RT Journal Article
T1 DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study.
A1 Azogil-Lopez, Luis Miguel
A1 Perez-Lazaro, Juan Jose
A1 Medrano-Sanchez, Esther María
A1 Gomez-Salgado, Juan
A1 Coronado-Vazquez, Valle
K1 curbside consultation
K1 eConsult
K1 patient safety
K1 primary health care
K1 quality of health care
K1 referral
K1 telemedicine
K1 waiting list
K1 Área de Gestión Sanitaria Norte de Huelva
AB 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.
PB MDPI AG
SN 2077-0383
YR 2019
FD 2019-05-13
LK http://hdl.handle.net/10668/13979
UL http://hdl.handle.net/10668/13979
LA en
NO 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.
DS RISalud
RD Apr 5, 2025