no title
Copyright © 2022 FECA. Publicado por Elsevier España, S.L.U. All rights reserved..
INTRODUCTION AND OBJECTIVES: The Galician Health Service designed a system to improve demand management in primary care known as "XIDE". In it, all professionals participate in an interdisciplinary manner and within their competence framework, to respond to a reason for consultation in a certain time and manner. This article evaluates the pilot phase of implementation of XIDE in primary care of the Galician Health Service.
MATERIALS AND METHODS: Cross-sectional descriptive study carried out in 45 primary care centers selected opportunistically at the discretion of the management of the Galician Health Service. For each center, were included all on-demand appointments requested by the adult population in the administrative units in person or by telephone, between 11/2021-05/2022. The XIDE integrates an intelligent search engine that, through algorithms, guides the administrative staff to make an appointment on demand. It performed a descriptive analysis of all the variables, as well as a bivariate analysis with chi-square to identify the causes of the population's rejection of XIDE.
RESULTS: The three most frequent reasons for consultation were: knowing the results of the analysis (11.2%), performing blood tests (11.2%) and prescriptions for drugs (10.9%). Family medicine and nursing professionals are the ones who received the most citations. 22.1% of the appointments required to be scheduled on the same day or immediately. The acceptance of the population to the XIDE system was 85.0%. The reason for consultation, response time, mode of care and the recipient professional had a significant influence (p<0.0001) on the rejection of the appointment.
CONCLUSIONS: The XIDE adapts globally well to the appointment systems and the organization of primary care of the Galician Health Service, which could facilitate its extension to all health centers in Galicia. However, it is necessary to delve deeper into the causes of rejection in order to introduce improvements that guarantee its viability in the medium-long term.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:38 |
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| Enthalten in: |
Journal of healthcare quality research - 38(2023), 3 vom: 01. Mai, Seite 144-151 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Sistema inteligente para la gestión de la demanda en atención primaria |
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| Beteiligte Personen: |
López-Pardo Pardo, M E [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 01.05.2023 Date Revised 01.05.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jhqr.2022.10.003 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM348862504 |
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| 246 | 3 | 3 | |a Sistema inteligente para la gestión de la demanda en atención primaria |
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| 500 | |a Date Completed 01.05.2023 | ||
| 500 | |a Date Revised 01.05.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 FECA. Publicado por Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a INTRODUCTION AND OBJECTIVES: The Galician Health Service designed a system to improve demand management in primary care known as "XIDE". In it, all professionals participate in an interdisciplinary manner and within their competence framework, to respond to a reason for consultation in a certain time and manner. This article evaluates the pilot phase of implementation of XIDE in primary care of the Galician Health Service | ||
| 520 | |a MATERIALS AND METHODS: Cross-sectional descriptive study carried out in 45 primary care centers selected opportunistically at the discretion of the management of the Galician Health Service. For each center, were included all on-demand appointments requested by the adult population in the administrative units in person or by telephone, between 11/2021-05/2022. The XIDE integrates an intelligent search engine that, through algorithms, guides the administrative staff to make an appointment on demand. It performed a descriptive analysis of all the variables, as well as a bivariate analysis with chi-square to identify the causes of the population's rejection of XIDE | ||
| 520 | |a RESULTS: The three most frequent reasons for consultation were: knowing the results of the analysis (11.2%), performing blood tests (11.2%) and prescriptions for drugs (10.9%). Family medicine and nursing professionals are the ones who received the most citations. 22.1% of the appointments required to be scheduled on the same day or immediately. The acceptance of the population to the XIDE system was 85.0%. The reason for consultation, response time, mode of care and the recipient professional had a significant influence (p<0.0001) on the rejection of the appointment | ||
| 520 | |a CONCLUSIONS: The XIDE adapts globally well to the appointment systems and the organization of primary care of the Galician Health Service, which could facilitate its extension to all health centers in Galicia. However, it is necessary to delve deeper into the causes of rejection in order to introduce improvements that guarantee its viability in the medium-long term | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Atención Primaria de Salud | |
| 650 | 4 | |a Competencia Profesional | |
| 650 | 4 | |a Grupo de Atención al Paciente | |
| 650 | 4 | |a Health Services Needs and Demand | |
| 650 | 4 | |a Information Systems | |
| 650 | 4 | |a Innovación Organizacional | |
| 650 | 4 | |a Necesidades y Demandas de Servicios de Salud | |
| 650 | 4 | |a Organizational Innovation | |
| 650 | 4 | |a Patient Care Group | |
| 650 | 4 | |a Primary Health Care | |
| 650 | 4 | |a Professional Competition | |
| 650 | 4 | |a Sistemas de Información | |
| 700 | 1 | |a Represas Carrera, F J |e verfasserin |4 aut | |
| 700 | 1 | |a Bustelo Cerqueiras, V |e verfasserin |4 aut | |
| 700 | 1 | |a Rego Romero, E |e verfasserin |4 aut | |
| 700 | 1 | |a Pérez Dalí, A |e verfasserin |4 aut | |
| 700 | 1 | |a Rodríguez Abellón, M J |e verfasserin |4 aut | |
| 700 | 1 | |a López Linares, S |e verfasserin |4 aut | |
| 700 | 1 | |a Rosón Calvo, B |e verfasserin |4 aut | |
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