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Estudio SEPHCAT: análisis de los servicios de emergencias prehospitalarios en Cataluña / Prehospital emergency services in Catalonia: the SEPHCAT análisis
Escalada, Xavier; Sánchez, Pere; Hernández, Ricard; Gené, Emili; Jacob, Javier; Alonso, Gilberto; Rimbau, Pere; Zorrilla, José; Casarramona, Francesc; Netto, Cristina; Flores, Silvia; Puig, Mireia; Villamor, Alberto; Sánchez, Miquel; Miró, Òscar.
Afiliação
  • Escalada, Xavier; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Sánchez, Pere; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Hernández, Ricard; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Gené, Emili; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Jacob, Javier; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Alonso, Gilberto; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Rimbau, Pere; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Zorrilla, José; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Casarramona, Francesc; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Netto, Cristina; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Flores, Silvia; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Puig, Mireia; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Villamor, Alberto; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Sánchez, Miquel; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
  • Miró, Òscar; Societat Catalana de Medicina d’Urgències i Emergències. Barcelona. España
Emergencias (Sant Vicenç dels Horts) ; 32(2): 90-96, abr. 2020. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-188156
Biblioteca responsável: ES1.1
Localização: BNCS
RESUMEN

Objetivo:

Describir las principales características de todos los servicios de emergencias prehospitalarios (SEPH) existentes en Cataluña.

Método:

Una encuestadora profesional entrevistó a los responsables clínicos de todos los SEPH de Cataluña. La encuesta fue preparada por los autores, y abordaba diversos aspectos organizativos, profesionales, laborales, formativos, docentes y de investigación. Las preguntas contenidas en la encuesta solo permitían respuestas cerradas, y hacían referencia a la situación en 2015.

Resultados:

Se identificaron 13 SEPH (11 públicos, 2 privados), que recibieron 2.482.627 consultas (16,4% a SEPH privados) y realizaron 943.849 atenciones (11,8% por SEPH privados). Había 336 bases de soporte vital básico y 73 de avanzado, con instalaciones mayoritariamente consideradas de tamaño suficiente y calidad buena. Se contrataron 1.374.845 horas anuales (753.995 de médico y 620.850 de enfermero), el 23,4% de ellas por SEPH privados, que globalmente corresponderían a 815 puestos de trabajo a jornada completa (447 de médico, 368 de enfermero). La dotación de médicos/enfermeros era relativamente estable durante el día, pero decaía un 31%/9% de madrugada. La especialidad médica mayoritaria era medicina familiar y comunitaria (56,8%), el 21,3% no tenía formación especializada, y el 6,5% tenía título de doctor. Había médicos/enfermeros profesores universitarios de grado en el 61,5%/46,2% de los SEPH; y de postgrado en el 46,2%/84,6%. Recibían estudiantes de medicina/enfermería en prácticas de grado el 15,4%/15,4% de los SEPH, y de postgrado el 69,2%/76,9%.

Conclusiones:

La actividad de los SEPH en Cataluña es elevada; un 12% la desarrollan SEPH privados, y globalmente implica a un número alto de médicos y enfermeros, los cuales además desarrollan un rol docente y, en menor medida, investigador
ABSTRACT

Objective:

To describe the main characteristics of all prehospital emergency services (SEPHs, the Catalan acronym) in Catalonia (the SEPHCAT study).

Methods:

A professional survey researcher interviewed the medical directors of all services in Catalonia, using a questionnaire prepared by the authors. Questions covered aspects related to organization, professional staffing and employment conditions, as well as the staff’s training, instructional activity and research. Only closed answers were collected. The survey reflected the situation in 2015.

Results:

We identified 13 SEPHs (11 in the public health service and 2 private companies). Together they received 2 482 627 calls (16.4% to private services) and attended 943 849 emergencies (11.8% attended by private companies). Three hundred thirty-six basic life support units and 73 advanced life support units were reported. They were mostly considered to be of sufficient size and quality. The SEPHs contracted 1 374 845 person-hours/y (753 995 physician-hours and 620 850 nurse-hours; 23.4% in private companies). These figures correspond to 815 full-time staff positions (447 for physicians and 368 for nurses). The numbers of physicians and nurses working were relatively stable during the morning, afternoon and evening shifts but decreased during the midnight-to-early-morning shift (physicians, by 31%; nurses, by 9%). A majority of the physicians employed were trained in family and community medicine (56.8%), but 21.3% had no specialized training; 6.5% had PhD degrees. SEPH physicians (61.5%) and nurses (46.2%) also taught undergraduate medical students; 46.2% of physicians and 84.6% of nurses taught postgraduate medical courses. Both undergraduate medical and nursing students were received in the same measure for practical training by 15.4% of the SEPHs; 69.2% also offered practical training for physicians at the postgraduate level and 76.9% trained postgraduate nurses.

Conclusions:

SEPHs in Catalonia are very active, and private companies account for nearly 12% of the activity. Together the public and private sectors employ a large number of physicians and nurses. Staff members are involved in training others but are less involved in research
Assuntos
Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Médicos / Serviços Médicos de Emergência / Assistência Pré-Hospitalar / Enfermeiras e Enfermeiros Limite: Humanos Idioma: Espanhol Revista: Emergencias (Sant Vicenç dels Horts) Ano de publicação: 2020 Tipo de documento: Artigo Instituição/País de afiliação: Societat Catalana de Medicina d’Urgències i Emergències/España
Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Médicos / Serviços Médicos de Emergência / Assistência Pré-Hospitalar / Enfermeiras e Enfermeiros Limite: Humanos Idioma: Espanhol Revista: Emergencias (Sant Vicenç dels Horts) Ano de publicação: 2020 Tipo de documento: Artigo Instituição/País de afiliação: Societat Catalana de Medicina d’Urgències i Emergències/España
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