Estudio de las necesidades de información generadas por los médicos de atención primaria (proyecto ENIGMA)

González-González, Ana Isabel; Matéos, José; Cuesta, Teresa Sanz; Fuertes, Rosario Riesgo; Mayor, Esperanza Escortell; Fernández, Tomás Hernández

doi:10.1157/13092344

Cited by 12 publications

(9 citation statements)

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“…The need for healthcare professionals to be able to access trustworthy sources of information is well known, as is the fact that scientific literature may not be able to give direct answers to clinical questions arising in daily practice [ 7 , 11 , 48 ]. Having a tool that provides quick, practical and reliable information is essential for PC professionals given the multitude of queries arising in daily clinical practice [ 2 , 6 , 8 , 49 – 51 ].…”

Section: Discussionmentioning

confidence: 99%

“…The platform should also have a series of technical features that make it easy to use (information search and filter functions, a mobile app, etc.) [ 11 , 48 , 49 , 81 ]. While there is some controversy surrounding the issue, it is generally considered unnecessary to have access to the patients’ health records, mainly to ensure that ECOPIH’s ease of use is not compromised.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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“…Al igual que otros autores, nos parece preferible utilizar el concepto Acción, ya que las decisiones clínicas no se circunscriben sólo al ámbito terapéutico 7 . De hecho, las preguntas de diagnóstico pueden ser incluso más frecuentes que las de terapia 3 .…”

Section: Componentes De Una Pregunta De Acciónunclassified

“…2 departamento de medicina interna. 3 departamento de medicina Familiar, escuela de medicina, Pontificia Universidad católica de chile. 4 Unidad docente asociada, Hospital dr. sótero del Río.…”

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