Aumento en el porcentaje de asistencia a las consultas externas en el Área Sanitaria de Santiago de Compostela y Barbanza, tras modificar el sistema de gestión de citas

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research Pub Date : 2025-01-31 DOI:10.1016/j.jhqr.2024.12.008

R.A. Montes-Villalba , M.I. Santiago-Pérez , M.J. Purriños-Hermida , J.R. Parada-Jorgal

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引用次数: 0

Abstract

Objective

To assess whether or not the new appointment management system for hospital outpatient consultations, implementing the use of «mailboxes» (computerized appointment system, based on ideal date), improves adherence to appointments or not.

Method

Before-after study, in which the degree of patient adherence to hospital outpatient appointments is compared, before and after the change in the appointment process (period 2014-2018 vs. year 2022). Statistical analysis was performed with Stata v17.

Results

Adherence to consultations (percentage of consultations performed) remained stable in all years of the period 2014-2018, with an average value of 91%, and increased to 93% in 2022. All characteristics of the consultations were shown to be associated with adherence, but in the multivariate model sex, age group, setting, hospital, functional area and type of activity were significant.

Conclusion

The change made in the appointment management system of hospital outpatient clinics in the Health Area of Santiago de Compostela and Barbanza has proven effective in improving adherence to the consultation. The reduction in the number of absences from consultations reduces waiting lists and improves patient care.

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[在修改预约管理制度后，圣地亚哥德孔波斯特拉和巴尔班萨保健区门诊就诊的百分比有所增加]。

目的：评价医院门诊新预约管理系统实施“邮箱”（基于理想日期的计算机预约系统）是否提高了预约依从性。方法：前后对比研究，比较预约流程变更前后（2014-2018年与2022年）患者对医院门诊预约的依从程度。采用Stata v17进行统计学分析。结果：2014-2018年各年的依从性保持稳定，平均为91%，到2022年增加到93%。咨询的所有特征都显示与依从性有关，但在多变量模型中，性别、年龄组、环境、医院、功能区域和活动类型具有重要意义。结论：圣地亚哥-德孔波斯蒂拉和巴尔班扎卫生区医院门诊预约管理制度的改革对提高会诊依从性是有效的。缺勤人数的减少减少了等候名单，改善了病人护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Healthcare Quality Research Medicine-Health Policy

CiteScore

1.70

自引率

8.30%

发文量

审稿时长

57 days

期刊介绍： Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)