Emergency care in the city of Salamanca

Diego, M.L.; González Hierro, M.; Diego, M.L; González Hierro, M

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Emergency care in the city of Salamanca

Diego, M.L.; González Hierro, M.

Atencion Primaria 16(2): 89-91

1995

ISSN/ISBN: 0212-6567

PMID: 7626738

Document Number: 452639

To find, through a study of the Casualty Department (CD) of the University Hospital of Salamanca, the numbers of patients attending on their own initiative and those sent with a referral note by Primary Care (PC) doctors; and to analyse the quality of both the PC referral documents and the CD reports. A descriptive, retrospective study of Clinical Records, applying criteria for evaluating the quality of PC documents and CD reports. Casualty Department of the University Hospital of Salamanca, consisting of two hospitals. Overall, 2,299 Clinical Records (patients) were used: 941 and 1,359 requests for care, respectively for the two hospitals, in one week. There was a high degree of direct use of the CD. The quality analysis revealed a low level of compliance in the referral documents written by the PC doctors and, on the contrary, high compliance in reports by the CD doctors. Social-health factors may have an impact on the high use of the CD on the users' own initiative. There is no adequate understanding or coordination between the different care levels, as is demonstrated by the low quality of PC doctors' referral documents and the high level of compliance in the reports written by CD doctors.