López Alba M A, Usieto Atondo R, Rodríguez-Contreras Pelayo R, Cueto Espinar A, Gálvez Vargas R
Aten Primaria. 1989 Jan;6(1):7-12.
A study of the quality of the health care process was carried out in three types of general practices: outpatients clinics, rural clinics and health centers. Data were collected from 6,163 protocols collected from the patients during the medical visit, and positive and negative parameters were elaborated from them. The highest quality was found in the health centers; there was a marked difference between them favoring the second one, in which the results were: 75.6% of medical acts, a mean time of 9 minutes 23 seconds for medical act; 65.5% of physical examinations; 15.6% of systematic medical examinations and 4.3% of questionably needed drug therapies. The satisfaction of the user was also evaluated by means of 421 questionnaires administered to the general population. Satisfaction was greatest in the health centers for the accessibility and service character, in the outpatients clinics for the perception of one's own health status, and there were no differences between the three types of centers for helpfulness and professional skill.
门诊诊所、农村诊所和健康中心。从患者就诊期间收集的6163份病历中收集数据，并从中提炼出正负面参数。健康中心的质量最高；它们之间存在明显差异，更倾向于后者，其结果如下：75.6%的医疗行为，每次医疗行为平均时间为9分23秒；65.5%的体格检查；15.6%的系统医学检查和4.3%的可疑必要药物治疗。还通过向普通人群发放421份问卷对用户满意度进行了评估。健康中心在可及性和服务特性方面的满意度最高，门诊诊所在对自身健康状况的认知方面满意度最高，三种类型的中心在帮助程度和专业技能方面没有差异。
