Análisis de las dudas de los médicos de atención primaria

González, Arturo Louro; Obanza, Emiliano Fernández; López, Elsa Fernández; Millán, Patricia Vázquez; González, Leonor Villegas; Vales, Emilio Casariego

doi:10.1016/j.aprim.2009.05.005

Cited by 10 publications

(11 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A characteristic feature of primary (PC) surgeries is that they have to attend to a high number of patients suffering from many different health problems, whose clinical complexity is considerable [ 1 , 2 ]. This means that physicians have to deal with several aspects at once, which may raise a multitude of issues in day-to-day clinical practice [ 3 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

Keys to success of a community of clinical practice in primary care: a qualitative evaluation of the ECOPIH project

et al. 2018

View full text Add to dashboard Cite

BackgroundThe current reality of primary care (PC) makes it essential to have telemedicine systems available to facilitate communication between care levels. Communities of practice have great potential in terms of care and education, and that is why the Online Communication Tool between Primary and Hospital Care was created. This tool enables PC and non-GP specialist care (SC) professionals to raise clinical cases for consultation and to share information. The objective of this article is to explore healthcare professionals’ views on communities of clinical practice (CoCPs) and the changes that need to be made in an uncontrolled real-life setting after more than two years of use.MethodsA descriptive-interpretative qualitative study was conducted on a total of 29 healthcare professionals who were users and non-users of a CoCP using 2 focus groups, 3 triangular groups and 5 individual interviews. There were 18 women, 21 physicians and 8 nurses. Of the interviewees, 21 were PC professionals, 24 were users of a CoCP and 7 held managerial positions.ResultsFor a system of communication between PC and SC to become a tool that is habitually used and very useful, the interviewees considered that it would have to be able to find quick, effective solutions to the queries raised, based on up-to-date information that is directly applicable to daily clinical practice. Contact should be virtual – and probably collaborative – via a platform integrated into their habitual workstations and led by PC professionals. Organisational changes should be implemented to enable users to have more time in their working day to spend on the tool, and professionals should have a proactive attitude in order to make the most if its potential. It is also important to make certain technological changes, basically aimed at improving the tool’s accessibility, by integrating it into habitual clinical workstations.ConclusionsThe collaborative tool that provides reliable, up-to-date information that is highly transferrable to clinical practice is valued for its effectiveness, efficiency and educational capacity. In order to make the most of its potential in terms of care and education, organisational changes and techniques are required to foster greater use.Electronic supplementary materialThe online version of this article (10.1186/s12875-018-0739-0) contains supplementary material, which is available to authorized users.

show abstract

Section: Introductionmentioning

confidence: 99%

Keys to success of a community of clinical practice in primary care: a qualitative evaluation of the ECOPIH project

et al. 2018

View full text Add to dashboard Cite

show abstract

“…However, given that the health system is at saturation point, communication between PC and SC may be difficult, slow, and ineffective [10][11][12][13], and it leads to many referrals to SC (hospitalisation or specialist outpatient clinics). In turn, this leads to excessive delays for appointments [14,15] and to a significant increase in financial, time and psychological costs to physicians and patients. As Horner et al, have pointed out, 65% of referrals are inappropriate and up to 30% of them could be avoided [16].…”

Section: Introductionmentioning

confidence: 99%

Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases

et al. 2020

View full text Add to dashboard Cite

Background: A community of clinical practice called the Online Communication Tool between Primary and Hospital Care (ECOPIH) was created to enable primary care and specialist care professionals to communicate with each other in order to resolve real clinical cases, thereby improving communication and coordination between care levels. The present work seeks to analyse whether ECOPIH makes it possible to reduce the number of referrals. To that end, the objectives are: (1) To find out the degree of loyalty among ECOPIH users, by comparing the medical professionals' profiles in the tool's implementation phase to those in its consolidation phase. (2) To evaluate the degree of fulfilment of users' expectations, by establishing the determining factors that had an influence on the physicians' intention to use ECOPIH in the implementation phase and observing whether its use had an effective, direct impact on the number of patient referrals that primary care physicians made to specialist care professionals. Methods: Two studies were conducted. Based on a survey of all the physicians in a Primary Care area, Study 1 was a descriptive study in ECOPIH's implementation phase. Study 2 was a randomised intervention study of ECOPIH users in the tool's consolidation phase. The results from both studies were compared. Various bivariate and multivariate statistical techniques (exploratory factor analysis, cluster analysis, logistic regression analysis and ANOVA) were used in both studies, which were conducted on a sample of 111 and 178 physicians, respectively. Results: We confirmed the existence of an ECOPIH user profile stable across both phases: under-50-year-old women. Regarding the second objective, there were two particular findings. First, the discriminant factors that had an influence on greater ECOPIH use were habitual Social media website and app use and Perceived usefulness for reducing costs. Second, PC professionals who were ECOPIH members made fewer referrals to SC professionals in Cardiology, Endocrinology and Gastroenterology than older PC professionals who were not ECOPIH members. Conclusions: The use of a community of clinical practice by primary care and specialist care professionals helps to reduce the number of referrals among medical professionals.

show abstract

“…It has been suggested that the development of Web 2.0 platforms for communication between care levels enables issues arising in primary care professional practice to be resolved [24]. In this respect, a meta-analysis performed on interactive communication between primary and hospital care physicians in the areas of psychiatry and endocrinology found that this type of communication increased collaboration effectiveness and was associated with important clinical advances in general, and improved patient outcomes in particular [25].…”

Section: Discussionmentioning

confidence: 99%

Improving Integrated Care: Modelling the performance of an online community of practice

et al. 2014

View full text Add to dashboard Cite

show abstract

Análisis de las dudas de los médicos de atención primaria

Abstract: The number of doubts that primary care doctor has is relatively small (1.7 for every 10 patients). The most common way to try to resolve them is by referral to a specialist.

Cited by 10 publications

References 10 publications

Keys to success of a community of clinical practice in primary care: a qualitative evaluation of the ECOPIH project

Keys to success of a community of clinical practice in primary care: a qualitative evaluation of the ECOPIH project

Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases

Improving Integrated Care: Modelling the performance of an online community of practice

Contact Info

Product

Resources

About