Publication: DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study.
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Identifiers
Date
2019-05-13
Authors
Azogil-Lopez, Luis Miguel
Perez-Lazaro, Juan Jose
Medrano-Sanchez, Esther María
Gomez-Salgado, Juan
Coronado-Vazquez, Valle
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
MDPI AG
Abstract
In Spain, the average waiting time for a specialist consultation is 58 days. A determinant factor that contributes to this situation is the poor communication between primary care and specialised care, which is mainly due to the waiting days for a consultation, number of avoided/avoidable face-to-face referrals, and waiting days for the resolution of the process. DETELPROG is a referral system in which the family physician requests a scheduled outpatient internal medicine consultation, integrated into the usual consultations agenda of both physicians, the family, and the outpatient clinic physician, in order to have a telephone consultation. A randomized controlled clinical trial has been carried out to assess the effectiveness of DELTELPROG. In a sample of 255 patients, the experimental group was referred via a scheduled telephone call, and those in the control group, by face-to-face hospital consultation area. The results showed statistically significant differences between both groups of 27 days (95% confidence interval (CI): 20-33) regarding specialised consultation, 47 days (95% CI: 17-74) as for the resolution of the process, and 91.7% for avoided face-to-face consultations. The DETELPROG resulted as a low coverage system (53%), which makes it a complementary referral model. It is necessary to make an in-depth analysis of the causes that have led to this technologically low coverage.
Description
MeSH Terms
Humans
Referral and Consultation
Outpatients
Physicians, Family
Control Groups
Spain
Confidence Intervals
Waiting Lists
Telephone
Internal Medicine
Ambulatory Care Facilities
Hospitals
Communication
Referral and Consultation
Outpatients
Physicians, Family
Control Groups
Spain
Confidence Intervals
Waiting Lists
Telephone
Internal Medicine
Ambulatory Care Facilities
Hospitals
Communication
DeCS Terms
Comunicación
Derivación y consulta
España
Grupos control
Hospitales
Instituciones de atención ambulatoria
Intervalos de confianza
Listas de espera
Medicina interna
Médicos de familia
Pacientes ambulatorios
Teléfono
Derivación y consulta
España
Grupos control
Hospitales
Instituciones de atención ambulatoria
Intervalos de confianza
Listas de espera
Medicina interna
Médicos de familia
Pacientes ambulatorios
Teléfono
CIE Terms
Keywords
curbside consultation, eConsult, patient safety, primary health care, quality of health care, referral, telemedicine, waiting list, Área de Gestión Sanitaria Norte de Huelva
Citation
Azogil-López LM, Pérez-Lázaro JJ, Medrano-Sánchez EM, Gómez-Salgado J, Coronado-Vázquez V. DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study. J Clin Med. 2019 May 16;8(5):688.