La e-consulta como herramienta para la relación entre Atención Primaria y Endocrinología. Impacto de la epidemia por COVID-19 en su uso

Paz, Isabel Pavón de; Sierra, José Antonio Rosado; Ropero, Ana Laura Salguero; Torres, Víctor Viedma; Armas, Guadalupe Guijarro de; Rodríguez-Torices, Mercedes Cuesta; Manrique, Pablo Azcoitia; Viveros, María Merino; Aguilera, Cristina; Iglesias, Paloma; Martínez, María Durán

doi:10.1016/j.jhqr.2021.10.006

Cited by 3 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the contrary, the existence of a language barrier between a doctor and patient can be a bias [ 10 ], as it hinders the exchange of clinical information and the understanding of patient preferences. At the same time, a lower use of virtual consultation by some professionals can be explained by their concern about the increase in administrative work [ 27 ] derived from their management or their limited computer experience [ 28 ]. These results are consistent with studies such as the one by Pierce and Stevermer [ 22 ], who also recorded that telehealth visits were used more often by self-pay status but less often by those of non-white race and those from rural postal codes, because rural residents have fewer healthcare services, fewer trained physicians and worse broadband coverage.…”

Section: Discussionmentioning

confidence: 99%

Virtual Consultation in Dermatology: Access Inequalities According to Socioeconomic Characteristics and the Place of Residence

Marco-Ibáñez,

Aibar-Remón,

Gamba-Cabezas

et al. 2024

Healthcare

View full text Add to dashboard Cite

Virtual consultation has been implemented as a tool to improve the cooperation and coordination between primary care and other specialties. However, in its use in dermatology, inequities have been described. The aim of this study was to identify individual and geographical factors affecting the likelihood of accessing this resource. We conducted a cross-sectional study. The study population was individuals living in Aragón, a region in the north-east of Spain, who were users of the Aragon Health Service in 2021. To explore the differences in individual and area characteristics, between patients with virtual and non-virtual dermatology consultation, we performed bivariate analyses. To analyse the use of virtual consultation in dermatology, a multilevel methodology stratified by sex was developed. We analysed 39,174 dermatology visits, with 16,910 being virtual (43.17%). The rates of virtual consultation were higher in urban areas and the most affluent areas, for older persons, chronic complex patients and people with more advantageous socioeconomic positions. The best multilevel model conducted showed inequalities by socioeconomic position and area of residence. There are individual and area inequalities in the use of teledermatology. As this tool should improve equity of access, teledermatology interventions must address and adapt to the needs of the local patient population.

show abstract

Section: Discussionmentioning

confidence: 99%

Virtual Consultation in Dermatology: Access Inequalities According to Socioeconomic Characteristics and the Place of Residence

Marco-Ibáñez,

Aibar-Remón,

Gamba-Cabezas

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

Relación entre médicos de familia y otros especialistas, ¿coordinación o subordinación?

Buendía¹,

Lozano²

2023

FMC - Formación Médica Continuada en Atención Primaria

View full text Add to dashboard Cite

Has cross-level clinical coordination changed in the context of the pandemic? The case of the Catalan health system

Campaz-Landazabal,

Vargas,

Sánchez

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background The COVID-19 pandemic triggered numerous changes in health services organisation, whose effects on clinical coordination are unknown. The aim is to analyse changes in the experience and perception of cross-level clinical coordination and related factors of primary (PC) and secondary care (SC) doctors in the Catalan health system between 2017 and 2022. Methods Comparison of two cross-sectional studies based on online surveys by means of the self-administration of the COORDENA-CAT (2017) and COORDENA-TICs (2022) questionnaires to PC and SC doctors. Final sample n = 3308 in 2017 and n = 2277 in 2022. Outcome variables: experience of cross-level information and clinical management coordination and perception of cross-level clinical coordination in the healthcare area and related factors. Stratification variables: level of care and year. Adjusting variables: sex, years of experience, type of specialty, type of hospital, type of management of PC/SC. Descriptive bivariate and multivariate analysis using Poisson regressions models to detect changes between years in total and by levels of care. Results Compared with 2017, while cross-level clinical information coordination remained relatively high, with a slight improvement, doctors of both care levels reported a worse experience of cross-level clinical management coordination, particularly of care consistency (repetition of test) and accessibility to PC and, of general perception, which was worse in SC doctors. There was also a worsening in organisational (institutional support, set objectives, time available for coordination), attitudinal (job satisfaction) and interactional factors (knowledge between doctors). The use of ICT-based coordination mechanisms such as shared electronic medical records and electronic consultations between PC and SC increased, while the participation in virtual joint clinical conferences was limited. Conclusions Results show a slight improvement in clinical information but also less expected setbacks in some dimensions of clinical management coordination and in the perception of clinical coordination, suggesting that the increased use of some ICT-based coordination mechanisms did not counteract the effect of the worsened organisational, interactional, and attitudinal factors during the pandemic. Strategies are needed to facilitate direct communication, to improve conditions for the effective use of mechanisms and policies to protect healthcare professionals and services in order to better cope with new crises.

show abstract

La e-consulta como herramienta para la relación entre Atención Primaria y Endocrinología. Impacto de la epidemia por COVID-19 en su uso

Cited by 3 publications

References 14 publications

Virtual Consultation in Dermatology: Access Inequalities According to Socioeconomic Characteristics and the Place of Residence

Virtual Consultation in Dermatology: Access Inequalities According to Socioeconomic Characteristics and the Place of Residence

Relación entre médicos de familia y otros especialistas, ¿coordinación o subordinación?

Has cross-level clinical coordination changed in the context of the pandemic? The case of the Catalan health system

Contact Info

Product

Resources

About