ArticleAtencion primaria2011
[Primary care consultations: are they all by the doctor?].
Article in Atencion primaria, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed.
- The treatment of mild upper respiratory tract infections - a position paper with recommendations for best practice.Drugs in context · 2023Review
- The evolution of the role of nursing in primary health care using Bourdieu's concept of habitus. A grounded theory study.PloS one · 2022Article
- Effect of the economic crisis on the use of health and home care services among Spanish COPD patients.International journal of chronic obstructive pulmonary disease · 2018Article
- Use of Primary Care Services, Care Specialized and Drug Use by Population 65 Years and More in the Community of Madrid, Spain.Revista espanola de salud publica · 2016Article
- [Evaluation of Nurse Demand Management in Primary Care].Atencion primaria · 2016Article
- Article
- [Health care pressure and redistribution of tasks: an opportunity to improve primary care].Atencion primaria · 2011Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo find out the proportion of primary healthcare consultations that could be attended by another professional other than the doctor.
designmulticentre cross-sectional study. LOCATION: Primary healthcare, west-gipuzkoa region, with 17 health centres taking part.
participantsReasons for consultation dealt with by 38 doctors over 5 days. MAIN MEASUREMENTS: Age, sex, frequency, category, initiative, reason for consultation and ideal level of healthcare.
resultsA total of 4,377 patients who generated 5,592 consultations were included. The average frequency was 10 visits/year. The large majority (93.1%) of consultations took place in the centre, 5.4% by telephone and 1.5% were home visits. A total of 74.4% of the consultations were requested, 17.2% arranged by the doctor, 6.4% arranged by protocol, 2% at the request of other professionals, and 8% were urgent. The reasons were; 71.5% (95% CI: 69.8-73.2) were medical clinical, 7.2% (6.2-8.2) minor symptoms, 18.4% (17.1-19.5) bureaucratic, and 2.9% (2.3-3.3) for information. The consultations for medical reasons accounted for 80.5% (79.3-81.7) and 19.5% (18.3-20.7) were for non-medical reasons. Non-medical reasons made up 29.3% of the telephone consultations, 20.2% of the consultations in the centre, and 2.4% of the home visits, as well as 16.7% of the urgent consultations. The ideal level of healthcare was considered to be doctor 80.7%, 13.2% nursing and 2.8% administrative. In the consultations for minor symptoms, nursing was considered the ideal level in 65.3% of cases.
conclusionsOne out of every 5 consultations could be dealt with by a professional other than the doctor, which in 5 hours of consultations would allow 1 hour to be gained which could be used for other activities.
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