IMPACT OF TELECONSULTATIONS BETWEEN DOCTORS ON THE QUALITY OF HEALTHCARE IN PRIMARY CARE: A SCOPE REVIEW.
Primary Health Care; Telehealth; Quality of Care.
Introduction: The increasing demand for healthcare services for complex conditions in primary health care (PHC) has evidenced the need for teleconsultations between physicians Teleconsultations may cause a substantial impact on the quality of care, improving the essential attributes of PHC, such as first contact access, longitudinality, comprehensiveness, and care coordination.
Objective: To establish the protocol for a scoping review that aims to map the use of physician-to-physician teleconsultations across different countries and synthesize evidence on their impacts on PHC care quality.
Methods: This review will be conducted in nine stages following the Joanna Briggs Institute (JBI) recommendations, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR), and the methodology proposed by Arksey and O’Malley and Levac et al. The search strategy will employ search terms from the Health Sciences Descriptors (DeCS), Medical Subject Headings (MeSH), and Emtree (Embase), as well as free-text terms related to the theme. A search will be conducted in the Medline/PubMed database to identify free-text terms. Primary studies, brief communications, and the following materials extracted from the grey literature (preprints, manuals, government documents, guidelines, theses, and dissertations) available in full text will be included. Literature reviews, abstracts, books, conference proceedings, letters to the editor, duplicates, and opinion articles will be excluded. Descriptive statistics will be used for quantitative data analysis, and thematic content analysis will be applied to qualitative data, focusing on PHC fundamental attributes (access, longitudinality, comprehensiveness, and coordination) and Donabedian's structure, process, and outcomes quality model . Stakeholder validation will be conducted to assess strengths and weaknesses and determine dissemination strategies This protocol is registered at the Open Science Framework (OSF).
Results: This study expect to identify the geographical distribution and systematize evidence on benefits and limitations for essential primary health care attributes, thereby contributing to guide implementation policies