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DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study
dc.creator | Medrano Sánchez, Esther Mª | es |
dc.date.accessioned | 2019-09-06T17:15:45Z | |
dc.date.available | 2019-09-06T17:15:45Z | |
dc.date.issued | 2019-05-16 | |
dc.identifier.citation | Medrano Sánchez, E.M. (2019). DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study. Journal of Clinical Medicine, 8 (5), 1-10. | |
dc.identifier.issn | 2077-0383 | es |
dc.identifier.uri | https://hdl.handle.net/11441/89041 | |
dc.description.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. | es |
dc.format | application/pdf | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | Journal of Clinical Medicine, 8 (5), 1-10. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | referral | es |
dc.subject | eConsult | es |
dc.subject | curbside consultation | es |
dc.subject | telemedicine | es |
dc.subject | primary health care | es |
dc.subject | waiting list | es |
dc.subject | patient safety | es |
dc.subject | quality of health care | es |
dc.title | DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Fisioterapia | es |
dc.identifier.doi | 10.3390/jcm8050688 | es |
dc.contributor.group | Universidad de Sevilla. CTS305: Área de Fisioterapia | es |
idus.format.extent | 10 | es |
dc.journaltitle | Journal of Clinical Medicine | es |
dc.publication.volumen | 8 | es |
dc.publication.issue | 5 | es |
dc.publication.initialPage | 1 | es |
dc.publication.endPage | 10 | es |
Ficheros | Tamaño | Formato | Ver | Descripción |
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Detelprog Study.pdf | 596.3Kb | [PDF] | Ver/ | |