Llauger M A, Muñoz J, Solà M, Gardella A, Foz G, Birulés M, Riu M, Escobar P, Segura S, Romeu C
Centro de Asistencia Primaria Peracamps, Unidad Docente de Medicina Familiar y Comunitaria, Barcelona.
Aten Primaria. 1990 Mar;7(3):190-3.
The programmed visit, which is basically generated by the health care team, permits a rationalization of the demand and the introduction of health promoting activities. We have evaluated our motives (medical and nurse practices) for the appointment of patients during 1987. We have also recorded the age, sex, compliance and source of the appointment in a sample of 198 medical and 223 nurse appointments. 62.5% of the appointed visits corresponded to females and more than 50% to patients over 59 years. The most common type of appointment was to control chronic disease, owing to its high prevalence and the protocolization of its care. In individuals under 45 years appointments were mostly for diagnostic approach and to record the clinical history. The implementation of preventive measures appeared as one of the least common causes. Failure to comply was seen in 25%, being higher in patients under age 45 and in the appointments to record the clinical history. These results point to the need of restructuring the concertation priorities. The health problems of the population and its vulnerability are the factors that should guide health planning.
程序性就诊基本上由医疗团队安排，它有助于合理安排就诊需求并开展促进健康的活动。我们评估了1987年安排患者就诊的动机（医生和护士的做法）。我们还记录了198例医生安排的就诊和223例护士安排的就诊样本中的患者年龄、性别、依从性和就诊来源。62.5%的预约就诊患者为女性，59岁以上患者超过50%。最常见的就诊类型是慢性病控制，这是由于其高患病率及其护理的规范化。45岁以下个体的就诊大多是为了诊断和记录临床病史。实施预防措施是最不常见的原因之一。25%的患者未遵守医嘱，45岁以下患者以及记录临床病史的就诊中这一比例更高。这些结果表明需要重新调整协调重点。人群的健康问题及其脆弱性是指导健康规划的因素。
