Mejora de la comunicación entre niveles asistenciales: derivación directa de pacientes a una consulta de alta resolución de cirugía mayor ambulatoria

Carbonero, M.T. Cerdán; López, Rodrigo Sanz; Ramos, Carlos Martínez

doi:10.1157/13073412

Cited by 12 publications

(1 citation statement)

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“…The long waiting times being a common area of complaint for both patients and general practitioners, they sometimes have different perceptions of the value of the referral process [ 13 ]. Some countries practice fast-track referrals in certain elective surgical care pathways [ 14 , 15 ], but the lack of clear specificity of the referral criteria has been repeatedly highlighted. Long waiting times for surgeries are also associated with higher risks of serious complications and death, especially among adults [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of different patient referral systems to shorten waiting times for elective surgeries: systematic review

Rathnayake

Clarke

2021

BMC Health Serv Res

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Background Long waiting times for elective surgery are common to many publicly funded health systems. Inefficiencies in referral systems in high-income countries are more pronounced than lower and middle-income countries. Primary care practitioners play a major role in determining which patients are referred to surgeon and might represent an opportunity to improve this situation. With conventional methods of referrals, surgery clinics are often overcrowded with non-surgical referrals and surgical patients experience longer waiting times as a consequence. Improving the quality of referral communications should lead to more timely access and better cost-effectiveness for elective surgical care. This review summarises the research evidence for effective interventions within the scope of primary-care referral methods in the surgical care pathway that might shorten waiting time for elective surgeries. Methods We searched PubMed, EMBASE, SCOPUS, Web of Science and Cochrane Library databases in December-2019 to January-2020, for articles published after 2013. Eligibility criteria included major elective surgery lists of adult patients, excluding cancer related surgeries. Both randomised and non-randomised controlled studies were eligible. The quality of evidence was assessed using ROBINS-I, AMSTAR 2 and CASP, as appropriate to the study method used. The review presentation was limited to a narrative synthesis because of heterogeneity. The PROSPERO registration number is CRD42019158455. Results The electronic search yielded 7543 records. Finally, nine articles were considered as eligible after deduplication and full article screening. The eligible research varied widely in design, scope, reported outcomes and overall quality, with one randomised trial, two quasi-experimental studies, two longitudinal follow up studies, three systematic reviews and one observational study. All the six original articles were based on referral methods in high-income countries. The included research showed that patient triage and prioritisation at the referral stage improved timely access and increased the number of consultations of surgical patients in clinics. Conclusions The available studies included a variety of interventions and were of medium to high quality researches. Managing patient referrals with proper triaging and prioritisation using structured referral formats is likely to be effective in health systems to shorten the waiting times for elective surgeries, specifically in high-income countries.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of different patient referral systems to shorten waiting times for elective surgeries: systematic review

Rathnayake

Clarke

2021

BMC Health Serv Res

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Single hospital visit day case laparoscopic hernia repair without prior outpatient consultation is safe and acceptable to patients

2016

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Coordinación asistencial entre atención primaria y especializada. Satisfacción con el proyecto especialista consultor

Garrido-Elustondo¹,

Molino-González

Lopez‐Gómez

et al. 2009

Revista de Calidad Asistencial

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Mejora de la comunicación entre niveles asistenciales: derivación directa de pacientes a una consulta de alta resolución de cirugía mayor ambulatoria

Abstract: Because of its feasibility, acceptability, and cost-efficiency, the direct referral system has the potential to improve relations between primary and specialized care and enhance the quality of care by shortening the delay to treatment.

Cited by 12 publications

References 4 publications

The effectiveness of different patient referral systems to shorten waiting times for elective surgeries: systematic review

The effectiveness of different patient referral systems to shorten waiting times for elective surgeries: systematic review

Single hospital visit day case laparoscopic hernia repair without prior outpatient consultation is safe and acceptable to patients

Coordinación asistencial entre atención primaria y especializada. Satisfacción con el proyecto especialista consultor

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