XIDE: Integrated Demand management in team
About this good practice
It is an innovative technological tool designed to optimise the management of appointments on demand in primary care, through which all professionals of the primary care team participate in an interdisciplinary way and within their competency to respond in a given time to a reason for consultation (expressed by a citizen).
XIDE is not a way of triage rather it is the process of finding the best way to meet the patient's demand.
The objectives of the project are:
- Encourage the promotion of professional competence
- Increasing the quality of care in time-dependent processes.
- Efficient organisation of professional staffing
- To guarantee that all people who need on-site care receive it in time and form.
For its creation a working group was created that defined the reasons for consultation and designed the citation proposals, which are continuously in revision. It integrates more than 1000 reasons for consultation in both the adult and paediatric versions.
Once the user has been identified, efforts are made to determine the reason for the consultation through standard, non-invasive questions. If the patient does not wish to express their reason for consultation, XIDE guaranteedly assigns him/her a regular telephone appointment with the doctor.
As a result of the process, the system provides an appointment, that the tool will decide whether it is a priority consultation, whether it is a face-to-face consultation, and also the professional who will best meet the user's demand.
Resources needed
To develop the XIDE project, the Regional Ministry of Health set up a working group made up of more than 70 professionals from all categories of primary care (doctors, nurses, pharmacists, midwives, social work, dentists, dental hygienists, physiotherapists, paediatricians, administrative staff).
Evidence of success
XIDE is fully integrated into the primary care management system tool, allowing all processes to be more efficient.
It started in November 2021, and since then it has been implemented in 61 Health Centres distributed throughout all the provinces of Galicia, benefiting 30% of the population of the entire community (787,817 inhabitants).
In total, 274,870 entries have been made to make an appointment on demand through XIDE.
Potential for learning or transfer
The coverage is regional at the moment but depending on success it could be implemented at other organisational levels and regions.
Further information
XIDE: Integrated Demand management in team
Good practice owner
You can contact the good practice owner below for more detailed information.