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[Characteristics of health care demand in family medicine clinics in a health area of the community of Valencia].

Abstract：

OBJECTIVE:To measure with primary data the kinds of family doctor consultations, the reasons for them and the interruptions. DESIGN:Observational, transversal, and multi-centred study. SETTING:All the health centres in Area 17 of the Community of Valencia. PARTICIPANTS:Representative sample of 2051 patients belonging to 20 family medicine lists at the 13 health centres in the Area, selected by sampling stratified for health centres and randomised by medical key. MAIN MEASUREMENTS:All the activity occurring during the working day was monitored by an outside observer in the consulting room, who recorded the types of consultation (prior appointment, on-demand, scheduled, urgent, at home, by phone or through a family member) and the reasons for them (as a function of their clinical content for acute pathology, chronic pathology or preventive activities, bureaucratic-administrative reasons or to collect test results). The interruptions to the consultation were recorded. The means, percentages and 95% confidence limits were calculated. RESULTS:Women occasioned 57.5% (95% CI, 55.4-59.6) of demand; and the elderly, 35.9% (33.6%-38.2%). Mean attendance time was 5.38 +/- 4.45 minutes. 23.6% (25.4%-21.8%) attended without prior appointment; in 14.7% (16.2%-13.2%) a family member attended; 6.6% (7.7%-5.5%) were urgent; and 0.7% (1.1%-0.3%) were telephone consultations. 65.3% (67.4%-63.2%) of consultations were bureaucratic, and preventive measures were taken only in 3.4% (4.2%-2.6%). 21.8% (23.6%-20%) of patients consulted for clinical + bureaucratic reasons; and 35.5% (37.6%-33.4%), solely for bureaucratic reasons. In 12% (13.4%-10.6%) there were interruptions, mainly for phone calls (3.9%). CONCLUSION:The over-65s caused over a third of all consultations. There was a high attendance without a prior appointment. There were few preventive activities. In consultations, bureaucratic activity takes up more time than clinical activity (care and prevention).

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Pedrera Carbonell V,Gil Guillén V,Orozco Beltrán D,Prieto Erades I,Schwarz Chavarri G,Moya García I

doi

10.1157/13071914

subject

Has Abstract

pub_date

2005-02-15 00:00:00

pages

82-8

issue

eissn

0212-6567

issn

1578-1275

pii

13071914

journal_volume

pub_type

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[Characteristics of health care demand in family medicine clinics in a health area of the community of Valencia].