Abordaje compartido de patología digestiva en Ourense: motivación y utilidad de la e-consulta

Abstract

Objective. Shared management strategies in gastrointestinal diseases between general practitioners (GPs) and gastroenterologists can increase the efficiency on diagnosis and therapeutics processes. However, the information on e-consultation, motivation and utility is still limited. The aim of this study is to analyze the reasons to perform e-consultation from primary healthcare, the recommendations made by gastroenterologists and the effect of these recommendations. Methods. Observational and descriptive study, evaluating the e-consultations performed during January 2020. Variables analyzed: gender, age, motivation for the consultation, recommendation made by the gastroenterologist and the effect of the different recommendations. Results. 270 consultations were analyzed (9,6% lost). Patients overage age was 59 years old (SD 1,2) and 54,5% were women. E-consultation was made for diagnosis evaluation in 72,1% of cases, management in 19,7% and for revision in 21,3%. The gastroenterologist made a diagnosis recommendation in 68,4% of cases, a treatment evaluation in 20,5% and a derivation or revision suggestion in 41,4%. Lab test recommendations was made in 17,6% of cases (81,4% completed), endoscopy research in 29,5% (81,9% completed), an image test in 9% (86,4% completed) and treatment modification in 13,5% (48,5% completed). Conclusions. Most of e-consultation made by GPs are related to diagnosis process and several reasons of consultation are included. Gastroenterologist recommendations related to complementary tests are mostly performed although the implementation of treatment recommendations is lower.