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FI 2016

1,042
© Thomson Reuters, Journal Citation Reports, 2016

Indexada en:

Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, SCOPUS, Medes, Science Citation Index Expanded.

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  • Factor de Impacto: 1,042(2016)
  • 5-años Factor de Impacto: 0,989
  • SCImago Journal Rank (SJR):0,24
  • Source Normalized Impact per Paper (SNIP):0,583

© Thomson Reuters, Journal Citation Reports, 2016

Aten Primaria 2001;28:298-304 - DOI: 10.1016/S0212-6567(01)70379-4
Evaluación de la organización en la atención a pacientes sin cita
Evaluation of the organisation of care for patients without appointment
M.P. Vítores Picón, P.M. Cortés Durán, M. Fernández Girón, L. Torres Romo, I. Tomey Torcal, D. Iradier Barrio, E. Cazallas Díaz, A. León García
EAP. Los Pedroches. Leganés. Madrid.
Aceptado 30 mayo 2001
Resumen
Objectives

To calculate the improvement achieved in organising care for patients without appointments after introducing corrective measures. Second, to study the reasons for consultation, the duration of the symptoms because of which consultations without appointment take place, and the assessment by health personnel of the relevance of the emergency. Design. Before-and-after study.

Setting

Health Area 9, urban health centre, Leganés, Madrid.

Patients

All the patients attending consecutively without appointment in the study periods (assessment: November 1998; reassessment: November-December 1999).

Main results

588 patients were included in the assessment and 562 in the reassessment. They belonged to general practice and paediatrics. 5 quality criteria were set: recording of basic details; recording of reason for consultation; assessment in under ten minutes; attempt at prior appointment; and record in the clinical notes. As there were no references in the bibliography, they were agreed by the team. After corrective measures were taken, all criteria except the fourth improved significantly. Nonetheless, the previously set norm was only achieved in the second. The professionals thought 27% of the consultations without appointment in paediatrics were urgent, and 30% in general medicine. Mean duration of symptoms in non-urgent pathologies was 1.5 days in paediatrics and 13.4 in general medicine. The most common reasons for consultation were prescriptions (20%) in general medicine and digestive pathology (20.4%) in paediatrics.

Conclusions

Setting up an improvement cycle at our health centre managed to raise the quality of care given to patients without appointment, although there are still some facets that could be improved so as to reach, at least, the standards set.

Palabras clave
Organización, Pacientes sin cita, Urgencias en atención primaria
Key words
Organisation, Patients without appointment, Emergency in primary care
El Texto completo solo está disponible en PDF
Bibliografía
1.
Grupo de Trabajo de la Sociedad Andaluza de Medicina Familiar y Comunitaria (SAMFYC)
Ordenación de las urgencias en atención primaria
Aten Primaria, 9 (1992), pp. 269-275
2.
Grupo de Trabajo Interterritorial de Urgencias Médicas Extrahospitalarias
Asistencia extrahospitalaria a las urgencias médicas: documento de consenso
Emergencias, 1 (1994), pp. 110-114
3.
F. Buitrago
Las demandas urgentes durante el horario de consulta delcentro de salud
Cuadernos de Gestión, 1 (1995), pp. 110-114
4.
P.J. Saturno
Reevaluación, análisis y presentación de resultados comparativos de dos evaluaciones
Curso de calidad asistencial en atención primaria, pp. 217-243
5.
G.M. O’Brien,M.J. Shapiro,R.W. Woolard,P.S. O’Sullivan,M.D. Stein
«Inappropiate» emergency department use: a comparision of three metodologies for identification
Acad Emerg Med, 3 (1996), pp. 252-257
6.
J.M. Gill,A.W. Riley
Nonurgent use of hospital emergency departments: urgency from the patient’s perspective
J Fam Pract, 42 (1996), pp. 491-496
7.
M. Velázquez,A. Alamo,J.L. Miraflores,J.E. Frieyro
Urgencias en asistencia primaria: estudio retrospectivo de 1000 casos
Aten Primaria, 1 (1984), pp. 23-28
8.
F. Helguera,E. Hormaechea
Valoración del funcionamiento y de la patología asistida en un servicio de urgencia extrahospitalaria rural
Aten Primaria, 6 (1989), pp. 28-34

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Correspondencia: EAP Los Pedroches. Avda. Portugal, 2. 28916 Leganés (Madrid). (P.M. Cortés Durán )
Copyright © 2001. Elsevier España, S.L.