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        "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento Y Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#250;n no existe un esquema de relaci&#243;n asistencial &#243;ptimo entre la medicina de atenci&#243;n primaria y la neumolog&#237;a&#46; El objetivo de este estudio es pre-sentar y evaluar el grado de satisfacci&#243;n con un nuevo es-quema de relaci&#243;n entre neumolog&#237;a y la medicina de aten-ci&#243;n primaria</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Valorar por encuesta el grado de satisfacci&#243;n de un esquema mixto&#44; de consultor&#237;a y atenci&#243;n directa del pa-ciente&#46; El estudio se efectu&#243; en un centro de atenci&#243;n primaria cuya plantilla estaba formada por 31 m&#233;dicos generales&#46; La de neumolog&#237;a constaba de un m&#233;dico y dos enfermeras que pro-ven&#237;an del hospital de referencia&#46; Se determin&#243; el grado de satis-facci&#243;n de los m&#233;dicos y de 60 pacientes respecto del esquema mediante una encuesta que incluy&#243;&#58; a&#41; valoraci&#243;n global por puntuaci&#243;n de 0 a 10&#59; b&#41; valoraci&#243;n por escala discriminante de 5 niveles &#40;de muy mala a muy buena&#41;&#44; y c&#41; comparaci&#243;n del nuevo esquema evaluado respecto a los previos</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se atendi&#243; a 1&#46;170 pacientes en 12 meses&#59; 663 &#40;57&#37;&#41; en primera visita&#44; 400 &#40;34&#37;&#41; en segunda visita y 107 &#40;9&#37;&#41; urgentes&#46; El grado de satisfacci&#243;n con el esquema asis-tencial se puntu&#243; con una media de 7&#44;8 &#40;1&#44;2&#41; por los m&#233;dicos y de 8&#44;7 &#40;1&#44;5&#41; por los pacientes &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;030&#41;&#59; el 97&#37; de los m&#233;di-cos y el 94&#37; de los pacientes lo calificaron de &#8221;muy bueno&#8220; o &#8221;bueno&#8220;&#44; y lo consideraron mejor que el esquema tradicional el 100&#37; de los m&#233;dicos y el 64&#37; de los pacientes &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;110&#41;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El esquema asistencial neumol&#243;gico plan-teado es mayoritariamente aceptado por m&#233;dicos y pacien-tes&#46; La acci&#243;n asistencial conjunta que propugna agiliza la utilizaci&#243;n de los recursos en la actividad neumol&#243;gica ex-trahospitalaria</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">No ideal model for coordinating primary care and specialized respiratory medicine has been established</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">To evaluate primary care physicians&#39; and patients&#39; degree of satisfaction with a new program for coordi-nating respiratory medicine and primary care</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A questionnaire survey of the level of satisfaction with a program combining consultation and direct patient care&#46; The study was carried out at a primary care facility whose staff comprised 31 general practitioners&#46; The respira-tory medicine staff consisted of one physician and two nurses from the reference hospital&#46; A questionnaire to determine the physicians&#39; and patients&#39; satisfaction with the program asked for a&#41; overall evaluation on a scale of 0 to 10&#59; b&#41; evaluation on a scale naming five levels from &#8221;very bad&#8220; to &#8221;very good&#8220;&#44; and c&#41; comparison of the new program with previous ones</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">One thousand one hundred seventy patients were seen in 12 months&#59; 663 &#40;57&#37;&#41; received a first visit&#44; 400 &#40;34&#37;&#41; received a second visit&#44; and 107 &#40;9&#37;&#41; received emer-gency care&#46; The level of satisfaction was 7&#46;8 &#40;1&#46;2&#41; among physicians and 8&#46;7 &#40;1&#46;5&#41; among patients &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;030&#41;&#59; 97&#37; of the physicians and 94&#37; of the patients described the program as &#8221;very good&#8220; or &#8221;good&#8220;&#46; According to 100&#37; of the physicians and 64&#37; of the patients&#44; the new program was better than the old one &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;110&#41;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The coordinated care plan proposed is ac-cepted by most physicians and patients and uses primary respiratory medicine resources more efficiently</p>"
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Journal Information
Vol. 39. Issue 2.
Pages 57-61 (February 2003)
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Vol. 39. Issue 2.
Pages 57-61 (February 2003)
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Grado de satisfacción de médicos y pacientes en atención primaria con un nuevo esquema asistencial neumológico
Primary care physicians' and patients' degree of satisfaction with a new respiratory medicine health care program
Visits
9748
V. Plaza
Corresponding author
vplaza@hsp.santpau.es

