Valoración Integral de la diabetes. Consulta monográfica para detección y seguimiento de complicaciones / Comprehensive Assessment Of The Patient With Diabetes. Monographic Consultation For The Detection And Monitoring Of Complications

La enfermedad cardiovascular incide de manera más precoz y presenta mayor mortalidad en pacientes con diabetes mellitus tipo 2. El Programa de prevención y control de la Enfermedad Vascular Aterosclerótica de Canarias recomienda la realización anual de diferentes cribados en estos pacientes para la detección precoz y prevención de complicaciones. La consulta de valoración integral del paciente con diabetes tipo 2, liderada por una enfermera especialista en Enfermería Familiar y Comunitaria realiza, en una única visita, las actividades de prevención incluidas en este programa, mejorando los indicadores de proceso. Este nuevo modelo de organización mejora notablemente el desarrollo de actividades de prevención y detección precoz de complicaciones. (AU)

Cardiovascular disease affects earlier and presents higher mortality in patients with type 2 diabetes. The Program for the Prevention and Control of Atherosclerotic Vascular Disease of the Canary Islands recommends carrying out different annual screenings in these patients for early detection and prevention of complications. The Comprehensive Assessment Consultation for patient with type 2 diabetes, led by a nurse specailized in Family and Community Nursing, carries out, in a single visit, the prevention activities included in this program, improving process indicators. This new oraginzational model significantly improves the development of prevention activities and early detection of complications. (AU)

Análisis de las reclamaciones en una zona básica de salud / Analysis of complaints in a basic health area

Objetivo: Analizar las características de las reclamaciones presentadas por escrito por los usuarios de la Zona Básica de Salud de Taco, Tenerife. Método: Diseñamos un estudio observacional, descriptivo y transversal. Se analizaron todas las hojas de reclamaciones de los años 2003 y 2004, mediante el sistema de clasificación de la Oficina de Defensa de los Derechos de los Usuarios Sanitarios (ODDUS). Resultados: Se presentaron 126 reclamaciones, equivalente a una tasa de incidencia de reclamación de 2,0 por mil usuarios/año. El 59,8% de éstas se contestó en un plazo de un mes. El 73% eran mujeres con una media de edad ± desviación estándar de 40,3 ± 12,1 (rango, 19-75). El médico de familia fue el profesional más reclamado (31,7%), seguido de dirección-gerencia (29,4%) y personal auxiliar-administrativo (16,7%). Los motivos más usuales agrupados por categorías fueron: a) organización-administración (47,6%), distribuidos en: desacuerdo del usuario con las normas institucionales (11,1%), dificultades con el programa mostrador (10,3%), suspensión/anulación de la consulta (10,3%) y dificultad con el programa de cita previa (7,1%); b) asistencial (45,2%): demora en la asistencia (28,6%) y trato personal inadecuado (9,5%), y c) limitaciones en la infraestructura (7,1%). Conclusiones: El médico de familia es el profesional con mayor porcentaje de reclamaciones, principalmente por demora en la asistencia. Las reclamaciones de los usuarios de atención primaria son una herramienta útil para conocer el grado de insatisfacción de los pacientes, y pueden ayudarnos a mejorar la calidad de la asistencia que ofrecemos en el centro de salud

Objective: To analyse the written complaints made by users of the Primary Health Centre in Taco, Tenerife (Spain). Method: We designed an observational, cross-sectional study. All the complaint forms from the period 2003-2004 were analysed. We used the ODDUS classification system. Results: A total of 126 complaints were made, representing 2.0 complaints per thousand inhabitants/year. Fifty nine percent were answered in the following month. Seventy three percent were women with a mean age of 40.3 ± 12.1 years (range, 19-75). They were directed at the family doctor (31.7%), management (29.4%) and administration (16.7%). The most common complaints by categories were: a) organisation-administration (47.6%), related to a disagreement with institutional rules (11.1%), difficulties with reception desk (10.3%), suspension/cancellation of an appointment (10.3%), and appointment programme (7.1%); b) care (45.2%) referring to delay in care (28.6%) and inappropriate treatment (9.5%); c) limitations of the building infrastructure (7.1%). Conclusions: The family physician is the person who receives the majority of complaints, mainly due to a delay in treating the patient. Complaints made by users in Primary Care are a useful me-thod of finding out patient dissatisfaction. They can help us to improve the quality of the assistance in Health Centre

[Not Available]. / Análisis de las reclamaciones en una zona básica de salud.

OBJECTIVE: To analyse the written complaints made by users of the Primary Health Centre in Taco, Tenerife (Spain). METHOD: We designed an observational, cross-sectional study. All the complaint forms from the period 2003-2004 were analysed. We used the ODDUS classification system. RESULTS: A total of 126 complaints were made, representing 2.0 complaints per thousand inhabitants/year. Fifty nine percent were answered in the following month. Seventy three percent were women with a mean age of 40.3±12.1 years (range, 19-75). They were directed at the family doctor (31.7%), management (29.4%) and administration (16.7%). The most common complaints by categories were: a) organisation-administration (47.6%), related to a disagreement with institutional rules (11.1%), difficulties with reception desk (10.3%), suspension/cancellation of an appointment (10.3%), and appointment programme (7.1%); b) care (45.2%) referring to delay in care (28.6%) and inappropriate treatment (9.5%); c) limitations of the building infrastructure (7.1%). CONCLUSIONS: The family physician is the person who receives the majority of complaints, mainly due to a delay in treating the patient. Complaints made by users in Primary Care are a useful method of finding out patient dissatisfaction. They can help us to improve the quality of the assistance in Health Centre.