[Service demand flow and planning in primary care]. 1994

M M Alonso Martínez, and F J Mora Guío, and M E Calonge García, and I Bravo Martín, and M J Santelesforo Navarro, and E Jiménez Cañizares
Centro de Salud San Fernando, Unidad Docente de Medicina Familiar y Comunitaria, Móstoles, Madrid.

OBJECTIVE We wish to know the moment from which people first came into contact with general practitioners in Primary Care and which socio-demographic variables influence this. METHODS Prospective, observational study. METHODS Primary Care, general practitioners. METHODS 469 people newly registered with a general practitioner. Follow-up study is 12 months. RESULTS We have made a Kaplan-Meier survival analysis and a comparison of curves with a log rank test. 50% of population visit for the first time during the fourth months following their registration. 75% of newly-registered of people attend at least once during the first year following registration. Women are more likely to attend than men (p < 0.001), people older than 53 years of age (p < 0.001) and young people with chronic health problems (p < 0.01) are also more likely to visit the doctor than others. CONCLUSIONS At least one time at year had attended 75% of people of new registration in Primary Care. Women, people older than 53 and young people with chronic health problems attend before. This observation leads us to begin the "finding case" strategy as a screening method, to use this fact to instigate prevention activities, health education campaigns and to avoid overburdening the workload, in order to manage services request.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011320 Primary Health Care Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192) Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005194 Family Practice A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family. Family Practices,Practice, Family,Practices, Family
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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