@article{10272/16515,
year = {2019},
month = {5},
url = {http://hdl.handle.net/10272/16515},
abstract = {In Spain, the average waiting time for a specialist consultation is 58 days. A determinant
factor that contributes to this situation is the poor communication between primary care and specialised
care, which is mainly due to the waiting days for a consultation, number of avoided/avoidable
face-to-face referrals, and waiting days for the resolution of the process. DETELPROG is a referral
system in which the family physician requests a scheduled outpatient internal medicine consultation,
integrated into the usual consultations agenda of both physicians, the family, and the outpatient clinic
physician, in order to have a telephone consultation. A randomized controlled clinical trial has been
carried out to assess the e ectiveness of DELTELPROG. In a sample of 255 patients, the experimental
group was referred via a scheduled telephone call, and those in the control group, by face-to-face
hospital consultation area. The results showed statistically significant di erences between both
groups of 27 days (95% confidence interval (CI): 20–33) regarding specialised consultation, 47 days
(95% CI: 17–74) as for the resolution of the process, and 91.7% for avoided face-to-face consultations.
The DETELPROG resulted as a low coverage system (53%), which makes it a complementary referral
model. It is necessary to make an in-depth analysis of the causes that have led to this technologically
low coverage.},
organization = {This article is part of the doctoral thesis Project by Luis Miguel Azogil-Lopez, developed with the help of the Andalusian Society of Family and Community Medicine - SAMFyC- (Record ref. 157/18), through the "ISABEL FERNANDEZ" grant for the support of research and doctoral thesis projects, within the SAMFyC 2018 call.},
publisher = {MDPI},
title = {DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study},
doi = {10.3390/jcm8050688},
author = {Azogil López, Luis Miguel and Pérez Lázaro, Juan José and Medrano Sánchez, Esther María and Gómez Salgado, Juan and Coronado Vázquez, María del Valle},
}