Objectives: according to SED data, approximately 83% of patients with chronic pain are treated by family doctor, 15% by other specialists and 2% by the Chronic Pain Unit.
- Main objective: to optimize the coordination between the Primary Care Units and the Chronic Pain Unit of the A.G.S. South of Seville
- Other Objectives: implement improvement actions that allow an adequate management of the Chronic Pain Process in Primary Care, as well as a better referral of patients to the Chronic Pain Unit.


Method: a review of the patients derived from Primary Care to the Chronic Pain Unit was carried out and the compliance of the referral criteria to the Chronic Pain Unit was analyzed in each of them.


Results and conclusions: of 904 patients assessed in first consultation, 183 (20%) were directly derived from PC and the rest, 721 (80%) from other specialties, mainly TOC (60%), Rheumatology (20%) and Rehabilitation ( 15%). Of the patients referred from AP, approximately half (47%) did not meet criteria to be referred to the Chronic Pain Unit. It was developed from a tool that allowed virtual communication between professionals from different Units, called "SharePoint". SharePoint is a platform that can be used on websites and that allows access to shared workspaces, information stores and documents. SharePoint allows us to use tools through which any specialist can request a referral or consult doubts by completing a short form.
Conclusions: the use of this tool by primary care professionals and the Chronic Pain Unit has allowed:
- The family doctor consult any doubt and raise cases of patients with chronic pain processes virtually, without using a face-to-face referral.
- The Specialist Pain carries out a filter through a virtual consultation prior to the face-to-face transfer of a patient to the Chronic Pain Unit.
- The cases derived from Family Doctor are really patients with complex chronic pain process.
- Facilitate the training of Family Doctor by sharing scientific documents, publications, protocols and others.

A PROPOSAL OF VIRTUAL COMMUNICATION BETWEEN PRIMARY CARE UNITS AND THE CHRONIC PAIN UNIT