Fernández J L, Bolíbar I, López J, Sanz E
Institut de Recerca Epidemiològica i Clínica (IREC), PASS. Mataró, (Barcelona).
Aten Primaria. 1996 Jun 30;18(2):52-7.
To describe the use of medical and nursing services and changes attributable to the Primary Care reform.
A crossover study based in the community.
The city of Mataró (Barcelona), divided into seven Health Districts, four of which are reformed.
A representative sample of 1,880 beneficiaries of the public health service.
A home survey (February to June 1994).
The annual rate of use of the doctor was 78.9% and the frequency of attendance was 7.74 visits per person per year. Both rates were higher among women and increased with age, the 0 to 14-year old group being exceptional. The rate of use was greater in the reformed Districts as against the non-reformed ones; with the difference in frequency of visits not reaching statistical significance. Reformed Health District users stated they made less administrative visits and more prevention or follow-up attendances. Nursing services were used in the 2 weeks before the interview by 6.3%.
In both Primary Care models, factors meaning greater demand on both doctors and nurses are advanced age and being female.
描述医疗和护理服务的使用情况以及初级保健改革带来的变化。
一项基于社区的交叉研究。
马塔罗市（巴塞罗那），分为七个健康区，其中四个已进行改革。
1880名公共卫生服务受益人的代表性样本。
一项家庭调查（1994年2月至6月）。
医生的年使用率为78.9%，每人每年就诊频率为7.74次。这两个比率在女性中更高，且随年龄增长而增加，0至14岁年龄组除外。改革区的使用率高于未改革区；就诊频率的差异未达到统计学显著性。改革后的健康区使用者表示，他们进行行政就诊的次数减少，预防或随访就诊的次数增加。在访谈前两周内，6.3%的人使用了护理服务。
在两种初级保健模式中，导致对医生和护士需求增加的因素是高龄和女性。
