Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases
A community of clinical practice called the Online Communication Tool between Primary and Hospital Care (ECOPIH) was created to enable primary care and specialist care professionals to communicate with each other in order to resolve real clinical cases, thereby improving communication and coordinati...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Universitat Oberta de Catalunya (UOC) |
| Repositorio: | O2, repositorio institucional de la UOC |
| OAI Identifier: | oai:openaccess.uoc.edu:10609/113546 |
| Acceso en línea: | https://hdl.handle.net/10609/113546 |
| Access Level: | acceso abierto |
| Palabra clave: | remote consultation primary health care problem solving telemedicine referral and consultation continuing medical education consulta remota primeros auxilios resolución de problemas telemedicina referencia y consulta educación médica continua atenció primària de salut solució de problemes referència i consulta educació mèdica contínua Medical telematics Telemedicina |
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Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phasesLacasta Tintorer, DavidManresa Domínguez, Josep MariaJiménez-Zarco, Ana IsabelRodríguez Blanco, TeresaFlayeh Beneyto, SouhelTorán-Monserrat, PereMundet Tuduri, XavierSaigí-Rubió, Francescremote consultationprimary health careproblem solvingtelemedicinereferral and consultationcontinuing medical educationconsulta remotaprimeros auxiliosresolución de problemastelemedicinareferencia y consultaeducación médica continuaconsulta remotaatenció primària de salutsolució de problemestelemedicinareferència i consultaeducació mèdica contínuaMedical telematicsTelemedicinaTelemedicinaA community of clinical practice called the Online Communication Tool between Primary and Hospital Care (ECOPIH) was created to enable primary care and specialist care professionals to communicate with each other in order to resolve real clinical cases, thereby improving communication and coordination between care levels. The present work seeks to analyse whether ECOPIH makes it possible to reduce the number of referrals. To that end, the objectives are: (1) To find out the degree of loyalty among ECOPIH users, by comparing the medical professionals' profiles in the tool's implementation phase to those in its consolidation phase. (2) To evaluate the degree of fulfilment of users' expectations, by establishing the determining factors that had an influence on the physicians' intention to use ECOPIH in the implementation phase and observing whether its use had an effective, direct impact on the number of patient referrals that primary care physicians made to specialist care professionals. Two studies were conducted. Based on a survey of all the physicians in a Primary Care area, Study 1 was a descriptive study in ECOPIH's implementation phase. Study 2 was a randomised intervention study of ECOPIH users in the tool's consolidation phase. The results from both studies were compared. Various bivariate and multivariate statistical techniques (exploratory factor analysis, cluster analysis, logistic regression analysis and ANOVA) were used in both studies, which were conducted on a sample of 111 and 178 physicians, respectively. We confirmed the existence of an ECOPIH user profile stable across both phases: under-50-year-old women. Regarding the second objective, there were two particular findings. First, the discriminant factors that had an influence on greater ECOPIH use were habitual Social media website and app use and Perceived usefulness for reducing costs. Second, PC professionals who were ECOPIH members made fewer referrals to SC professionals in Cardiology, Endocrinology and Gastroenterology than older PC professionals who were not ECOPIH members. The use of a community of clinical practice by primary care and specialist care professionals helps to reduce the number of referrals among medical professionals.BMC Family PracticeUniversitat Autònoma de Barcelona (UAB)Institut Català de la SalutInstitut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol)Universitat de GironaUniversitat Oberta de Catalunya (UOC)202020202020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/10609/113546reponame:O2, repositorio institucional de la UOCinstname:Universitat Oberta de Catalunya (UOC)InglésBMC Family Practice, 2020, 21()https://doi.org/10.1186/s12875-020-1081-xCC BYhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:openaccess.uoc.edu:10609/1135462026-05-28T12:42:01Z |
| dc.title.none.fl_str_mv |
Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases |
| title |
Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases |
| spellingShingle |
Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases Lacasta Tintorer, David remote consultation primary health care problem solving telemedicine referral and consultation continuing medical education consulta remota primeros auxilios resolución de problemas telemedicina referencia y consulta educación médica continua consulta remota atenció primària de salut solució de problemes telemedicina referència i consulta educació mèdica contínua Medical telematics Telemedicina Telemedicina |
| title_short |
Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases |
| title_full |
Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases |
