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Article

Barriers and Benefits of the Scheduled Telephone Referral Model (DETELPROG): A Qualitative Approach

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Health Service of Andalusia, Primary Health Center Bollullos de la Mitación, 41110 Seville, Spain
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Rural Medicine Group, Andalusian Society of Family and Community Medicine (SAMFyC), 18001 Granada, Spain
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Health Service of Castilla La Mancha, Primary Health Center Illescas, 45200 Toledo, Spain
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Department of Health Sciences, “Santa Teresa de Jesús” Catholic University of Avila, 05005 Ávila, Spain
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Andalusian School of Public Health, 18080 Granada, Spain
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Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain
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Safety and Health Postgraduate Program, Universidad Espíritu Santo, Guayaquil 091650, Ecuador
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Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, 41013 Sevilla, Spain
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Authors to whom correspondence should be addressed.
Academic Editor: John Øvretveit
Int. J. Environ. Res. Public Health 2021, 18(10), 5280; https://doi.org/10.3390/ijerph18105280
Received: 18 March 2021 / Revised: 9 May 2021 / Accepted: 13 May 2021 / Published: 16 May 2021
The recently developed scheduled mobile-telephone referral model (DETELPROG) has achieved especially important results in reducing waiting days for patients, but it has been decided to explore what barriers and positive aspects were detected by both primary care physicians (PCPs) and hospital attending physicians (HAPs) regarding its use. For this, a qualitative descriptive study was carried out through six semi-structured interviews and two focus groups in a sample of eleven PCPs and five HAPs. Interviews were carried out from September 2019 to February 2020. Data were analysed by creating the initial categories, recording the sessions, transcribing the information, by doing a comprehensive reading of the texts obtained, and analysing the contents. The results show that DETELPROG gives the PCP greater prominence as a patient’s health coordinator by improving their relationship and patient safety; it also improves the relationship between PCP and HAP, avoiding unnecessary face-to-face referrals and providing safety to the PCP when making decisions. The barriers for DETELPROG to be used by PCP were defensive medicine, patients’ skepticism in DETELPROG, healthcare burden, and inability to focus on the patient or interpret a sign, symptom, or diagnostic test. For HAP, the barriers were lack of confidence in the PCP and complexity of the patient. As a conclusion, DETELPROG referral model provides a lot of advantages and does not pose any new barrier to face-to-face referral or other non-face-to-face referral models, so it should be implemented in primary care. View Full-Text
Keywords: qualitative research; referral; electronic consultation; telemedicine; primary care; waiting lists; patient safety; quality of healthcare; primary care physicians; hospital attending physicians qualitative research; referral; electronic consultation; telemedicine; primary care; waiting lists; patient safety; quality of healthcare; primary care physicians; hospital attending physicians
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MDPI and ACS Style

Azogil-López, L.M.; Coronado-Vázquez, V.; Pérez-Lázaro, J.J.; Gómez-Salgado, J.; Medrano-Sánchez, E.M. Barriers and Benefits of the Scheduled Telephone Referral Model (DETELPROG): A Qualitative Approach. Int. J. Environ. Res. Public Health 2021, 18, 5280. https://doi.org/10.3390/ijerph18105280

AMA Style

Azogil-López LM, Coronado-Vázquez V, Pérez-Lázaro JJ, Gómez-Salgado J, Medrano-Sánchez EM. Barriers and Benefits of the Scheduled Telephone Referral Model (DETELPROG): A Qualitative Approach. International Journal of Environmental Research and Public Health. 2021; 18(10):5280. https://doi.org/10.3390/ijerph18105280

Chicago/Turabian Style

Azogil-López, Luis M.; Coronado-Vázquez, Valle; Pérez-Lázaro, Juan J.; Gómez-Salgado, Juan; Medrano-Sánchez, Esther M. 2021. "Barriers and Benefits of the Scheduled Telephone Referral Model (DETELPROG): A Qualitative Approach" Int. J. Environ. Res. Public Health 18, no. 10: 5280. https://doi.org/10.3390/ijerph18105280

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