Diego Domínguez F, Franch Nadal J, Alvarez Torices J C, Alvarez Guisasola F, de Pablo Pons M L, Villamar Berceruelo J
Unidad Docente Medicina Familiar y Comunitaria, Hospital Virgen Blanca, León.
Aten Primaria. 1990 Jan;7(1):37-8, 40-3.
The filter role of primary health care on the attendance to hospital emergency services was evaluated in view of the saturation of the latter. It was demonstrated that those patients who had not previously attended primary care services (40.3%) had a higher rate of problems for which emergency attention was considered unjustified (51.64%), with the consequent performance deterioration. In the group of patients who were referred to the hospital by a physician, the highest rates of examination of the patient, degree of justification for care, and diagnostic agreement with our center were found among the youngest physicians. As a whole, the filter role of primary care in our area is clearly higher than that from other similar studies, although optimal levels have not yet been achieved.
鉴于医院急诊服务的饱和状态，对初级卫生保健在引导患者前往医院急诊方面的过滤作用进行了评估。结果表明，那些此前未接受过初级保健服务的患者（占40.3%）出现被认为无需急诊处理的问题的比例更高（占51.64%），从而导致服务绩效下降。在由医生转诊至医院的患者群体中，最年轻的医生在患者检查率、诊疗合理性程度以及与本中心诊断一致性方面的比例最高。总体而言，我们地区初级保健的过滤作用明显高于其他类似研究，但尚未达到最佳水平。
