ABSTRACT
Objetivo: Conocer la valoración y preferencias de usuarios y profesionales sanitarios sobre la teleconsulta en Atención Primaria. Diseño: Estudio transversal mediante encuesta, telefónica a usuarios y presencial a profesionales, en 2021. Emplazamiento: Atención Primara urbana. Sujetos: Muestra aleatoria de usuarios con teleconsultas en el último año, estratificados por sexo y edad, y médicos y enfermeros de los centros participantes. Mediciones: Variables Likert valorando la teleconsulta según motivos de consulta, preferencias y aspectos relacionados. Análisis descriptivo y comparación de proporciones y medias. Resultados: Responden 300 pacientes y 48 profesionales. Ambos valoran positivamente la teleconsulta para gestionar la receta electrónica (RE) (el 83 y el 83%, respectivamente), la incapacidad temporal (IT) (el 80 y el 64%) y cuestiones relacionadas con la COVID-19 (el 71 y el 58%). La valoración positiva de la teleconsulta disminuye para el tratamiento de las enfermedades agudas (el 47 y el 25%) y crónicas (el 49 y el 33%). Globalmente las personas <70 años valoran mejor la teleconsulta (p <0,001), sin diferencias entre sexos. Usuarios y profesionales prefieren la presencialidad para enfermedades crónicas (el 82 y el 83%) y agudas (el 82 y el 94%), y teleconsulta para RE (el 68,7% y el 88,6%). El 52% de los usuarios prefieren visita presencial para IT frente al 29% de los profesionales (p <0,05). Conclusiones: La teleconsulta se ha implementado con una buena valoración tanto de pacientes como profesionales. La visita presencial es la preferida para la enfermedad crónica y aguda, especialmente en personas mayores. Habrá que definir en qué casos la teleconsulta es la mejor herramienta según las características de cada población.(AU)
Objective: To evaluate the perceptions and preferences of users and health professionals on teleconsultation in primary care. Design: Cross-sectional study with a telephone survey of users and a face-to-face survey of professionals carried out at 2021. Setting: Urban primary health care. Participants: Random sample of users with teleconsultations in the last year, stratified by sex and age, and doctors and nurses from participating centres. Measurements: Likert variables assessing teleconsultation according to consultation motives, preferences and related aspects. Descriptive analysis and comparison of proportions and means. Results: Three hundred patients and 48 professionals answered the questionnaire. Both groups value positively the teleconsultation for the management of the electronic prescription (EP) (83% and 83%, respectively), sick leave (SL) (80% and 64%) and issues related to COVID-19 (71% and 58%). The positive assessment of teleconsultation decreases for the treatment of acute pathologies (47% and 25%) and chronic diseases (49% and 33%). Globally, people <70 years value teleconsultation more highly (P<.001), without differences between sexes. Users and professionals prefer face-to-face consultation for chronic diseases (82% and 83%) and acute pathologies (82% and 94%), and teleconsultation for EP (68.7% and 88.6%). 52% of users prefer face-to-face visits for SL compared to 29% of professionals (P<.05). Conclusions: Teleconsultation implementation has been well valued by both patients and professionals. The face-to-face visit is preferred for chronic and acute pathologies, especially in the elderly. It will be necessary to define in which cases teleconsultation is the best tool according to the characteristics of each population.(AU)
Subject(s)
Humans , Primary Health Care , Remote Consultation , Patient Satisfaction , Quality of Health Care , Telemedicine , Cross-Sectional Studies , Surveys and Questionnaires , Health ServicesABSTRACT
OBJECTIVE: To evaluate the perceptions and preferences of users and health professionals on teleconsultation in primary care. DESIGN: Cross-sectional study with a telephone survey of users and a face-to-face survey of professionals carried out at 2021. SETTING: Urban primary health care. PARTICIPANTS: Random sample of users with teleconsultations in the last year, stratified by sex and age, and doctors and nurses from participating centres. MEASUREMENTS: Likert variables assessing teleconsultation according to consultation motives, preferences and related aspects. Descriptive analysis and comparison of proportions and means. RESULTS: Three hundred patients and 48 professionals answered the questionnaire. Both groups value positively the teleconsultation for the management of the electronic prescription (EP) (83% and 83%, respectively), sick leave (SL) (80% and 64%) and issues related to COVID-19 (71% and 58%). The positive assessment of teleconsultation decreases for the treatment of acute pathologies (47% and 25%) and chronic diseases (49% and 33%). Globally, people <70 years value teleconsultation more highly (P<.001), without differences between sexes. Users and professionals prefer face-to-face consultation for chronic diseases (82% and 83%) and acute pathologies (82% and 94%), and teleconsultation for EP (68.7% and 88.6%). 52% of users prefer face-to-face visits for SL compared to 29% of professionals (P<.05). CONCLUSIONS: Teleconsultation implementation has been well valued by both patients and professionals. The face-to-face visit is preferred for chronic and acute pathologies, especially in the elderly. It will be necessary to define in which cases teleconsultation is the best tool according to the characteristics of each population.
Subject(s)
COVID-19 , Remote Consultation , Humans , Aged , Cross-Sectional Studies , Primary Health Care , Chronic DiseaseSubject(s)
Humans , Male , Aged , Pemphigoid, Bullous , Dipeptidyl-Peptidase IV Inhibitors , Inpatients , Renal Insufficiency, Chronic , Hypertension , Physical Examination , Blister , DyslipidemiasABSTRACT
El malestar emocional es una queja habitual en lasociedad y en las consultas de Atención Primaria.La biblioterapia se ha mostrado eficaz en la mejora de síntomas de depresión y ansiedad leves.El siguiente estudio trata de valorar el impacto dela biblioterapia en la calidad de vida de pacientesdel centro de salud (CAP) El Carmel (Barcelona)con ansiedad y/o depresión leves diagnosticadas,con el objetivo de mejorar la percepción de la propia salud emocional.Se trata de un estudio piloto cuasi-experimentalen colaboración con la biblioteca municipal dondese valora, a lo largo de 1 año, la percepción dela propia salud de los pacientes antes y despuésde una intervención de biblioterapia por medio deescalas validadas, evidenciando una mejoría enla autopercepción de sintomatología ansiosa, nosiendo la mejoría estadísticamente significativaen el caso de la depresión. (AU)
The emotional distress is a habitual complaint in oursociety and in the Primary Care consultations. The bibliotherapy has shown efficient to improve the minordepression symptoms and anxieties.This research consists in assessing the impact of bibliotherapy in the quality of life in the patients of Carmels primary health care center (Barcelona). Theywere diagnosed with minor anxiety and depression.The target of this work is to enhance the perception oftheir own mental health.It is a pilot quasi-experimental study in collaborationwith the public library. Over a year, an evaluation takesplace about the perception of their particular mentalhealth before and after an intervention of bibliotherapy. The evidence is an improvement in the self-perception of anxiety symptomatology, not resulting asthe most significant statistic in the case of depressionsymptoms. (AU)