| title_fullStr |
Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases |
| title_full_unstemmed |
Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases |
| title_sort |
Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases |
| dc.creator.none.fl_str_mv |
Lacasta Tintorer, David Manresa Domínguez, Josep Maria Jiménez-Zarco, Ana Isabel Rodríguez Blanco, Teresa Flayeh Beneyto, Souhel Torán-Monserrat, Pere Mundet Tuduri, Xavier Saigí-Rubió, Francesc |
| author |
Lacasta Tintorer, David |
| author_facet |
Lacasta Tintorer, David Manresa Domínguez, Josep Maria Jiménez-Zarco, Ana Isabel Rodríguez Blanco, Teresa Flayeh Beneyto, Souhel Torán-Monserrat, Pere Mundet Tuduri, Xavier Saigí-Rubió, Francesc |
| author_role |
author |
| author2 |
Manresa Domínguez, Josep Maria Jiménez-Zarco, Ana Isabel Rodríguez Blanco, Teresa Flayeh Beneyto, Souhel Torán-Monserrat, Pere Mundet Tuduri, Xavier Saigí-Rubió, Francesc |
| author2_role |
author author author author author author author |
| dc.contributor.none.fl_str_mv |
Universitat Autònoma de Barcelona (UAB) Institut Català de la Salut Institut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol) Universitat de Girona Universitat Oberta de Catalunya (UOC) |
| dc.subject.none.fl_str_mv |
remote consultation primary health care problem solving telemedicine referral and consultation continuing medical education consulta remota primeros auxilios resolución de problemas telemedicina referencia y consulta educación médica continua consulta remota atenció primària de salut solució de problemes telemedicina referència i consulta educació mèdica contínua Medical telematics Telemedicina Telemedicina |
| topic |
remote consultation primary health care problem solving telemedicine referral and consultation continuing medical education consulta remota primeros auxilios resolución de problemas telemedicina referencia y consulta educación médica continua consulta remota atenció primària de salut solució de problemes telemedicina referència i consulta educació mèdica contínua Medical telematics Telemedicina Telemedicina |
| description |
A community of clinical practice called the Online Communication Tool between Primary and Hospital Care (ECOPIH) was created to enable primary care and specialist care professionals to communicate with each other in order to resolve real clinical cases, thereby improving communication and coordination between care levels. The present work seeks to analyse whether ECOPIH makes it possible to reduce the number of referrals. To that end, the objectives are: (1) To find out the degree of loyalty among ECOPIH users, by comparing the medical professionals' profiles in the tool's implementation phase to those in its consolidation phase. (2) To evaluate the degree of fulfilment of users' expectations, by establishing the determining factors that had an influence on the physicians' intention to use ECOPIH in the implementation phase and observing whether its use had an effective, direct impact on the number of patient referrals that primary care physicians made to specialist care professionals. Two studies were conducted. Based on a survey of all the physicians in a Primary Care area, Study 1 was a descriptive study in ECOPIH's implementation phase. Study 2 was a randomised intervention study of ECOPIH users in the tool's consolidation phase. The results from both studies were compared. Various bivariate and multivariate statistical techniques (exploratory factor analysis, cluster analysis, logistic regression analysis and ANOVA) were used in both studies, which were conducted on a sample of 111 and 178 physicians, respectively. We confirmed the existence of an ECOPIH user profile stable across both phases: under-50-year-old women. Regarding the second objective, there were two particular findings. First, the discriminant factors that had an influence on greater ECOPIH use were habitual Social media website and app use and Perceived usefulness for reducing costs. Second, PC professionals who were ECOPIH members made fewer referrals to SC professionals in Cardiology, Endocrinology and Gastroenterology than older PC professionals who were not ECOPIH members. The use of a community of clinical practice by primary care and specialist care professionals helps to reduce the number of referrals among medical professionals. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 2020 2020 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10609/113546 |
| url |
https://hdl.handle.net/10609/113546 |
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Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
BMC Family Practice, 2020, 21() https://doi.org/10.1186/s12875-020-1081-x |
| dc.rights.none.fl_str_mv |
CC BY http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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CC BY http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf application/pdf |
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BMC Family Practice |
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BMC Family Practice |
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reponame:O2, repositorio institucional de la UOC instname:Universitat Oberta de Catalunya (UOC) |
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Universitat Oberta de Catalunya (UOC) |
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