000131890 001__ 131890
000131890 005__ 20240731103414.0
000131890 0247_ $$2doi$$a10.1136/bmjoq-2023-002388
000131890 0248_ $$2sideral$$a137114
000131890 037__ $$aART-2023-137114
000131890 041__ $$aeng
000131890 100__ $$aMarco-Ibáñez, Almudena
000131890 245__ $$aDoes virtual consultation between primary and specialised care improve healthcare quality? A scoping review of healthcare quality domains assessment
000131890 260__ $$c2023
000131890 5060_ $$aAccess copy available to the general public$$fUnrestricted
000131890 5203_ $$aVirtual consultation has been proposed as a promising tool to improve the coordination and quality of healthcare between primary and specialised care. However, despite its potential facilitators, the evidence on the usefulness of virtual consultation for improving healthcare quality domains is fragmented and unclear. This scoping review aims to assess the impact of virtual consultation on different healthcare quality domains.Material and methodsWe conducted a scoping review with a rigorous search strategy on PubMed, EMBASE and Cochrane Library databases. The inclusion criteria were original articles, reviews, meta-analyses or letters to the editor, published between 1 January 2017 and 24 June 2022, and available in English, Spanish or French. For each of the articles selected, we identified the addressed healthcare quality domains, their facilitators and barriers, areas of improvement and data gaps. We have adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review reporting standards.Results1284 manuscripts were retrieved. Finally, 235 papers were included in this review, most of which were original, descriptive studies. The most evaluated quality domain was effectiveness (223 articles). Safety and patient-centred care were the least evaluated. Simultaneous assessment of more than one domain was observed in 117 papers, being effectiveness and timeliness the most frequent combination. Our analysis revealed that virtual consultation is in development and underused. This tool has the potential to improve access to specialised care and enhance coordination between professionals.ConclusionsVirtual consultation has the potential to provide effective, efficient, equitable and timely attention. However, its contribution to safety and patient-centered care needs further evaluation. Our review emphasises the need for more rigorous research and standardised quality assessment criteria to obtain robust evidence on the usefulness of virtual consultation for improving healthcare quality domains.
000131890 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000131890 592__ $$a0.559$$b2023
000131890 593__ $$aHealth Policy$$c2023$$dQ2
000131890 593__ $$aPublic Health, Environmental and Occupational Health$$c2023$$dQ2
000131890 593__ $$aLeadership and Management$$c2023$$dQ2
000131890 594__ $$a2.2$$b2023
000131890 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000131890 700__ $$0(orcid)0000-0001-7293-701X$$aAguilar-Palacio, Isabel$$uUniversidad de Zaragoza
000131890 700__ $$0(orcid)0000-0001-9714-8105$$aAibar, Carlos$$uUniversidad de Zaragoza
000131890 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000131890 773__ $$g12, 4 (2023), e002388$$tBMJ Open Quality$$x2399-6641
000131890 8564_ $$s858492$$uhttps://zaguan.unizar.es/record/131890/files/texto_completo.pdf$$yVersión publicada
000131890 8564_ $$s3511205$$uhttps://zaguan.unizar.es/record/131890/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000131890 909CO $$ooai:zaguan.unizar.es:131890$$particulos$$pdriver
000131890 951__ $$a2024-07-31-10:05:43
000131890 980__ $$aARTICLE