Liddy C, et al. - In this Canadian study, researchers for the first time examined the potential effect of eConsult on overall referrals at a population level. They noted that in the eConsult group, referral rates per physician were markedly lower for all specialty groupings. Referral rates per patient were lower among eConsult physicians, however, after adjustment, this difference was not statistically significant. Observations thereby suggest that using eConsult service is associated with fewer referrals from primary to specialist care, with considerable potential for cost savings to the single-payer system.