%0 Journal Article
%A Azogil-Lopez, Luis Miguel
%A Perez-Lazaro, Juan Jose
%A Medrano-Sanchez, Esther María
%A Gomez-Salgado, Juan
%A Coronado-Vazquez, Valle
%T DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study.
%D 2019
%@ 2077-0383
%U http://hdl.handle.net/10668/13979
%X 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.
%K curbside consultation
%K eConsult
%K patient safety
%K primary health care
%K quality of health care
%K referral
%K telemedicine
%K waiting list
%K Área de Gestión Sanitaria Norte de Huelva
%~