Atencion primaria
-
We have evaluated the structure and demand of care in a Social Security center for the attention to patients out of their dwelling place during de months of July and August, 1987. We had a single office, with two doctors and one nurse and no auxiliary staff. Data were recovered from the daily morbidity sheet. ⋯ The most common type of interconsultation was the referral to the emergency room of the reference hospital. We have compared these data with other morbidity studies, and we conclude that a better attention of the administration to the clinics for patients out of their dwelling place is required. Another urgent need is the implementation of the prolonged therapy card.
-
Letter Case Reports
[Intermittent macroscopic hematuria as a sole manifestation of schistosomiasis].
-
We investigated the emergency service at Reinosa to evaluate the following: equipment, characteristics, performance (policies, criteria of use of transport), and the type of the attending patients, demand for care and severity. Attention was given to 8,039 patients, with a monthly mean of 674,416 +/- 21,750 and male predominance. ⋯ Our study shows that 96.34% of the demand can be correctly cared for with an adequate equipment. This type of services should be encouraged as they are highly cost effective from the social, health care and economic points of view.
-
The demand for home attention in the special emergency service of L'Hospitalet and Cornella de Llobregat (Barcelona) was evaluated. The data from a sample of 2046 requests for home attention were assessed, corresponding to the period between July 1st, 1985, and June 30th, 1986. This sample was randomly selected from overall 28385 home visits carried out during this period. ⋯ The most common group of diseases were the respiratory conditions. 83% of patients received some type of therapy. In 12% of cases, admission to a hospital was indicated; the most common cause of admission to a hospital was indicated; the most common cause of admission was cardiovascular disease. Emphasis is made on the importance of the coordination between primary care groups and special emergency services, as well as on the need for continuing education of professionals with specialties related to the care of emergencies and pediatrics.