Alberola Benavent V, Rivera Casares F
Aten Primaria. 1994 Oct 15;14(6):825-8.
To study the characteristics of emergency care within Primary Care (ECPC), which determine the use of hospital emergency services (HES).
Retrospective study. The unit of analysis was the patient attended at the HES.
Xàtiva Hospital records and data from Primary Care Management, regarding the type of ECPC and the distance from the patient's town of residence to the hospital.
The data of all the patients, a total of 15,290 cases, attended at the HES during the first six months of 1992 were analysed.
We constructed a logistic regression model whose explicative variables were the type of ECPC and the distance to the hospital. The variable reply was the probability for each town of causing a high use of HES. We obtained a model whose predictive capacity was 82.98%, in which, independently of distance, the probability of causing a high use of HES was ordered from low to high, as follows: 1) Towns where the Primary Care Team (PCT) physically provided ongoing care in the town itself. 2) Towns attended by a normal Emergency Service (in the town itself). 3) Towns where the PCT provided ongoing care of a localised nature. 4) Towns where the PCT physically provided ongoing care in another town. The relation of distance to the use of HES was inverse.
Distance and the different types of ECPC affect the use of HES.
研究初级医疗保健中的急诊护理（ECPC）特征，这些特征决定了医院急诊服务（HES）的使用情况。
回顾性研究。分析单位是在医院急诊服务就诊的患者。
Xàtiva医院记录以及初级医疗保健管理部门的数据，涉及急诊护理类型以及患者居住城镇到医院的距离。
分析了1992年上半年在医院急诊服务就诊的所有患者的数据，共计15290例。
我们构建了一个逻辑回归模型，其解释变量为急诊护理类型和到医院的距离。因变量是每个城镇导致大量使用医院急诊服务的概率。我们得到了一个预测能力为82.98%的模型，其中，与距离无关，导致大量使用医院急诊服务的概率从低到高依次为：1）初级医疗保健团队（PCT）在城镇本身实际提供持续护理的城镇。2）由普通急诊服务就诊的城镇（在城镇本身）。3）初级医疗保健团队提供局部性持续护理的城镇。4）初级医疗保健团队在另一个城镇实际提供持续护理的城镇。距离与医院急诊服务使用之间的关系呈反比。
距离和不同类型的急诊护理会影响医院急诊服务的使用。
