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

ObjetivosValorar el grado de participación y la satisfacción con un programa de colaboración entre Atención Primaria (AP) y Medicina Interna (MI) y los motivos de consulta más frecuentes.Material y métodosEstudio transversal en el que se incluyó a todos los médicos de familia pertenecientes a 10 centros de salud que al menos llevaban un año en el programa de colaboración con MI. Se les facilitó una encuesta, en la que se analizó el perfil profesional, el conocimiento y la participación en el programa, la satisfacción respecto al programa en su conjunto y en cuanto a aspectos puntuales y los problemas clínicos más frecuentemente consultados.ResultadosContestaron 83 médicos de familia (el 92,2% de la población encuestada). El 100% conocía el programa y había participado alguna vez. En el último año, el 88,7% había programado algún estudio ambulatorio, el 86,9% había realizado alguna consulta y el 80,3% había programado al menos un ingreso. Con respecto a la satisfacción global, el 98,8% se encontraba satisfecho o muy satisfecho con el programa. Los problemas clínicos más frecuentemente consultados fueron la evaluación de pacientes pluripatológicos (26,5%), la evaluación de factores de riesgo vascular (16,8%) y el síndrome asteniforme (14,1%); estos 3 problemas también fueron los más valorados.ConclusionesLos médicos de familia valoraron muy positivamente nuestro programa de colaboración entre AP y MI. La participación ha sido muy alta y los problemas más consultados y valorados son los que tradicionalmente se han asociado a la labor del internista(AU)

ObjectivesTo 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 MethodsCross-sectional study including all primary care physicians from 10 Family Practice Care Centres using a questionnaire containing these objectives.ResultsEighty-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.ConclusionsOur 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(AU)

[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.