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[探寻卡斯蒂利亚-莱昂地区基层医疗中信息系统的效用]

[Searching for the utility of an information system in primary care in Castilla and León].

作者信息

Martín Pérez J, Otero Rodríguez J A

机构信息

Dirección General de Salud Pública, Ministerio de Sanidad y Consumo, Madrid.

出版信息

Rev Sanid Hig Publica (Madr). 1992 May-Aug;66(3-4):217-24.

PMID:1366217
Abstract

BACKGROUND

In Castille-Leon, there is an information system in primary health care. The target is to describe several operativity indicators in a primary health care center with the date collected with this system and indirectly, to initiate its evaluation.

METHODS

The study was carried out in an urban primary health care center in Valladolid. A descriptive analysis of the data, related to the health problems demanded in 1990, collected in first sampling during a week of every month, is carried out.

RESULTS

The global work load was 30-2 problems demanded to the doctor per day. The 5.7% of consult were home visits, and the prevailing problems were circulatory and respiratory. Per 100 problems, 10 laboratory test, 4.4 radiographies, 1.4 electrocardiograms and 5.25 other different tests were required. No adequate nor periodical informations was received from the administration to which data were sent.

CONCLUSIONS

Insufficiency in the system to characterize in an adequate way, the health care activities complexity and lack of use of the provided data and of analysis.

摘要

背景

在卡斯蒂利亚-莱昂,初级卫生保健领域存在一个信息系统。目标是利用该系统收集的数据描述一家初级卫生保健中心的若干运营指标,并间接启动对其的评估。

方法

该研究在巴利亚多利德的一家城市初级卫生保健中心开展。对1990年每月第一周首次抽样收集的与所需求的健康问题相关的数据进行描述性分析。

结果

总体工作量为每天向医生提出30 - 2个问题。5.7%的会诊为上门问诊,主要问题是循环系统和呼吸系统问题。每100个问题需要进行10次实验室检查、4.4次X光检查、1.4次心电图检查和5.25次其他不同检查。未从数据发送至的管理部门收到充分且定期的信息。

结论

该系统不足以充分描述卫生保健活动的复杂性,且对所提供数据缺乏利用和分析。

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