AI Telemedicine Support for Primary Care Physicians in El Salvador

Inclusion Criteria: * Must be a physician employed by the DoctorSV telemedicine program * Must provide written informed consent to participate in the study * Consultations must be for acute pathologies of the digestive, respiratory, or urinary systems, or acute ophthalmic infections manageable in primary care * Consultation must be the first medical contact (first visit) for the current acute episode * The condition must correspond to specific ICD-11 codes defined in the study protocol Exclusion Criteria: * Physicians who are inactive on the platform for more than 4 consecutive weeks * Physicians who transition to work modalities other than telemedicine or reduce their working hours to less than 20 hours per week * Physicians whose employment contract ends (resignation, dismissal, or contract completion) during the data collection period * Consultations classified by the physician as requiring immediate in-person attention * Consultations requiring referral to another level of care or specialty for definitive management * Consultations interrupted or incomplete due to connectivity or system failures * Consultations solely for administrative purposes (e.g., certificates, repeat prescriptions without clinical evaluation) * Consultations that are follow-up visits or controls for a previously evaluated episode