Cost-Effectiveness of a New Outpatient Pulmonology Care Model Based on Physician-to-Physician Electronic Consultation

Autor: José Manuel Álvarez-Dobaño, Malena Toubes, José Ángel Novo-Platas, Francisco Reyes-Santías, Gerardo Atienza, Manuel Portela, Carlos Rábade, Tamara Lourido, Ana Casal, Carlota Rodríguez-García, Vanessa Riveiro, Romina Abelleira, Jorge Ricoy, Nuria Rodríguez-Núñez, Carlos Zamarrón, Felipe Calle, Francisco Gude, Luis Valdés
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Canadian Respiratory Journal, Vol 2022 (2022)
Druh dokumentu: article
ISSN: 1916-7245
DOI: 10.1155/2022/2423272
Popis: Introduction. This study assesses the impact of an electronic physician-to-physician consultation program on the waiting list and the costs of a Pulmonology Unit. Materials and Methods. A prepost intervention study was conducted after a new ambulatory pulmonary care protocol was implemented and the capacity of the unit was adopted. In the new model, physicians at all levels of healthcare send electronic consultations to specialists. Results. In the preintervention year (2019), the Unit of Pulmonology attended 7,055 consultations (466 e-consultations and 6,589 first face-to-face visits), which decreased to 6,157 (3,934 e-consultations and 2,223 first face-to-face visits; 12.7% reduction) in the postintervention year (all were e-consultations). The mean wait time for the first appointment was 25.7 days in 2019 versus 3.2 days in 2021 (p
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