Older adults face several challenges when accessing specialist care. Advanced practice nurses (APNs) can perform an important role in primary care for older adults, particularly when bolstered with digital tools. In the current study, we conducted a multiple case study of electronic consultations (eConsults) involving APNs to assess how these practitioners use the service to improve access to care. All eConsults submitted by or to an APN in 2019 on behalf of patients aged ≥65 years were reviewed to identify examples from six settings representative of the range of advanced nursing practices. For each setting, a final case was chosen using an iterative process and stratified by specialty and type of advice. Included cases were assessed using a conceptual framework for health care access. Selected cases illustrate how APNs can be effective users of eConsults in a diversity of health care settings. The framework allowed for an in-depth study of access over the range of interactions that take place among patients, caregivers, providers, and the health care system. [Journal of Gerontological Nursing, 48(4), 33–40.]

老年人在获得专科护理时面临多项挑战。高级执业护士 (APN) 可以在老年人的初级保健中发挥重要作用，尤其是在数字工具的支持下。在当前的研究中，我们对涉及 APN 的电子咨询 (eConsults) 进行了多个案例研究，以评估这些从业者如何使用该服务来改善获得护理的机会。审查了 2019 年由 APN 代表年龄≥65 岁的患者提交或提交给的所有 eConsult，以确定来自六个代表高级护理实践范围的示例。对于每个设置，使用迭代过程选择最终案例，并按专业和建议类型进行分层。使用医疗保健获取的概念框架对纳入的病例进行评估。选定的案例说明了 APN 如何在各种医疗保健环境中成为 eConsults 的有效用户。该框架允许对患者、护理人员、提供者和医疗保健系统之间发生的各种互动进行深入研究。[老年护理杂志，48（4），33-40。]