Transformación digital en el acceso a la Atención Especializada: Aplicación Cita Web AE

This work facilitates the patient’s own management, using ICT, of the appointment with the specialist. This improvement \nis in line with the CLM Government’s objective of continuing to make progress in improving the accessibility of citizens \nto health services, promoting electronic administration. This pilot program begins in Ciudad Real in the Integrated Care \nManagement (GAI) of Manzanares, currently enabling relations between the web appointment service for consultations \nand specialized care centers, with the user of the Spanish Health System in the autonomous area. \nThe data obtained after 4 months of piloting are a total of 9683 Petitions managed (Period 20/06/2018 to \n01/10/2018), of which 7509 were first consultation appointments, and in detail, 96% were managed from the \nwindow of Primary Care and the remaining 4% were managed directly by the patient. Of the total 9683 requests \nmanaged, 1834 were rescheduled, where 79% were managed from the Hospital, 17% were managed at the Primary \nCare window and 4% were managed directly by the patient. And finally of the rest of the requests managed, a total \nof 340 were cancellations, and 65% were managed from the Hospital, 26% from the Primary Care window and the \nremaining 9% directly by the patient. \nThe user decided to self-manage their first visit appointments in 4% with respect to the rest who went to the health \ncenter to be cited (96%). In the area of rescheduling, the user was able to change their appointment autonomously by \n4% to avoid a default on not being able to attend, the rest called the hospital by 79% or went to the health center by \n17% to reschedule the appointment. In terms of cancellations, 9% cancelled their own appointment directly, instead \nof calling the hospital (65%) or going to the health center (26%). \nIn general terms, it can be stated that the degree of use of the Cita Web AE program with respect to the possibility of \ncarrying it out through existing circuits, such as the health center window and the call to the hospital’s appointment \nservice, was around 10% where 100% was carried out without any incidence derived from the software developed.