León Martínez L P, Gómez Jara P, Martínez González-Moro N, Navarro Martínez A, Guillén Montiel C, Saura Llamas J
Unidad Docente de Medicina Familiar y Comunitaria, Centro de Salud del Barrio del Carmen, Murcia.
Aten Primaria. 1994 Jul-Aug;14(3):661-4.
To find the health-care activity of Family and Community Medicine (FCM) Interns (I) during their third year of Primary Care duties, to check the existence of significant differences with the Tutor's (T) health-care activity, and to evaluate, using the requests for complementary tests and the referral rate, possible qualitative differences in the outcome of on-demand consultations.
A descriptive and retrospective observation study, with two parts, each corresponding to one objective.
Primary Health Care. The Carmen Health Centre in Murcia, used for teaching postgraduate FCM.
A sample of 489 cases of those requesting health consultations between February 1st and December 21st, 1990 for the first part of the study; and all those consultations between April 8th and May 8th, 1991 for the second part. Covering five family practices.
The variables studied were: gender, age, the first or second medical consultation, administrative consultations, reasons for the consultation, the number of inter-referrals and the number of complementary tests. The I had fewer consultations a day than the T (p < 0.001), with a greater proportion of young people between 26 and 35 (p < 0.001) and with first (p < 0.001) and administrative (p < 0.001) consultations predominating. However no differences were observed regarding requests for complementary tests and referral rates.
了解家庭与社区医学（FCM）实习生在初级保健工作第三年的医疗保健活动，检查其与带教老师医疗保健活动是否存在显著差异，并通过辅助检查申请和转诊率评估按需咨询结果可能存在的质性差异。
一项描述性回顾性观察研究，分为两部分，各对应一个目标。
初级卫生保健机构。穆尔西亚的卡门健康中心，用于FCM研究生教学。
1990年2月1日至12月21日期间进行健康咨询的489例患者样本用于研究的第一部分；1991年4月8日至5月8日期间的所有咨询用于第二部分。涵盖五个家庭医疗诊所。
研究的变量包括：性别、年龄、首次或第二次医疗咨询、行政咨询、咨询原因、相互转诊次数和辅助检查次数。实习生每天的咨询量少于带教老师（p<0.001），26至35岁的年轻人比例更高（p<0.001），首次咨询（p<0.001）和行政咨询（p<0.001）占主导。然而，在辅助检查申请和转诊率方面未观察到差异。
