|Author(s)||María Emilia Espósito, Santiago Esteban, Sergio Terrasa, Gabriel Villalón|
|Title||Patterns of Interaction Between General Practitioners and Their Patients by Means of a Messaging System Within the Electronic Health Record Regarding Messages Asking for a Referral to a Specialist: A Descriptive Study|
|Tag(s)||EMCA, Referrals, Insurance, Medical interaction, Doctor-patient interaction|
|Journal||Studies in Health Technology and Informatics|
|Pages||1179 - 1183|
The continuity of care is the relationship between a physician and a patient that extends throughout different episodes of illness. This care includes that in some opportunities the patient must consult a medical specialist. In this qualitative study, we set out to explore and describe the different requests for referral authorization to a specialist by patients affiliated with private health insurance, in order to understand the different patterns of interaction between general practitioners (GP) and their patients. The conversation analysis let us identify categories (structural and functional) after a critical reading of messages between GPs and their patients through an Electronic Health Records (EHR) messaging system. This work allowed us to know more in depth the process of continuity of care. In most cases, the doctor answered affirmatively to the request for a new referral to a specialist.