Relación entre atención primaria y especializada
Relación entre atención primaria y especializada
复制标题
初级与特殊化之间的关系
作者：
N. G. Moreno;D. O. Beltrán;J. Merino
了解基层医疗与专科医生之间关系的现状。找出这种关系中的缺陷，并提出改进措施。设计德尔菲技术。区域医疗主任，初级保健中心的医疗协调员，医院医疗主任，内科服务主任和来自整个瓦伦西亚社区的伤亡主任。结果在对第一次和第二次调查问卷的答复进行定性分析后，提取了基层医疗/医院关系中最严重的10个问题，沿着了改善这种关系的10种可能的解决方案。结论：医院和初级保健之间发现的主要问题涉及专业和组织领域。所提出的解决方案主要集中在组织领域。在对问题和解决办法的答复的优先次序方面发现了具体的差异，这取决于观点是初级保健还是医院保健。
OBJECTIVES To find the current situation regarding the relationship between Primary Care and specialist doctors. To find the defects in this relationship and to propose actions to improve the situation. DESIGN Delphi technique. SETTING Area Medical Directors, Medical Coordinators of Primary Care Centres, Hospital Medical Directors, Internal Medicine Service chiefs and Casualty directors from the entire Community of Valencia. RESULTS After a qualitative analysis of the replies given in the first and second questionnaires, the 10 most serious problems for the Primary Care/Hospital relationship were extracted, along with 10 possible solutions to improve this relationship. CONCLUSIONS The main problems detected between Hospital and Primary Care concerned the professional and organisational areas. The solutions suggested mainly centered on the organisational area. Specific differences were found in the prioritization of the replies, both for problems and solutions, depending on whether the point of view was Primary or Hospital Care.