• 作者：Jes&#250 ; s Millas Ros^a ; ^{jesus.millasros@osakidetza.net} ; Antxon Otegui Recio^b ; Sofí ; a Perez Gil^c ; Marí ; a Jes&#250 ; s Arzuaga Arambarri^d ; José ; Manuel Martinez Eizaguirre^e ; Maria Jes&#250 ; s Insausti Carretero^f ; Miembros del Grupo de Investigació ; n de la Comarca Oeste de Gipuzkoa (CGO)^&loz ;
• 关键词：Atenció ; n primaria ; Motivos de consulta ; Utilizació ; n
• 刊名：Atenci贸n Primaria
• 出版年：2011
• 期刊代码：pca69_02126567
• 类别：med
• 出版时间：October 2011
• 卷：43
• 期：10
• 页码：516-522
• 文件大小：162 K

Objectives

To find out the proportion of primary healthcare consultations that could be attended by another professional other than the doctor.

Design

multicentre cross-sectional study.

Location

Primary healthcare, west-gipuzkoa region, with 17 health centres taking part.

Participants

Reasons for consultation dealt with by 38 doctors over 5 days.

Main measurements

Age, sex, frequency, category, initiative, reason for consultation and ideal level of healthcare.

Results

A total of 4,377 patients who generated 5,592 consultations were included. The average frequency was 10 visits/year. The large majority (93.1%) of consultations took place in the centre, 5.4%by telephone and 1.5%were home visits.

A total of 74.4%of the consultations were requested, 17.2%arranged by the doctor, 6.4%arranged by protocol, 2%at the request of other professionals, and 8%were urgent.

The reasons were; 71.5%(95%CI: 69.8-73.2) were medical clinical, 7.2%(6.2-8.2) minor symptoms, 18.4%(17.1-19.5) bureaucratic, and 2.9%(2.3-3.3) for information.

The consultations for medical reasons accounted for 80.5%(79.3-81.7) and 19.5%(18.3-20.7) were for non-medical reasons. Non-medical reasons made up 29.3%of the telephone consultations, 20.2%of the consultations in the centre, and 2.4%of the home visits, as well as 16.7%of the urgent consultations.

The ideal level of healthcare was considered to be doctor 80.7%, 13.2%nursing and 2.8%administrative. In the consultations for minor symptoms, nursing was considered the ideal level in 65.3%of cases.

Conclusions

One out of every 5 consultations could be dealt with by a professional other than the doctor, which in 5 hours of consultations would allow 1 hour to be gained which could be used for other activities.