Journal Information
Vol. 19. Issue 9.
Pages 512-514 (November 2023)
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Vol. 19. Issue 9.
Pages 512-514 (November 2023)
Brief Report
Usefulness of an electronic consultation system between primary care health centres and the rheumatology department of a tertiary hospital
Utilidad de la consulta electrónica entre los centros de atención primaria y el Servicio de Reumatología de un hospital terciario
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Natalia de la Torre Rubio
Corresponding author
, Marina Pavía Pascual, José Campos Esteban, Hilegarda Godoy Tundidor, Mónica Fernández Castro, José Luis Andréu Sánchez
Servicio de Reumatología del Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain
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Table 1. Reasons for e-consultation.
Abstract
Background and objective

Rheumatic diseases account for almost 30% of consultations attended in Spanish primary care centres. The main objective was to analyse the demand for rheumatology consultations from Primary Care and their resolution using the electronic consultation system.

Patients and methods

Retrospective descriptive study of electronic consultations from primary care centres in the health area to the Rheumatology service of a tertiary hospital, between July 2020 and May 2021.

Results

The last 500 consecutive consultations were collected. Mean age of patients was 59.5 years; 74.2% were women. Main reasons for consultation were osteoporosis and treatment of patients with rheumatoid arthritis and spondyloarthritis under follow-up by the department. Mean response time was 2 days. Fifty-seven per cent of patients required outpatient appointments.

Discussion

Over 40% of queries were resolved thanks to the electronic consultation system in an average of 2 days, otherwise patients would have been referred to specialized care.

Keywords:
Primary care
Rheumatology
Electronic consultation
Resumen
Introducción y objetivo

Las enfermedades reumáticas representan casi el 30% de las consultas atendidas en los centros de atención primaria españoles. El objetivo principal fue analizar la demanda de consultas reumatológicas desde atención primaria y su resolución mediante el sistema de consulta electrónica.

Pacientes y métodos

Estudio descriptivo retrospectivo de las consultas electrónicas procedentes de los centros de atención primaria del área sanitaria al Servicio de Reumatología de un hospital terciario, entre los meses de julio de 2020 y mayo de 2021.

Resultados

Se recogieron las últimas 500 consultas consecutivas. La media de edad de los pacientes fue 59 años; el 74% eran mujeres. Los principales motivos de consulta fueron la osteoporosis y el tratamiento de pacientes en seguimiento por el servicio por artritis reumatoide y espondiloartritis. El tiempo medio de respuesta fue de dos días; el 57% necesitaron ser citados en consulta externa.

Discusión

La consulta electrónica permitió resolver, en una media de dos días, las consultas del 42,6% de los pacientes.

Palabras clave:
Atención primaria
Reumatología
Consulta electrónica

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