Subías Lorén P J, Ruiz Ortega C, Jimeno Resa B, Gardella Company A, Ginés García C
ABS Canet de Mar. Barcelona.
Aten Primaria. 1994 Mar 31;13(5):248-50.
To describe the evolution of attendance indicators over a period of a year on introducing a new model of health care.
Observational and descriptive.
A local primary health care consulting-room.
Population in the census, population requesting care, population with medical records, the number of visits and reasons for attendance.
The introduction of clinical records, medical and nursing consultations by appointment, long-treatment booklets and a basic recording system.
54% of the population was recorded. Morbidity indicators, the first and subsequent visits and the number of prescriptions per patient were all stable. The percentage of bureaucratic reasons for attendance went down and the proportion of scheduled attendances increased. Requests for complementary tests and referrals to specialists also increased.
The greatest effort in opening clinical records took place during the first four months. The most telling indicators of the evolution of attendances are the percentages of bureaucratic visits and scheduled ones, the requests for complementary tests and referrals to specialists. Other common attendance indicators have contributed no additional information, yet have supposed a greater effort of data-gathering.
描述引入新的医疗保健模式后一年内就诊指标的变化情况。
观察性和描述性研究。
当地的初级医疗保健咨询室。
人口普查中的人口、寻求医疗服务的人口、有病历的人口、就诊次数及就诊原因。
引入临床记录、预约医疗和护理咨询、长期治疗手册以及基本记录系统。
54%的人口有记录。发病率指标、首次就诊及后续就诊情况以及每位患者的处方数量均保持稳定。因官僚原因就诊的百分比下降，预约就诊的比例增加。补充检查的请求以及转诊至专科医生的情况也有所增加。
开放临床记录的最大努力在前四个月进行。就诊情况变化最显著的指标是因官僚原因就诊和预约就诊的百分比、补充检查的请求以及转诊至专科医生的情况。其他常见的就诊指标并未提供额外信息，但却需要付出更大的数据收集努力。
