The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Leveraging Electronic Consultations to Address Severe Subspecialty Care Access Gaps in Nigeria
Abstract
Nigeria, Africa's most populous nation, is experiencing a dire challenge in meeting the specialty care access needs for its people, with extremely limited capacity to deliver subspecialty healthcare. Telemedicine/telehealth has been offered as a part of the solution to resolve health inequities, maldistribution and "brain drain" for health care services. In this preliminary communication, we assessed the impact of a telehealth innovation, subspecialty clinician-to-clinician electronic consultations (eConsult), on general practitioners (GPs) serving a diverse patient population in Nigeria. We found high levels of utilization of the eConsult platform by Nigerian physicians for a variety of cases and subspecialties. The most commonly used specialties were Obstetrics/Gynecology, Pediatric specialties and subspecialties, and Dermatology. Nigerian GPs spent more time generating and submitting their eConsults than American counterparts, but high levels of physician satisfaction and education from the eConsults. GPs reported the reduction in unnecessary services and improved care plans in the majority of cases, suggesting the tremendous potential for eConsults to build capacity for clinicians in nations where subspecialty care services are scarce.
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“Research suggests that poor internet connectivity can impact negatively on the quality of consultations (Annan et al., 2018), due to delay in the transmission of information from primary healthcare worker to other clinical collaborators (Olayiwola et al., 2020).”
From Telemedicine use in Sub-Saharan Africa: Barriers and policy recommendations for Covid-19 and beyond (2021) · cites this paper as Olayiwola et al., 2020
In the citing paper
“It is demonstrated teledermatology is applicable in support in auxiliary health workers in LMIC.”
From Current evidence on the use of mHealth approaches in Sub-Saharan Africa: A scoping review (2023) · cites this paper as [58]
Citations
Cites
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Self-citationProspects and challenges of telemedicine in Nigeria
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Research works printed but not linked: 1
- Olayiwola, 2019, Clinical transformation in technology: a fresh change management approach for primary care, Harvard Health Pol Rev
Cited by
Telemedicine use in Sub-Saharan Africa: Barriers and policy recommendations for Covid-19 and beyond
Dodoo, J. E., Al-Samarraie, H., & Alzahrani, A. I. (2021) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2021.104467 · Cited by 125
“tivity can impact negatively on the quality of consultations [21], due to delay in the transmission of information from primary healthcare worker to other clinical collaborators [22].”
BackgroundPost pandemic analysis on comprehensive utilization of telehealth and telemedicine
Ndwabe, H., Basu, A., & Mohammed, J. (2023) · Clinical eHealth · doi:10.1016/j.ceh.2023.12.002 · Cited by 88
The development of telemedicine programs in Sub-Saharan Africa: Progress and associated challenges
Dodoo, J. E., Al-Samarraie, H., & Alsswey, A. (2022) · Health and Technology · doi:10.1007/s12553-021-00626-7 · Cited by 68
Current evidence on the use of mHealth approaches in Sub-Saharan Africa: A scoping review
Aboye, G. T., Vande Walle, M., Simegn, G. L., & Aerts, J.-M. (2023) · Health Policy and Technology · doi:10.1016/j.hlpt.2023.100806 · Cited by 55
Physician Satisfaction With Telehealth: A Systematic Review and Agenda for Future Research
Hoff, T., & Lee, D.-R. (2022) · Quality Management in Health Care · doi:10.1097/qmh.0000000000000359 · Cited by 54
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Telehealth during COVID-19: why Sub-Saharan Africa is yet to log-in to virtual healthcare?
Babalola, D., Anayo, M., & Itoya, D. A. (2021) · AIMS Medical Science · doi:10.3934/medsci.2021006 · Cited by 25
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Embracing e-health systems in managing the COVID 19 pandemic in Sub-Saharan Africa
Chilunjika, S. R. T., & Chilunjika, A. (2023) · Social Sciences & Humanities Open · doi:10.1016/j.ssaho.2023.100556 · Cited by 14
Quantum Leap and Uptake for Technological Advances in Africa in the Era of the COVID-19 Crisis
Owusu-Ansah, E. D.-G. J., Avuglah, R. K., & Kyere, Y. A. (2024) · Advances in IT standards and standardization research (AISSR) book series/Advances in IT standards and standardization research series · doi:10.4018/978-1-6684-9962-7.ch013 · Cited by 6
The Use of Electronic Consultations in Outpatient Surgery Clinics: Synthesized Narrative Review
Payne, T., Kevric, J., Stelmach, W., & To, H. (2022) · JMIR Perioperative Medicine · doi:10.2196/34661 · Cited by 5
Joseph, A. O., Shour, A. R., Lasebikan, N. N., Jimoh, M. A., Adegboyega, B. C., Nwachukwu, E., Awofeso, O. M., Ajose, A. O., Ibraheem, A. F., Fatiregun, O. A. A., et al. (2023) · JCO Global Oncology · doi:10.1200/go.22.00221 · Cited by 3
Telehealth for Substance Use Disorders Treatment in Nigeria: Implementation Strategies Post-COVID-19
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Munnee, M. M., Malumi, O., Chinedu, S., Okah, W., Ogboye, A., Abiakam, C., Duys, T., Lagos, K. J., Etuk, I., & Mobisson, N. (2026) · Journal of Medical Internet Research · doi:10.2196/86578
Metadata
- Authors
- Olayiwola, J. N., Udenyi, E. D., Yusuf, G., Magaña, C., Patel, R., Duck, B., Sajanlal, S., Potapov, A., & Kibuka, C.
- Affiliations
- The Ohio State University (US)
- Corresponding author
- Olayiwola, J. Nwando
- Venue
- Journal of the National Medical Association
- Publisher
- Elsevier BV
- Published
- 2020-02
- Volume
- 112
- Issue
- 1
- Pages
- 97-102
- ISSN
- 0027-9684 (ISSN-L)
- OpenAlex
- W3005276588
- Cited by
- 19
- References
- 4
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 6 · 2022: 3 · 2021: 4
- FWCI
- 3.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the National Medical Association (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Keywords
- e-consultation, telemedicine, general practitioners, physician satisfaction, health workforce capacity, brain drain, health disparities, Nigeria
- MeSH terms
- Health Services Accessibility, Health Services Needs and Demand, Humans, Nigeria, Patient Acceptance of Health Care, Telemedicine, Healthcare Disparities
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
