Vol. 27 No. 2 (2020), Original
Vol. 27 No. 2 (2020)

E-consults, a new tool for pain management. Results of its implementation in an organizational structure of integrated management (EOXI)

Original
Published 2020-04-17
Alfonso Carregal Rañó
CHUVI
Mónica Mayo Moldes
CHUVI
Belén Bustabad Sancho
Centro Saude Porriño
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Keywords

Teleconsultation
e-consult
telemedicine
primary care pain medicine relationship
pain management.

Abstract

Introduction: On 2014 the Galician Health Service (SERGAS)starts the first teleconsult experience applied to pain unit, and the Sanitary Area of Vigo was chosen for its pilot implementation. Material and methods: A retrospective longitudinal descriptive study was undertaken during the lapse time January 2015 to December 2018. Results: In the period of study a total of 2218 teleconsults were requested from the 42 primare care centers of the Sanitary Area. 49% of the teleconsults were preferent. 26% (586) of the requests were rejected and 74% (1632) were evaluated at the Pain Unit. The mean time for response were: 21 days for preferents and 22 for non-preferents. Conclusions: Teleconsult allows an improvement in the relationship between specialized and primary care levels. Remarks the importance on consensuated protocols for patient referal. Remarks the need of an updated and well documented portfolio of services. It allows to correct errors of information transmission between assistance levels and implement correction actions.
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References

1. Zundel KM. Telemedicine: history, applications, and impact on librarianship. Bull Med Libr Assoc. 1996;84(1):71-9.

2. García Cuyàs F, Vàzquez N, de San Pedro M, Hospedales M. Estado actual de la telemedicina: ¿dónde estamos y qué nos queda por hacer? Med Clin (Barc). 2018;150(4):150-4.

3. Wilson LS, Maeder AJ. Recent directions in telemedicine: Review of trends in research and practice. Healthc Inform Res. 2015;21(4):213-22.

4. Herce López J, Salazar Fernández C, Rollón Mayordomo Á, Moreno Ramírez D, Garrachón F, Serrano Moya P, et al. Telemedicina en cirugía maxilofacial. Rev Esp Cirug Oral y Maxilofac. 2008;30(2):81-9.

5. Luis C, Rufino MT, Navarro E, Real E. Telemedicina en Atención Primaria: evaluación de la retinopatía diabética en una Zona Básica de Salud. Semergen. 2009;35(1):10-4.

6. Bashshur RL, Howell JD, Krupinski EA, Harms KM, Bashshur N, Doarn CR. The empirical foundations of telemedicine interventions in Primary Care. Telemed J E Health. 2016;22(5):342-75. DOI: 10.1089/tmj.2016.0045.

7. Liddy C, Smyth C, Poulin PA, Joschko J, Rebelo M, Keely E. Improving access to chronic pain services through eConsultation: a cross-sectional study of the Champlain BASE eConsult Service. Pain Med. 2016;17(6):1049-57. DOI: 10.1093/pm/pnw038.

8. Poulin PA, Romanow HC, Cheng J, Liddy C, Keely EJ, Smyth CE. Offering eConsult to family physicians with patients on a pain clinic wait list: an outreach exercise. J Healthc Qual. 2018;40(5):e71-6. DOI: 10.1097/JHQ.0000000000000117.

9. Liddy C, Smyth C, Poulin PA, Joschko J, Sheppard M, Keely E. Supporting Better Access to Chronic Pain Specialists: The Champlain BASE™ eConsult Service. J Am Board Fam Med. 2017;30(6):766-74. DOI: 10.3122/jabfm.2017.06.170170.

10. Liddy C, Poulin PA, Hunter Z, Smyth C, Keely E. Patient perspectives on wait times and the impact on their life: A waiting room survey in a chronic pain clinic. Scand J Pain. 2017;17:53-7. DOI: 10.1016/j.sjpain.2017.07.015.

11. Consellería de Sanidad. Xunta de Galicia. (2012). Decreto 60/2012, de 26 de enero, por el que se crea la Comisión Gallega de Estrategia contra el Dolor y se establece su composición, organización y funcionamiento. Diario Oficial de Galicia, nº26.

12. Servizo Galego de Saúde. (2012). Estrategia SERGAS 2014: La Sanidad Pública al servicio del Paciente. Santiago de Compostela: SERGAS. Disponible en: http://www.sergas.es/Docs/Conselleria/Estrategia_Sergas_2014.pdf

13. Bashshur RL, Reardon TG, Shannon GW. Telemedicine: a new health care delivery system. Annu Rev Public Health. 2000;21:613-37.

14. Wootton R, Bahaadinbeigy K, Hailey D. Estimating travel reduction associated with the use of telemedicine by patients and healthcare professionals: Proposal for quantitative synthesis in a systematic review. BMC Health Serv Res. 2011;11:185. DOI: 10.1186/1472-6963-11-185.

15. Report of the eHealth Stakeholder Group on implementing the Digital Agenda for Europe Key Action 13/2 'Telemedicine', Widespread Deployment of Telemedicine Services in Europe, Version 1.0 final (12 March 2014).

16. European Commission. Communication on telemedicine for the benefit of patients, healthcare systems and society. 2008. COM (2008)689.

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