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首页> 外文期刊>JMIR Medical Informatics >Primary Care Doctor Characteristics That Determine the Use of Teleconsultations in the Catalan Public Health System: Retrospective Descriptive Cross-Sectional Study
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Primary Care Doctor Characteristics That Determine the Use of Teleconsultations in the Catalan Public Health System: Retrospective Descriptive Cross-Sectional Study

机译：初级护理医生特征，确定在加泰罗尼亚公共卫生系统中使用电信的特点：回顾性描述性横截面研究

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摘要

Background eConsulta is a tele-consultation service involving doctors and patients, and is part of Catalonia's public health information technology system. The service has been in operation since the end of 2015 as an adjunct to face-to-face consultations. A key factor in understanding the barriers and facilitators to the acceptance of the tool is understanding the sociodemographic characteristics of general practitioners who determine its use. Objective This study aimed to analyze the sociodemographic factors that affect the likelihood of doctors using eConsulta. Methods A retrospective cross-sectional analysis of administrative data was used to perform a multivariate logistic regression analysis on the use of eConsulta in relation to sociodemographic variables. Results The model shows that the doctors who use eConsulta are 45-54 years of age, score higher than the 80th percentile on the quality of care index, have a high degree of accessibility, are involved in teaching, and work on a health team in a high socioeconomic urban setting. Conclusions The results suggest that certain sociodemographic characteristics associated with general practitioners determine whether they use eConsulta. These results must be taken into account if its deployment is to be encouraged in the context of a public health system.
机译：背景Econeulta是涉及医生和患者的远程咨询服务，是加泰罗尼亚公共卫生信息技术系统的一部分。自2015年底以来，该服务一直在运作，作为面对面磋商的辅助。了解障碍和促进者对验收工具的关键因素是了解确定其使用的全科医生的社会血统特征。目的本研究旨在分析影响医生使用econsulta的可能性的社会渗目因素。方法采用对行政数据的回顾性横截面分析来对与社会渗透变量相关的econsulta进行多元逻辑回归分析。结果模型表明，使用econsulta的医生是45-54岁，得分高于80百分位对护理指数质量，具有高度的可访问性，参与教学，并在卫生团队上工作高社会经济城市环境。结论结果表明，与一般从业者相关的某些社会血统特征决定了它们是否使用econsulta。如果在公共卫生系统的背景下鼓励其部署，必须考虑这些结果。

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