Luengo dos Santos A, Muñoz Vázquez A, Colás Rubio J, Sahuquillo Córdoba I, Jariego J L
Servicio de Neurología, Hospital de la Princesa, Madrid.
Aten Primaria. 1992 Nov 15;10(8):907-9.
To analyse certain factors which contribute to the existing backlog in specialised neurological care, such as: where the patient was referred from, the reason for the appointment, tests carried out and the final diagnosis. We used a random sample of patients.
Retrospective study of patients referred from Primary Care, who were attended as out-patients in the Neurology clinic during 1991. SITE. Health Area 2 of the Autonomous Community of Madrid.
The average number of patients per doctor sent from each one of the seven Centres studied was 7.69, with outliers of between 2 and 21, with a standard deviation of 3.95 and a rate of 51.31%. The proportion of new patients to patients having follow-up checks was 2 to 3, respectively. The differences between the number of patients sent from the different centres were found in the less serious pathologies.
We suggest that the criteria used by Primary Care professionals and specialists should be strengthened and unified. This was one of the factors which weighed most on the quality and backlog of care.
分析导致专科神经护理现有积压情况的某些因素，例如：患者的转诊来源、预约原因、所做检查及最终诊断。我们使用了患者随机样本。
对1991年在神经病学诊所接受门诊治疗的初级保健转诊患者进行回顾性研究。地点：马德里自治区第2健康区。
在所研究的七个中心中，每个中心每位医生转诊的患者平均数量为7.69人，异常值在2至21人之间，标准差为3.95，比率为51.31%。新患者与接受随访检查患者的比例分别为2比3。不同中心转诊患者数量的差异存在于病情较轻的病例中。
我们建议应加强和统一初级保健专业人员和专科医生使用的标准。这是对护理质量和积压情况影响最大的因素之一。
