[Advances of the investigation of "Ambulatory Care Sensitive Conditions" in primary care in Spain]. / Avances en España en la investigación con el indicador "Hospitalización por Enfermedades Sensibles a Cuidados de atención primaria".
Rev Esp Salud Publica
; 76(3): 189-96, 2002.
Article
en Es
| MEDLINE
| ID: mdl-12092465
ABSTRACT
Hospitalization due to ambulatory care sensitive conditions (ACSC) is an indicator of hospital activity that has demonstrated its usefulness as an indirect measurement of primary care effectiveness. Since this indicator was recently introduced in Spain, a collaborative effort between the different research groups could facilitate and promote its development and progress. The objective of this paper is to propose a working agenda that, starting from the most recent information, enhances the advance in this research field. The agenda includes the following sections 1) To draw up specific ACSC lists for adult and pediatric population, as well as to look in greater depth into the concepts of, and differences in avoidable hospitalization and ACSC. 2) To complete the indicator validation process by assessing the external validity. 3) To propose, for future studies, the municipality as the unit of analysis, as well as to individualize the analysis of health conditions allowing for the differences between acute and chronic ones. 4) To adjust the indicators of hospital activity by hospital use index, when data from some hospitals are lacking and comparisons are wanted 5) To include a new variable, provider of primary health care services, in the Minimum Basic Data Set of Hospital Discharges. 6) To use this indicator as a measure of both the distribution of functions between levels of care and the coordination among them.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Atención Ambulatoria
/
Mal Uso de los Servicios de Salud
/
Investigación sobre Servicios de Salud
/
Hospitalización
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
Es
Revista:
Rev Esp Salud Publica
Asunto de la revista:
SAUDE PUBLICA
Año:
2002
Tipo del documento:
Article