La consulta no presencial como herramienta de mejora de la consulta a demanda en atención primaria

  1. S.L. de la Fuente Ballesteros 1
  2. N. García Granja 1
  3. M. Hernández Carrasco 1
  4. A. Hidalgo Benito 1
  5. I. García Álvarez 1
  6. E. García Ramón 1
  1. 1 Centro de Salud Arturo Eyries, SACYL (Sanidad Castilla y León), Valladolid, España
Zeitschrift:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Datum der Publikation: 2018

Nummer: 7

Seiten: 458-462

Art: Artikel

DOI: 10.1016/J.SEMERG.2018.05.006 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Semergen: revista española de medicina de familia

Zusammenfassung

Objective Currently, there is a strong healthcare pressure on resources in Primary Care clinics. This significantly compromises the accessibility and the time dedicated to the patient. This paper analyses the implementation of a tele-medicine service using telephone and e-mail consultations. Materials and methods The telephone and e-mail consultations carried out during one year were reviewed retrospectively. The patient profile, the type of consultation carried out, the need for a face-to-face visit, and the receipt of attached documentation were analysed. Results A total of 884 distance consultations were received in a 12 month period. The distance consultation accounted for 13.56% of consultations on demand. The mean age of the patient was 54 (SD: 17) years old. The large majority (87.7%) of the consultations were made by the patients and the rest by relatives or caregivers. The time spent per patient in the face-to-face consultation was 10.24 minutes and the waiting list was less than 48 hours on 97% of the days of the year. The patient had to go in person on 24 (2.71%) occasions. Conclusions Distance consultation is a useful resource for improving accessibility, as well as leading to more physical consultation time. It has also demonstrated that it is capable of solving problems of different kinds and in different age groups.

Bibliographische Referenzen

  • M. Cobos i Baqués, A. Rifà Ros Consulta no presencial AMF., 7 (2011), pp. 96-99 Google Scholar
  • M. Alfaro, J. Bonis, R. Bravo, E. Fluiters, S. Minué Nuevas tecnologías en atención primaria: personas, máquinas, historias y redes. Informe SESPAS 2012 Gac Sanit., 26 (2012), pp. 107-112 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • J.P. Weiner Doctor-patient communication in the e-health era Isr J Health Policy Res., 1 (2012), p. 33 View Record in ScopusGoogle Scholar
  • E. Viedma-Guiard, P. Agüero, L. Crespo-Araico, C. Estévez-Fraga, G. Sánchez-Díez, J.L. López-Sendón, et al. El correo electrónico en la consulta de Parkinson: ¿soluciones a un clic? Neurologia., 33 (2018), pp. 107-111 ArticleDownload PDFGoogle Scholar
  • E. Burgos Monegro, L. Bocanegra Seminario, M.I. Sánchez López, C. Alfonso Cano, M. Leal Hernández Implementación del correo electrónico como medio de comunicación de resultados analíticos. ¿Eficaz? Semergen., 40 (2014), pp. 353-354 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • R.D. Del Valle, A. Franco Vidal, G. Tena Ortega, M. Muedra Sánchez, A. Hernández Sánchez, E. Grueso Muñoz ¿Por qué hay pacientes que acuden sin cita previa? Semergen., 32 (2006), pp. 4-9 Google Scholar
  • J.A. Bellón Saameño Cómo reducir la utilización de las consultas de atención primaria y no morir en el intento (y 2): Estrategias relacionadas con el profesional y la organización C&P-Sesiones clínicas (1998) Google Scholar
  • A. Wilson, S. Childs The relationship between consultation length, process and outcomes in general practice: A systematic review Br J Gen Pract., 52 (2002), pp. 1012-1020 View Record in ScopusGoogle Scholar
  • H. Hewitt, J. Gafaranga, B. McKinstry Comparison of face-to-face and telephone consultations in primary care: Qualitative analysis Br J Gen Pract., 60 (2010), pp. 201-212 CrossRefGoogle Scholar
  • B. McKinstry, P. Watson, H. Pinnock, D. Heaney, A. Sheikh Telephone consulting in primary care: A triangulated qualitative study of patients and providers Br J Gen Pract., 59 (2009), pp. e209-e218 View Record in ScopusGoogle Scholar
  • F. Camarera Soler, E. Mira Sanz, C. Soriano Clemor, J.J. Blanquer Gregori, I. Montiel Higuero, J.L. Ortuño López El uso del teléfono en los centros de salud Semergen., 29 (2003), pp. 157-163 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • D.N. Ramírez Puerta, P.C. Pérez, M.R. Belinchón, J.V. Zarco Rodríguez La calidad vista desde atención primaria Semergen., 27 (2001), pp. 250-256 ArticleDownload PDFGoogle Scholar
  • P. Garvi Soler, C. Villanueva Rodríguez, E. Andrés Martínez Puesta en marcha de una consulta por correo electrónico, para dar soluciones y no para crear problemas Rev Pediatr Aten Primaria., 16 (2014), pp. 311-316 CrossRefView Record in ScopusGoogle Scholar
  • R. Peleg, E. Nazarenko Providing cell phone numbers and e-mail addresses to patients: The patient's perspective, a cross sectional study Isr J Health Policy Res., 1 (2012), p. 32 View Record in ScopusGoogle Scholar
  • S. Kirsh, E. Carey, D.C. Aron, O. Cardenas, G. Graham, R. Jain, et al. Impact of a national specialty e-consultation implementation project on access Am J Manag Care., 21 (2015), pp. 648-654 Google Scholar
  • S.G. Gupta Tips for telephone and electronic medical consultation Indian J Pediatr., 80 (2013), pp. 944-948 CrossRefView Record in ScopusGoogle Scholar
  • M.A. Mayer Pujadas, A. Leis Machín El correo electrónico en la relación médico-paciente: uso y recomendaciones generales Aten Primaria., 37 (2006), pp. 413-417 ArticleDownload PDFCrossRefView Record in ScopusGoogle Scholar
  • F. Borrell i Carrió Agendas para disfrutarlas. Diez minutos por paciente en agendas flexibles Aten Primaria., 27 (2001), pp. 343-345 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • A. Martín Zurro, J.F. Cano Pérez Atención Primaria: conceptos, organización y práctica clínica (4.a ed.), Hardcourt Brace, Barcelona (1999), pp. 57-68 Google Scholar
  • R. Arnal Selfa, E. Blanco Tarrío, P. Cañones Garzón, E. Díez Ojeda, J.M. Grande Andueza, J. Guerra Aguirre Los equipos de Atención Primaria. Propuestas de Mejora. Documento de Consenso Instituto Nacional de la Salud, Ministerio de Sanidad y Consumo (2001) Google Scholar
Fuente de los datos: Dialnet