TELEREGULATION IN GASTROENTEROLOGY AND THE BOTTLENECK OF SPECIALIZED HEALTH CARE.

Q2 Medicine

Arquivos de Gastroenterologia Pub Date : 2025-05-02 eCollection Date: 2025-01-01 DOI:10.1590/S0004-2803.24612024-090

Leticia Rosevics, Adriana Zanoni Dotti, Elisandre Caroline Dos Santos Cerutti, Fernanda Guimarães Bianchi, Kátia Cristina Kampa, Mônica Rosas Rocha

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引用次数: 0

Abstract

Background: Increasing population size and the presence of bottlenecks in access to specialized health care demonstrate the importance of developing measures for better clinical management. The implementation of teleregulation is expected to bring greater resolution in the system.

Objective: The objective of the present study was to evaluate the results of teleregulation in gastroenterology for the resolution of referrals in a large Brazilian city.

Methods: We carried out a retrospective cross-sectional study of primary health care teleregulation requests for gastroenterology in a Brazilian city. Data were collected from October 2022 to June 2023 in patients aged >18 years. Patient demographic data, the reason for requesting screening, and screening outcomes were collected. Requests for reassessment were excluded.

Results: Of the 3,000 teleregulation sessions screened in the study period, 71.1% were included, of which 68.17% were for women with a mean age of 54.32±16.19 years. Among the reasons for referral, 1,368 (64.13%) were to request examinations, 568 (26.63%) to discuss conduct and 197 (9.24%) to request a referral to a specialist. Ten percent of cases required referral to a specialist, 6.61% were incorrect requests and 14.95% were prioritized.

Conclusion: The present study highlights that teleregulation represents an important tool in health management, being able to bring resolution in 89.9% of cases.

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胃肠病学的远程调控与专科医疗保健的瓶颈。

背景：不断增长的人口规模和在获得专业保健方面存在的瓶颈表明，制定更好的临床管理措施的重要性。电信监管的实施有望在该系统中带来更大的解决方案。目的：本研究的目的是评估结果在胃肠病学的决议转诊在巴西一个大城市。方法：我们对巴西一个城市的胃肠病学初级卫生保健电视监管要求进行了回顾性横断面研究。数据收集时间为2022年10月至2023年6月，患者年龄为bb10至18岁。收集患者人口统计数据、要求筛查的原因和筛查结果。重新评估的要求被排除在外。结果：在研究期间筛选的3000次电视调节会议中，71.1%被纳入，其中68.17%为女性，平均年龄为54.32±16.19岁。转诊原因中，要求检查1368例（64.13%），讨论行为568例（26.63%），转诊专家197例（9.24%）。10%的病例需要转介给专家，6.61%是错误的请求，14.95%是优先考虑的。结论：本研究强调了电调节是健康管理的重要工具，能够解决89.9%的病例。

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

Arquivos de Gastroenterologia Medicine-Gastroenterology

CiteScore

2.00

自引率

0.00%

发文量

109

审稿时长

9 weeks

期刊介绍： The journal Arquivos de Gastroenterologia (Archives of Gastroenterology), a quarterly journal, is the Official Publication of the Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia IBEPEGE (Brazilian Institute for Studies and Research in Gastroenterology), Colégio Brasileiro de Cirurgia Digestiva - CBCD (Brazilian College of Digestive Surgery) and of the Sociedade Brasileira de Motilidade Digestiva - SBMD (Brazilian Digestive Motility Society). It is dedicated to the publishing of scientific papers by national and foreign researchers who are in agreement with the aim of the journal as well as with its editorial policies.