Rivas Crespo J C, de Pablo Chinchetru R, Cordero Guevara J A, Bonilla Alonso J
Centro de Salud García Lorca, Unidad Docente de Burgos.
Aten Primaria. 1997 Mar 31;19(5):257-61.
To evaluate the coordination between General and Specialist Medicine, its development and the causes of breakdowns.
Descriptive at two periods.
Burgos Health Area.
All the consultation request reaching Specialist Care (SC) in January 1993 and January 1995 from all the Primary Care Centres running the Mostrador programme (23); random sample of these requests in order to evaluate the proportion of return six months after the requests and to study the data found in the interconsultation notes (ICN) returned to Primary Care (PC).
The percentage of requests without and appointment being made was similar. 1.21% (1993) and 1.30% (1995); the most common cause was error/lack of data. The percentage of ICN returned to PC 6 months after the requests was also similar: 24.10% (1993) and 22.03% (1995). The most frequent reason for the failure in the circuit was that the specialist "retained" the ICNs.
General Medical and Specialist coordination was similar in the two periods evaluated. It was adequate for the appointment-making process, but there were break-downs in communication between doctors using the ICN. The most important reasons for these failures were identified.
评估全科医学与专科医学之间的协调情况、其发展以及中断原因。
分两个阶段进行描述性研究。
布尔戈斯健康区。
1993年1月和1995年1月所有运行“咨询台”项目的初级保健中心（共23个）向专科护理（SC）提出的所有会诊请求；对这些请求进行随机抽样，以评估请求提出六个月后的回访比例，并研究返回初级保健（PC）的会诊间记录（ICN）中的数据。
未预约的请求百分比相似，1993年为1.21%，1995年为1.30%；最常见原因是错误/数据缺失。请求提出六个月后返回PC的ICN百分比也相似：1993年为24.10%，1995年为22.03%。流程失败最常见的原因是专科医生“扣留”了ICN。
在所评估的两个阶段中，全科医学与专科医学之间的协调情况相似。在预约流程方面是足够的，但使用ICN的医生之间存在沟通中断。确定了这些失败的最重要原因。
