ABSTRACT
This article analyzes the defining traits of primary health care: length, accessibility, integrity, and coordination/continuity while bearing in mind the influence which these traits have on the organizational purpose of nursing. The evolution of nursing is also studied as it relates to the various reform phases in primary health care: the impulse phase and the implementation phase. A few aspects of this article were presented at the IV Primary Health Care Nursing Meeting which took place in Murcia.
Subject(s)
Nursing Care/organization & administration , Primary Health Care/organization & administration , Continuity of Patient Care/organization & administration , Efficiency, Organizational , Health Care Reform , Humans , Nursing Evaluation Research , Organizational Objectives , Quality of Health Care , SpainSubject(s)
Clinical Protocols , Medical Records , Primary Health Care/organization & administration , Evaluation Studies as Topic , Follow-Up Studies , Forms and Records Control/statistics & numerical data , Humans , Medical Records/statistics & numerical data , Primary Health Care/statistics & numerical data , SpainABSTRACT
OBJECTIVE: A comparative analysis of the different models of adult case history at primary care (PC) level available in the Spanish state. Their degree of homogeneity, both in design and information-gathering capacity, was evaluated. DESIGN: A descriptive study. MATERIAL: Eleven individual adult PC cases histories, still open in 1991. MAIN MEASUREMENTS AND RESULTS: Only four of the models allowed more than 75% of the basic data to be gathered. Three histories had up to six loose pages. In six, the presence of specific records was verified. CONCLUSIONS: There is a lack of standardisation both in the designs of case histories and in the information which these allow to be gathered. Information was scattered because of the presence of specific records and of loose pages. Systematic inclusion of preventive activities into the records is not sufficiently normalised.
