Díaz Sánchez S, Cabrera Vélez R, Alonso Roca R, Vázquez Gallego J
Centro de Salud de Isabel II de Parla, Madrid.
Aten Primaria. 1993 Oct 31;12(7):401-3, 405-6.
To discover the recruitment and follow-up coverage of Prenatal Care in Parla Health Center, derivation causes and quality control of follow-up.
Descriptive and retrospective study.
We obtained 445 newborns (from May 1991 to April 1992) in pediatric records of Health Center, and encountered 412 women records (93%).
We measured general practitioner coverage, obstetric derivation and causes, and audit of 23 quality markers selected. General practitioner diagnosed pregnancy in 142 cases (32%). Of them, 63 were derivated at the beginning, 19 at the following-up, and 60 cases (13.5% of total newborns known) were completed in primary care. In these, 19 of 23 quality markers were fulfilled over 80%.
We emphasized the poor capacity of primary care for recruiting pregnancies in the moment (most of them went straight to obstetric), and the excellent results of quality control markers. These situations can be as similar as many others Health Centers in urban areas. Coordination with Reference Obstetric Services is necessary as a strategy to increased the coverage of these programs.
了解帕尔拉健康中心产前护理的招募和随访覆盖情况、随访的衍生原因及质量控制。
描述性回顾性研究。
我们从健康中心的儿科记录中获取了445名新生儿（1991年5月至1992年4月），并找到了412份女性记录（93%）。
我们测量了全科医生的覆盖情况、产科衍生情况及原因，以及对所选23项质量指标的审核。全科医生诊断出142例妊娠（32%）。其中，63例一开始就被转诊，19例在随访时被转诊，60例（占已知新生儿总数的13.5%）在初级保健中完成。在这些病例中，23项质量指标中有19项的达成率超过80%。
我们强调了当前初级保健在招募孕妇方面能力不足（大多数孕妇直接前往产科），以及质量控制指标的出色结果。这些情况可能与许多城市地区的其他健康中心类似。作为增加这些项目覆盖范围的一项策略，与参考产科服务机构进行协调是必要的。
