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dc.contributor.authorLacasta Tintorer, David-
dc.contributor.authorManresa Domínguez, Josep Maria-
dc.contributor.authorJiménez Zarco, Ana Isabel-
dc.contributor.authorRodríguez Blanco, Teresa-
dc.contributor.authorFlayeh Beneyto, Souhel-
dc.contributor.authorTorán Monserrat, Pere-
dc.contributor.authorMundet Tuduri, Xavier-
dc.contributor.authorSaigí Rubió, Francesc-
dc.contributor.otherUniversitat Autònoma de Barcelona-
dc.contributor.otherInstitut Català de la Salut-
dc.contributor.otherInstitut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol)-
dc.contributor.otherUniversitat de Girona-
dc.contributor.otherUniversitat Oberta de Catalunya (UOC)-
dc.identifier.citationLacasta Tintorer, D., Manresa Domínguez, J.M., Jiménez-Zarco, A.I., Rodríguez-Blanco, T., Flayeh Beneyto, S., Torán Monserrat, P., Mundet Tuduri, X. & Saigí-Rubió, F. (2020). Efficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases. BMC Family Practice, 21(), 1-12. doi: 10.1186/s12875-020-1081-x-
dc.description.abstractA 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.en
dc.publisherBMC Family Practice-
dc.relation.ispartofBMC Family Practice, 2020, 21()-
dc.rightsCC BY-
dc.subjectremote consultationen
dc.subjectprimary health careen
dc.subjectproblem solvingen
dc.subjectreferral and consultationen
dc.subjectcontinuing medical educationen
dc.subjectconsulta remotaes
dc.subjectprimeros auxilioses
dc.subjectresolución de problemases
dc.subjectreferencia y consultaes
dc.subjecteducación médica continuaes
dc.subjectconsulta remotaca
dc.subjectatenció primària de salutca
dc.subjectsolució de problemesca
dc.subjectrefrerència i consultaca
dc.subjecteducació mèdica contínuaca
dc.subject.lcshMedical telematicsen
dc.titleEfficiency as a determinant of loyalty among users of a community of clinical practice: a comparative study between the implementation and consolidation phases-
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