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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La evoluci&#243;n de la patolog&#237;a observada en una unidad neumol&#243;gica m&#233;dica de un hospital general&#44; antes y despu&#233;s de la implantaci&#243;n de un modelo de asistencia integrada en el Area de Salud&#44; puede ser &#250;til en el conocimiento de la patolog&#237;a atendida&#44; y en la organizaci&#243;n adecuada de estas unidades asistenciales&#46; El objetivo del presente trabajo es la comparaci&#243;n de datos recogidos prospectivamente en 1992&#44; con controles previos del mismo grupo de trabajo&#59; estos datos hist&#243;ricos se refieren a los informes cl&#237;nicos emitidos por el servicio hospitalario desde 1974 a 1986&#44; mientras que los de 1992 corresponden a todos los pacientes atendidos en el Area 11 de Salud&#44; por neum&#243;logos jerarquizados&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En ambos per&#237;odos los diagn&#243;sticos neumol&#243;gicos m&#225;s frecuentes fueron&#58; obstrucci&#243;n cr&#243;nica al flujo a&#233;reo y bronquitis cr&#243;nica hipersecretora&#44; siendo los no neumol&#243;gicos los de hipertensi&#243;n arterial sist&#233;mica&#44; obesidad&#44; diabetes&#44; hepatopat&#237;as y hernia de hiato&#47;reflujo gastroesof&#225;gico&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El estudio prospectivo se ha hecho sobre una base asistencial m&#225;s amplia y m&#225;s pr&#243;xima a la asistencia primaria al incluir centros de especialidades perif&#233;ricos&#59; en relaci&#243;n a la experiencia hospitalaria previa&#44; en este &#250;ltimo estudio son m&#225;s frecuentes los diagn&#243;sticos de infecci&#243;n respiratoria aguda&#44; obstrucci&#243;n cr&#243;nica al flujo a&#233;reo y asma&#44; adem&#225;s de los pacientes remitidos a los que no se ha demostrado patolog&#237;a respiratoria&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Con la integraci&#243;n de la asistencia neumol&#243;gica en el &#193;rea de Salud&#44; se ha aumentado la atenci&#243;n especializada&#44; en t&#233;rminos cuantitativos&#44; y se ha implantado un sistema de registro de la actividad&#44; sobre una base poblacional bien definida&#44; que permitir&#225; demostrar las previsiones de una mejor calidad asistencial&#44; con menor costo&#44; as&#237; como facilitar la relaci&#243;n con atenci&#243;n primaria y la realizaci&#243;n de estudios epidemiol&#243;gicos&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">An understanding of changes in pulmonology disease patterns observed at a general hospital before and after implantation of a population-based model of health care not only provides useful insight into the diseases treated but also aids adjustment of health care Service organization&#46; The aim of this study was to compare data collected after 1992 &#40;when the new system was established&#41; with records kept by the same pulmonology group in earlier years &#40;1974-1986&#41;&#46; Data after 1992 described patients attended in Health District 11 by the newly organized pneumologists&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">For the two periods the most common pneumological diagnoses were chronic air flow obstruction and chronic hypersecretory bronchitis&#46; The most common non pneumological diagnoses were systemic arterial hypertension&#44; obesity&#44; diabetes&#44; liver disease and hiatus hernia&#47;gastroesophageal reflux&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The prospective study covered a larger population and was closer to primary care&#44; including as it did patients at clinics unattached to hospitals&#46; In the earlier hospital-based experience the most common diagnoses were acute respiratory infection&#44; chronic air flow obstruction and asthma&#44; apart from those patients referred in whom no respiratory disease was found&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">With the organizational integration of hospital and health district pulmonology Service&#44; contact between patients and specialists has increased&#46; Record systems have been established for a well-defined population to permit better forecasting at less cost and facil&#237;tate contact with primary care givers and epidemiological studies&#46;</p></span>"
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Patología diagnosticada en una unidad neumológica integrada con su Área de Salud. Comparación con controles históricos
Diseases diagnosed in a respiratory unit with integrated health care. Comparison with historical records
P. Martín Escribano*, A. López Encuentra, I. Martín García, M.I. Cienfuegos Agustín, C. Caballero Borda
Servicio de Neumología. Hospital 12 de Octubre. Madrid
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Article information
ISSN: 03002896
Original language: Spanish
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