id=42557043)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia.")[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-5 "Mater Centre for Neurosciences, Mater Health, Brisbane, Qld, Australia."), [Andrew Swayne](https://pubmed.ncbi.nlm.nih.gov/?term=Swayne+A&cauthor_id=42557043)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia.")[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-5 "Mater Centre for Neurosciences, Mater Health, Brisbane, Qld, Australia."), [Joel Petre](https://pubmed.ncbi.nlm.nih.gov/?term=Petre+J&cauthor_id=42557043)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-2 "Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia."), [Claire Jackson](https://pubmed.ncbi.nlm.nih.gov/?term=Jackson+C&cauthor_id=42557043)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-1 "Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia.")[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42557043/#short-view-affiliation-6 "General Practice Clinical Unit, The University of Queensland, Brisbane, Qld, Australia.") ### Affiliations * 1 Centre for Health System Reform and Integration, Mater Research Institute-The University of Queensland, Brisbane, Qld, Australia. * 2 Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia. * 3 Endocrinology Department, Mater Health, Brisbane, Qld, Australia. * 4 Mater Research, The University of Queensland, Brisbane, Qld, Australia. * 5 Mater Centre for Neurosciences, Mater Health, Brisbane, Qld, Australia. * 6 General Practice Clinical Unit, The University of Queensland, Brisbane, Qld, Australia. * PMID: **42557043** * DOI: [ 10.1071/PY26029 ](https://doi.org/10.1071/py26029) Item in Clipboard Full text links Cite Display options Display options Format Abstract PubMed PMID ## Abstract **Background:** eConsultant is an asynchronous, digital, clinician-to-clinician advice service, giving general practitioners rapid remote access to specialist support for patient care. This study aimed to assess the feasibility, acceptability, and appropriateness of a model triaging selected endocrinology and neurology specialist outpatient referrals to eConsultant in an Australian healthcare setting. **Methods:** The proof of concept was conducted for general practitioner (GP) referrals to Mater Hospital Brisbane. The evaluation included analysis of clinical data from the eConsultant platform, GP surveys, and qualitative interviews with patients, GPs, and specialist stakeholders. Survey data and qualitative interview transcripts were analysed to understand acceptability and appropriateness of Triaging Referrals to eConsultant (TReC) to patients and providers. **Results:** For 11 months (October 2024-August 2025), 51 (21%) endocrinology and 77 (6%) neurology referrals were triaged to eConsultant. Specialists spent on average 20 minutes completing the response, which was provided to GPs in an average of 3.5 business days (s.d. 2.5). The predominant presenting conditions for referrals were unexpected findings on imaging and migraine for neurology, and osteoporosis and hyperthyroidism for endocrinology. Close-out surveys were received from GPs for 14.8% (n = 19) of referrals triaged to eConsultant and in nine cases GPs reported a change to patient care as a result. Interviews highlighted the benefits to patients, including reduced treatment delays, convenience, and continuity of care. The option for continuing with a face-to-face specialist appointment, following receipt of eConsultant advice, was required and preferred by some GPs and patients. **Conclusions:** TReC is feasible in the Australian context and has the potential to reduce treatment delays. **Keywords:** access to care; digital health; eConsult; health system redesign; outpatient avoidance; primary care; referral; waitlist. © 2026 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. [PubMed Disclaimer](https://pubmed.ncbi.nlm.nih.gov/disclaimer/) ## Similar articles * [ An eConsultant versus a hospital-based outpatient consultation for general (internal) medicine: a costing analysis. ](https://pubmed.ncbi.nlm.nih.gov/37170265/) Job J, Nicholson C, Donald M, Jackson C, Byrnes J.Job J, et al.BMC Health Serv Res. 2023 May 11;23(1):478. doi: 10.1186/s12913-023-09436-1.BMC Health Serv Res. 2023.PMID: 37170265Free PMC article. * [ Impact of an interdisciplinary digital consultation platform on general practitioner referrals for musculoskeletal symptoms: a stepped wedge cluster randomized trial. ](https://pubmed.ncbi.nlm.nih.gov/40973675/) Sanavro SM, van der Worp H, Schers H, Stoffelen J, van den Bosch C, van Dijk J, Buist P, de Boer MR, Janus GJM, Blanker MH.Sanavro SM, et al.Fam Pract. 2025 Aug 14;42(5):cmaf071. doi: 10.1093/fampra/cmaf071.Fam Pract. 2025.PMID: 40973675Free PMC article.Clinical Trial. * [ Evaluation of an interdisciplinary electronic consultation service between general practitioners and medical specialists in The Netherlands: a prospective cohort study. ](https://pubmed.ncbi.nlm.nih.gov/41784569/) Peeters KMM, Muris DMJ, Klein Hesselink J, Laeven KRA, Schotman T, de Vries GG, Hendrickx R, Khajeh L, Stoot J, Bergmans P, Krekels M, Cals JWL.Peeters KMM, et al.Fam Pract. 2026 Feb 7;43(2):cmag004. doi: 10.1093/fampra/cmag004.Fam Pract. 2026.PMID: 41784569Free PMC article. * [ Evidence Brief: The Quality of Care Provided by Advanced Practice Nurses [Internet]. ](https://pubmed.ncbi.nlm.nih.gov/27606392/) McCleery E, Christensen V, Peterson K, Humphrey L, Helfand M.McCleery E, et al.Washington (DC): Department of Veterans Affairs (US); 2014 Sep.Washington (DC): Department of Veterans Affairs (US); 2014 Sep.PMID: 27606392Free Books & Documents.Review. * [ The challenge of long waiting lists: how we implemented a GP referral system for non-urgent specialist' appointments at an Australian public hospital. ](https://pubmed.ncbi.nlm.nih.gov/21050488/) Stainkey LA, Seidl IA, Johnson AJ, Tulloch GE, Pain T.Stainkey LA, et al.BMC Health Serv Res. 2010 Nov 4;10:303. doi: 10.1186/1472-6963-10-303.BMC Health Serv Res. 2010.PMID: 21050488Free PMC article.Review. 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