The ongoing coronavirus disease 2019 pandemic has forced providers to dramatically scale down in-person clinic visits to enforce social distancing and triage care to the neediest patients. We describe our five-month experience with a hybrid gastroenterology electronic consultation programme starting in 2019 in which we perform electronic consultations for every referral regardless of indication as well as directly initiate telephone-based telehealth visits with patients without the need for in-person clinic. Over five consecutive months, 1243 hybrid electronic consultations were performed with 356 (29%) resulting in a clinic appointment. The remaining 887 (71%) electronic consultations were resolved without need for a clinic visit. Five hundred and fourteen (41%) electronic consultations resulted in a directly scheduled procedure without clinic appointment. Eighty-five per cent of electronic consultations were performed on the same day of referral and 98% of electronic consultations were completed in under 20 min. A hybrid electronic consultation model which pre-emptively reviews all outpatient referrals streamlines access to specialty care. Such a model may be implemented rapidly during the current coronavirus disease 2019 pandemic as well as serve as a platform for long-term improvement in efficiency of care.

持续的 2019 年冠状病毒病大流行迫使医疗服务提供者大幅减少面对面的诊所就诊，以加强对最需要的患者的社会疏离和分流护理。我们描述了我们从 2019 年开始的混合胃肠病学电子咨询计划的五个月经验，在该计划中，我们为每个转诊进行电子咨询，无论适应症如何，并直接启动基于电话的远程医疗访问，而无需亲自诊所。在连续五个月中，进行了 1243 次混合电子咨询，其中 356 次（29%）进行了门诊预约。其余 887 次 (71%) 的电子咨询在无需门诊就诊的情况下得到解决。514 (41%) 次电子咨询导致直接安排程序，无需门诊预约。85% 的电子咨询在转诊当天进行，98% 的电子咨询在 20 分钟内完成。一种预先审查所有门诊转诊的混合电子咨询模型简化了对专科护理的访问。这种模型可以在当前的 2019 年冠状病毒病大流行期间迅速实施，并作为长期提高护理效率的平台。一种预先审查所有门诊转诊的混合电子咨询模型简化了对专科护理的访问。这种模型可以在当前的 2019 年冠状病毒病大流行期间迅速实施，并作为长期提高护理效率的平台。一种预先审查所有门诊转诊的混合电子咨询模型简化了对专科护理的访问。这种模型可以在当前的 2019 年冠状病毒病大流行期间迅速实施，并作为长期提高护理效率的平台。