Azagra Ledesma R, Mengual Martínez L, Calvet Junoy S, de Castro Vila C, Simón Muela C, Medina Molina C
Centro de Atención Primaria de Ciudad Badia, Institut Català de la Salut, Departament de Sanitat de la Generalitat de Catalunya.
Gac Sanit. 1992 Sep-Oct;6(32):212-5. doi: 10.1016/s0213-9111(92)71115-7.
The aim of the investigation was to assess variations in the demand for medical care in the primary care centre of Ciudad Badia (Barcelona, Spain). The records of attendance were analysed over a period of seven years. During this period, some changes were made which affected the way the centre was used by patients, such as the creation of systems which required notice of medical and nursing appointments, the reduction of spontaneous attendance, and the introduction of a card for medication for the chronically sick. These changes were accompanied initially by a decrease, then a stabilisation, and afterwards a slight increase in total number of visits. All visits (with notice) rose from 5.3% in 1983 to 45.2% in 1989. Similarly, nursing visits (with notice) increased from 4% to 9.5 of total activity. Emergency visits in the same period rose from 3.4% to 8%. It is concluded that changes that were introduced raised the level of commitment of the staff to medical work-both preventive and therapeutic, as well as the improvement of the organisation of attendance at the centre and a higher satisfaction of users of the centre and the medical staff.
该调查的目的是评估西班牙巴塞罗那市巴迪亚城初级保健中心的医疗护理需求变化情况。对七年期间的就诊记录进行了分析。在此期间，采取了一些影响患者使用该中心方式的变革措施，比如设立了预约医护服务需提前告知的系统、减少了自发就诊情况，以及为慢性病患者引入了药物卡片。这些变革措施最初伴随着就诊总数的下降，然后趋于稳定，之后又略有上升。所有（提前预约的）就诊比例从1983年的5.3%升至1989年的45.2%。同样，（提前预约的）护理就诊在总活动量中的占比从4%增至9.5%。同期的急诊就诊比例从3.4%升至8%。得出的结论是，所推行的变革提高了工作人员在预防和治疗医疗工作方面的投入程度，改善了该中心的就诊组织安排，提升了中心用户和医务人员的满意度。