Correspondencia: Departament de Pneumologia. Hospital de la Santa Creu i Sant Pau.Sant Antoni M. Claret, 167. 08025 Barcelona. España
, G. Rodríguez Trigo, M. Peiró, S. Fernández, T. Nolla, J. Puig, J. Sanchis
Departament de Pneumologia. Hospital de la Santa Creu i Sant Pau. Centro de Atención Primaria Maragall. Barcelona. España
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Article information
Fundamento Y Objetivos

Aún no existe un esquema de relación asistencial óptimo entre la medicina de atención primaria y la neumología. El objetivo de este estudio es pre-sentar y evaluar el grado de satisfacción con un nuevo es-quema de relación entre neumología y la medicina de aten-ción primaria

Método

Valorar por encuesta el grado de satisfacción de un esquema mixto, de consultoría y atención directa del pa-ciente. El estudio se efectuó en un centro de atención primaria cuya plantilla estaba formada por 31 médicos generales. La de neumología constaba de un médico y dos enfermeras que pro-venían del hospital de referencia. Se determinó el grado de satis-facción de los médicos y de 60 pacientes respecto del esquema mediante una encuesta que incluyó: a) valoración global por puntuación de 0 a 10; b) valoración por escala discriminante de 5 niveles (de muy mala a muy buena), y c) comparación del nuevo esquema evaluado respecto a los previos

Resultados

Se atendió a 1.170 pacientes en 12 meses; 663 (57%) en primera visita, 400 (34%) en segunda visita y 107 (9%) urgentes. El grado de satisfacción con el esquema asis-tencial se puntuó con una media de 7,8 (1,2) por los médicos y de 8,7 (1,5) por los pacientes (p=0,030); el 97% de los médi-cos y el 94% de los pacientes lo calificaron de ”muy bueno“ o ”bueno“, y lo consideraron mejor que el esquema tradicional el 100% de los médicos y el 64% de los pacientes (p=0,110)

Conclusiones

El esquema asistencial neumológico plan-teado es mayoritariamente aceptado por médicos y pacien-tes. La acción asistencial conjunta que propugna agiliza la utilización de los recursos en la actividad neumológica ex-trahospitalaria

Palabras clave:
Consultas ambulatorias
Medicina de atención primaria
Neumología
Relación medicina general y medicina hospitalaria
Background

No ideal model for coordinating primary care and specialized respiratory medicine has been established

Objective

To evaluate primary care physicians' and patients' degree of satisfaction with a new program for coordi-nating respiratory medicine and primary care

Method

A questionnaire survey of the level of satisfaction with a program combining consultation and direct patient care. The study was carried out at a primary care facility whose staff comprised 31 general practitioners. The respira-tory medicine staff consisted of one physician and two nurses from the reference hospital. A questionnaire to determine the physicians' and patients' satisfaction with the program asked for a) overall evaluation on a scale of 0 to 10; b) evaluation on a scale naming five levels from ”very bad“ to ”very good“, and c) comparison of the new program with previous ones

Results

One thousand one hundred seventy patients were seen in 12 months; 663 (57%) received a first visit, 400 (34%) received a second visit, and 107 (9%) received emer-gency care. The level of satisfaction was 7.8 (1.2) among physicians and 8.7 (1.5) among patients (p=0.030); 97% of the physicians and 94% of the patients described the program as ”very good“ or ”good“. According to 100% of the physicians and 64% of the patients, the new program was better than the old one (p=0.110)

Conclusions

The coordinated care plan proposed is ac-cepted by most physicians and patients and uses primary respiratory medicine resources more efficiently

Keywords:
Outpatient clinics
Primary care
Respiratory medi-cine
Relations between primary and hospital care
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