Your browser doesn't support javascript.
Relevance of teleconsultation in general practice. Reconsultation time delay after tele-consultation versus consultation
Exercer-La Revue Francophone De Medecine Generale ; - (188):436-443, 2022.
Artigo em Francês | Web of Science | ID: covidwho-2240298
ABSTRACT
Context. The number of teleconsultation acts in general medicine (TCG) has exploded during the Covid-19 confinement. The conditions of care reimbursement were similar between the remote consultation and the office consultations (Gs), without any objective data on their relevance. Methods. This retrospective cohort study on medical records analyzed the effects of TCG on the time for reconsultation with the general practitioner (GP) compared to Gs. A subgroup analysis analyzed the influence of the reason for consultation, gender and age on the time for reconsultation. Results. Over the study period, 262 patients were included in cross-over in 2 care structures comprising 10 GPs. The mean time for reconsultation after TCG (dTCG) was significantly lower than the mean time for reconsultation after Gs (dGs), 48.27 and 65 days respectively (p < 0.01). The subgroup analyzes found this trend specifically for consultations for acute somatic reasons, with dTCG of 47 days and dGs of 71 days (p < 0.01), with no significant gender-related difference. The dTCGs varied according to age, particularly for 48-58 year old who reconsulted about 35 days earlier (p < 0.01) and 68- 78 year old who, conversely, reconsulted 21 days later (p = 0, 03) after a TCG. Conclusion. Patients included reconsulted more quickly after a TCG than after a Gs. This difference is particularly marked for acute somatic patterns and for people in their fifties. On the other hand, this period is lengthened in the septuagenarians. This should encourage us to limit GCTs for somatic reasons and to question the benefits of GCTs in septuagenarians.
Palavras-chave
Buscar no Google
Coleções: Bases de dados de organismos internacionais Base de dados: Web of Science Idioma: Francês Revista: Exercer-La Revue Francophone De Medecine Generale Ano de publicação: 2022 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Buscar no Google
Coleções: Bases de dados de organismos internacionais Base de dados: Web of Science Idioma: Francês Revista: Exercer-La Revue Francophone De Medecine Generale Ano de publicação: 2022 Tipo de documento: Artigo