[Evaluation of the satisfaction with a care coordination program between Primary Care and general internists]. / Evaluación de la satisfacción de un programa de colaboración entre Atención Primaria y Medicina Interna.

OBJECTIVES: To evaluate the level of knowledge, participation and satisfaction with a continuity of care program between Primary Care and a group of general internists, and to analyse the most frequent reasons for consulting. MATERIAL AND METHODS: Cross-sectional study including all primary care physicians from 10 Family Practice Care Centres using a questionnaire containing these objectives. RESULTS: Eighty-three family physicians (92.2%) answered the survey. All physicians knew of the collaboration program and had also participated. The most common clinical problems seen were: patients with multiple health problems(26.5%), cardiovascular risk factors (16.8%) and diagnosis of the asthenia syndrome (141%), with these three problems obtaining the best evaluation in the satisfaction survey. Almost all (98.8%) of the family physicians were satisfied with the program. CONCLUSIONS: Our continuity care program was very well evaluated in the satisfaction survey by family physicians. The participation index was very high and the clinical problems most frequently consulted and best evaluated were those that traditionally have been seen by the internists.

[Evaluation of the quality of care of diabetic patients in 3 health centers]. / Evaluación de la calidad asistencial prestada a pacientes diabéticos en tres centros de salud.

The results of a retrospective health care quality assurance study are presented. This study was designed to evaluate the quality of health care rendered to diabetic patients who were diagnosed and/or treated in three medical centres. Nineteen criteria were chosen for the evaluation stage (385 diabetics, analysed) and 20 were used in the reevaluation (108 diabetics). The complementary test group met the most criteria, and the explorations group met the least, with the exception of blood pressure readings (77% of record). In the reevaluation stage, the percentage met of all the criteria under study increased, with statistically significant differences in all but three of the criteria. The standard of 100% was not attained in any of the cases, but the 85% mark was exceeded in 7 of the 20 criteria. A substantial improvement in the number of criteria recorded in the histories was observed, with an increase to 36.09% of histories with 17 or more criteria met, and a reduction, from 26.02% to 11.11%, of histories with 6 or less criteria met.