Rubio Montañés M L, Buñuel Alvarez J C, Castillo Laita J A, Palacín Arbues J C, Fernández Revuelta A, Ruiz Gracia M
Centro de Salud de Zalfonada, Hospital Infantil Miguel Servet, Zaragoza.
Aten Primaria. 1992 May;9(7):361-4.
With the aim of determining if the Primary Care network adequately uses our centre's Emergency service, the 390 P-10s received during May and June 1990 were examined. The presence of clinical judgement, the percentage of admissions, the place of origin of the P-10, the relationship of the issuing centre to our Health Area, the diagnosis made in the Emergency Centre and the patient's destination were all analysed. 42.3% came from rural areas. Clinical judgement was exercised in 56.13%. The P-10s from urban areas showed that clinical judgement had been exercised in 63.6% of cases, as against only 49.7% in the rural areas and 43.2% in the special emergency service. 13.2% were admitted. 41.7% of the referral forms did not come from our health area. The results led us to conclude that there is an insufficient use of the P-10 in our field, as the majority of these patients could have been taken on by the Primary Care network.
为了确定初级保健网络是否充分利用了我们中心的急诊服务，我们对1990年5月和6月期间收到的390份P - 10进行了检查。分析了临床判断情况、入院百分比、P - 10的来源地、开具中心与我们健康区的关系、急诊中心做出的诊断以及患者的去向。42.3%来自农村地区。56.13%进行了临床判断。来自城市地区的P - 10显示，63.6%的病例进行了临床判断，而农村地区仅为49.7%，特殊急诊服务中为43.2%。13.2%的患者被收治入院。41.7%的转诊单并非来自我们的健康区。结果使我们得出结论，在我们这个领域，P - 10的利用不充分，因为这些患者中的大多数本可由初级保健网络接收。
