Telemedicina: una nueva herramienta para la gestión del dolor. Resultados de su implementación en una estructura organizativa de gestión integral (EOXI)

Abstract

Introduction: On 2014 the Galician Health Service (SERGAS)starts the first teleconsult experience applied to pain unit, and the Sanitary Area of Vigo was chosen for its pilot implementation. Material and methods: A retrospective longitudinal descriptive study was undertaken during the lapse time January 2015 to December 2018. Results: In the period of study a total of 2218 teleconsults were requested from the 42 primare care centers of the Sanitary Area. 49% of the teleconsults were preferent. 26% (586) of the requests were rejected and 74% (1632) were evaluated at the Pain Unit. The mean time for response were: 21 days for preferents and 22 for non-preferents. Conclusions: Teleconsult allows an improvement in the relationship between specialized and primary care levels. Remarks the importance on consensuated protocols for patient referal. Remarks the need of an updated and well documented portfolio of services. It allows to correct errors of information transmission between assistance levels and implement correction actions.