39.
ass="u-h4 u-margin-m-top u-margin-xs-bottom" id="sect0055">Aim
The purpose of this study is to find out whether telephone referral from Primary Health Care to Internal Medicine Consult manages to reduce waiting days as compared to traditional referral. This study also aims to know how acceptable is the telephone referral to general practitioners and their patients.ass="u-h4 u-margin-m-top u-margin-xs-bottom" id="sect0060">Design
No blind randomized controlled clinical trial.ass="u-h4 u-margin-m-top u-margin-xs-bottom" id="sect0065">Setting
Northern Huelva Health District.ass="u-h4 u-margin-m-top u-margin-xs-bottom" id="sect0070">Participants
154 patients.ass="u-h4 u-margin-m-top u-margin-xs-bottom" id="sect0075">Interventions
Patients referrals from intervention clinicians were sent via telephone consultation, whereas patients referrals from control clinicians were sent by traditional via.ass="u-h4 u-margin-m-top u-margin-xs-bottom" id="sect0080">Measurements
Number of days from referral request to Internal Medicine Consult. Number of telephone and traditional referrals. Number of doctors and patients denied. Denial reasons.ass="u-h4 u-margin-m-top u-margin-xs-bottom" id="sect0085">Results
A statistically significant difference was found between groups, with an average of 27 (21-34) days. Among General Practitioners, 8 of the first 58 total doctors after randomization and, subsequently, 6 of the 20 doctors of the test group refused to engage in the trial because they considered “excessive time and effort consuming”. 50% of patients referred by the 14 General Practitioners finally randomized to the intervention group were denied referral by telephone due to patient's complexity.ass="u-h4 u-margin-m-top u-margin-xs-bottom" id="sect0090">Conclusions
Telephone referr
al signific
antly reduces w
aiting d
ays for Intern
al Medicine consult. This type of referr
al did not me
an
an “excessive time
and effort consuming” to Gener
al Pr
actitioners
and w
as not
all th
at benefici
al to complex p
atients
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