RT Journal Article
T1 DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study
A1 Azogil López, Luis Miguel
A1 Pérez Lázaro, Juan José
A1 Medrano Sánchez, Esther María
A1 Gómez Salgado, Juan
A1 Coronado Vázquez, María del Valle
AB In Spain, the average waiting time for a specialist consultation is 58 days. A determinantfactor that contributes to this situation is the poor communication between primary care and specialisedcare, which is mainly due to the waiting days for a consultation, number of avoided/avoidableface-to-face referrals, and waiting days for the resolution of the process. DETELPROG is a referralsystem 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 clinicphysician, in order to have a telephone consultation. A randomized controlled clinical trial has beencarried out to assess the e ectiveness of DELTELPROG. In a sample of 255 patients, the experimentalgroup was referred via a scheduled telephone call, and those in the control group, by face-to-facehospital consultation area. The results showed statistically significant di erences between bothgroups 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 referralmodel. It is necessary to make an in-depth analysis of the causes that have led to this technologicallylow coverage.
PB MDPI
SN 2077-0383
YR 2019
FD 2019-05
LK http://hdl.handle.net/10272/16515
UL http://hdl.handle.net/10272/16515
LA eng
NO Azogil López, L., Pérez Lázaro, J., Medrano Sánchez, E., Gómez Salgado, J.,  Coronado Vázquez, V. (2019). DETELPROG Study. Effectiveness of a New Model of Scheduled Telephone Referral from Primary Care to Internal Medicine. A Randomised Controlled Study. Journal of Clinical Medicine, 8(5), 688. DOI: https://doi.org/10.3390/jcm8050688
NO 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.
DS Repositorio Institucional de la Universidad de Huelva
RD 1 jun 2026