Evaluation of the consultants to a urology service at hospital level

被引:2
作者
Navarro Medina, Patricio [1 ]
Blanco Diez, Antonio [1 ]
Alvarado Rodriguez, Alejandro [1 ]
Barroso Deyne, Eduardo [1 ]
Artiles Hernandez, Jose Luis [1 ]
Chesa Ponce, Nicolas [1 ]
机构
[1] Complejo Hosp Univ, Insular Materno Infantil Gran Canaria, Serv Urol, Las Palmas Gran Canaria 35016, Spain
来源
ACTAS UROLOGICAS ESPANOLAS | 2009年 / 33卷 / 03期
关键词
Consultants; Urology; Hospital;
D O I
10.1016/S0210-4806(09)74145-2
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective: The main objectives of this study were to value the quality of the contained information. the characteristics of the consultants (IC) and as well as to know the performance carried out buy the service of Urology in Our hospital. Material and methods: It was carried Out an observational descriptive study where file documents of IC picked up by the service of Urology during 8 months were analyzed. Previously defined approaches of quality Were Used by Irazabal CL al (changed) and Batista Miranda JE et al. Results: They were picked up a total of 411 IC, arrivals to the service in a serial way. Corning from 27 hospital services. 82.2% of the derivatived patients were male. The half aloe of the patients was of 63.25 years. 192 patients had personal urological records of interest (47%). The IC grouped in 27 different reasons. The reason of more frequent consultation was the incidentaloma with 21.5%. Regarding the grade of execution of the document of IC: there was perseverance of filiation data (96.3%), a description of the symptoms was in 68.2% and the physical examination appeared reflected in 8.8%, of the total of the IC. They were requested as normal IC 63.4%, preferent 25% and urgent 11.7%. The days of answer to the IC it was of stocking of 1.45 days with typical deviation of 1.65 days. According to the established approaches. to classify file (documents for adaptation level, they were classified as inappropriate to 32.9% of the IC (n=135). They were classified in grade I the 44.6%, (n=183). grade 2.20% (n=82) and grade 32.4% (n=10), The attitude that was taken: it was remitted to External Consultations of Urology to 10.5% of the total of the IC. to the Center of Specialized Attention to 7.8%. it was requested complementary tests to 7.8%. it was remitted to the functional Tests of Urology for the realization of some complementary v test to 61 patients (14.9%). it was presented in Clinical Session of Urology to 5.6% of the patients, he/she moved to the Service of Urology to 2 patients (0.5%) and he/she took sonic other therapeutic attitude in 19.6%. these results had a p=0.000 significance. Conclusion: in our study, we observe a hi h percentage as I, or the perseverance of the data of lightly interior filiation in the description of the symptoms and considered low in the physical exploration. A high percentage of inappropriate considered IC. Regarding the attitude that, took the service of Urology. may be had a low used of the Functional Unit. Until the moment and under our knowledge a study carried Out in the environment from the realized IC to the Service of Urology in a Hospital of third level only exists and we believe that the realization of studies Would improve the quality from the attendance to our patients.
引用
收藏
页码:304 / 308
页数:5
相关论文
共 5 条
[1]  
ARRIBAS VR, 2000, ATEN PRIM, V26, P681
[2]  
MIRANDA JEB, 1994, ARCH ESP UROL, V47, P307
[3]  
Peromingo JAD, 1999, REV CLIN ESP, V199, P66
[4]  
Secades RM, 2004, REV CLIN ESP, V204, P345
[5]   EXPLAINING VARIATION IN GENERAL-PRACTITIONER REFERRALS TO HOSPITAL [J].
WILKIN, D ;
SMITH, A .
FAMILY PRACTICE, 1987, 4 (03) :160-169