[Evaluation of the teleconsultation process from the perspective of the provider (Oaxaca Telehealth Program, Mexico)].

Rev Panam Salud Publica

Centro Nacional de Tecnología en Salud, Secretaría de Salud, México D.F., México.

Published: May 2017

AI Article Synopsis

  • The study aimed to identify barriers to the teleconsultation process to enhance its effectiveness.
  • Key obstacles included slow internet connections, limited availability of services, and incomplete patient histories.
  • Despite these challenges, the program saw a trend of increased usage, indicating potential for improving patient access to care through better implementation.

Article Abstract

Objective: Identify barriers to implementation of the teleconsultation process in order to develop strategies to improve the program’s operation.

Methods: A process evaluation strategy was used to study the implementation of the teleconsultation service. The program’s operating manuals were compared with the qualitative and quantitative information compiled on the practical implementation of the teleconsultation process.

Results: The factors reported as obstacles to the teleconsultation process were: slow Internet connection, the hours available to the public, the specialized services offered, and insufficient clinical history included in teleconsultation requests. It was determined that 60% of internal medicine patients received two or more teleconsultations in the study period, as did 44% of patients of the gynecology service. Four consulting medical units accounted for 75% of the teleconsultations and the rest were distributed among 12 medical units.

Conclusions: The barriers identified in the teleconsultation process mainly affect consulting physicians; even so, productivity is on an upward trend. Despite the existing barriers, it was determined that some patients receive follow-up through the program, which favors access to care. It is necessary to standardize implementation and to conduct subsequent research on patients’ health condition.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660892PMC
http://dx.doi.org/10.26633/RPSP.2017.22DOI Listing

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