OBJECTIVES: To find out the proportion of primary healthcare consultations that could be attended by another professional other than the doctor. DESIGN: multicentre cross-sectional study. LOCATION: Primary healthcare, west-gipuzkoa region, with 17 health centres taking part. PARTICIPANTS: Reasons for consultation dealt with by 38 doctors over 5 days. MAIN MEASUREMENTS: Age, sex, frequency, category, initiative, reason for consultation and ideal level of healthcare. RESULTS: A total of 4,377 patients who generated 5,592 consultations were included. The average frequency was 10 visits/year. The large majority (93.1%) of consultations took place in the centre, 5.4% by telephone and 1.5% were home visits. A total of 74.4% of the consultations were requested, 17.2% arranged by the doctor, 6.4% arranged by protocol, 2% at the request of other professionals, and 8% were urgent. The reasons were; 71.5% (95% CI: 69.8-73.2) were medical clinical, 7.2% (6.2-8.2) minor symptoms, 18.4% (17.1-19.5) bureaucratic, and 2.9% (2.3-3.3) for information. The consultations for medical reasons accounted for 80.5% (79.3-81.7) and 19.5% (18.3-20.7) were for non-medical reasons. Non-medical reasons made up 29.3% of the telephone consultations, 20.2% of the consultations in the centre, and 2.4% of the home visits, as well as 16.7% of the urgent consultations. The ideal level of healthcare was considered to be doctor 80.7%, 13.2% nursing and 2.8% administrative. In the consultations for minor symptoms, nursing was considered the ideal level in 65.3% of cases. CONCLUSIONS: One out of every 5 consultations could be dealt with by a professional other than the doctor, which in 5 hours of consultations would allow 1 hour to be gained which could be used for other activities.
OBJECTIVES: To find out the proportion of primary healthcare consultations that could be attended by another professional other than the doctor. DESIGN: multicentre cross-sectional study. LOCATION: Primary healthcare, west-gipuzkoa region, with 17 health centres taking part. PARTICIPANTS: Reasons for consultation dealt with by 38 doctors over 5 days. MAIN MEASUREMENTS: Age, sex, frequency, category, initiative, reason for consultation and ideal level of healthcare. RESULTS: A total of 4,377 patients who generated 5,592 consultations were included. The average frequency was 10 visits/year. The large majority (93.1%) of consultations took place in the centre, 5.4% by telephone and 1.5% were home visits. A total of 74.4% of the consultations were requested, 17.2% arranged by the doctor, 6.4% arranged by protocol, 2% at the request of other professionals, and 8% were urgent. The reasons were; 71.5% (95% CI: 69.8-73.2) were medical clinical, 7.2% (6.2-8.2) minor symptoms, 18.4% (17.1-19.5) bureaucratic, and 2.9% (2.3-3.3) for information. The consultations for medical reasons accounted for 80.5% (79.3-81.7) and 19.5% (18.3-20.7) were for non-medical reasons. Non-medical reasons made up 29.3% of the telephone consultations, 20.2% of the consultations in the centre, and 2.4% of the home visits, as well as 16.7% of the urgent consultations. The ideal level of healthcare was considered to be doctor 80.7%, 13.2% nursing and 2.8% administrative. In the consultations for minor symptoms, nursing was considered the ideal level in 65.3% of cases. CONCLUSIONS: One out of every 5 consultations could be dealt with by a professional other than the doctor, which in 5 hours of consultations would allow 1 hour to be gained which could be used for other activities.
Authors: J Casajuana Brunet; F Alonso López; J Aracil Villar; L Barrios Blasco; T Carmenado Martín; J Gérvas Camacho; I González Jiménez; E Grifell Martín; P Herrero Sales; S Romero Aguit Journal: Aten Primaria Date: 1998-04-30 Impact factor: 1.137
Authors: V Pedrera Carbonell; V Gil Guillén; D Orozco Beltrán; I Prieto Erades; G Schwarz Chavarri; I Moya García Journal: Aten Primaria Date: 2005-02-15 Impact factor: 1.137
Authors: D Orozco Beltrán; V Pedrera Carbonell; V Gil Guillén; I Prieto Erades; M C Ribera Montés; P Martínez Cánovas Journal: Aten Primaria Date: 2004-02-15 Impact factor: 1.137
Authors: Javier de Miguel-Diez; Ana Lopez-de-Andres; Valentin Herandez-Barrera; Isabel Jimenez-Trujillo; Luis Puente-Maestu; Alicia Cerezo-Lajas; Rodrigo Jimenez-Garcia Journal: Int J Chron Obstruct Pulmon Dis Date: 2018-02-28
Authors: M A Salinero-Fort; C Burgos-Lunar; C Lahoz; J M Mostaza; J C Abánades-Herranz; F Laguna-Cuesta; E Estirado-de Cabo; F García-Iglesias; T González-Alegre; B Fernández-Puntero; L Montesano-Sánchez; D Vicent-López; V Cornejo-Del Río; P J Fernández-García; V Sánchez-Arroyo; C Sabín-Rodríguez; S López-López; P Patrón-Barandio; P Gómez-Campelo Journal: PLoS One Date: 2016-07-21 Impact factor: 3.240