Abstract:
INTRODUCTION:In recent years the demand for ambulatory neurological care has risen. Studying this situation can help to improve health care planning and the quality of the referrals from primary care. AIM:To analyse a number of variables involved in the first visits referred from primary care to neurology services. PATIENTS AND METHODS:We conducted a prospective, descriptive study in which data was consecutively collected about 500 new patients from primary care who had appointments for a visit to general neurology services in the health district of the province of Huelva. Demographic features, the reason for referral, initial diagnoses and the case resolution index were analysed. RESULTS:Mean age was 51 years old, and patients were predominantly female (63.4%). The most frequent diagnoses were headaches (42.8%) and cognitive impairment (12%). In 8.2% of cases the referred patients had no neurological pathology. Data showed that 40.2% were discharged after the first visit. CONCLUSIONS:The demographic characteristics and reasons for the visit were similar to those previously published on other regions in Spain. The high percentage of direct discharges translates into a poor selection of the patients referred from primary care. Improving the quality of referrals would make it possible to enhance the efficiency of ambulatory neurological care.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
López-Domínguez JM,Rojas-Marcos I,Sanz-Fernández G,Blanco-Ollero A,Robledo-Strauss A,Díaz-Espejo Csubject
Has Abstractpub_date
2007-05-01 00:00:00pages
527-30issue
9eissn
0210-0010issn
1576-6578pii
rn2006462journal_volume
44pub_type
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