Use of non-invasive positive pressure ventilation in emergency departments of hospitals in Spain.

A survey was undertaken of the use of non-invasive ventilation (NIV) in Spain. 45.7% of emergency departments use NIV. The average time it has been in use is 4 years. Public hospitals use NIV more frequently (89.5%) as well as teaching hospitals (78.1%). Emergency physicians are the professionals who most frequently use NIV (68.8%). High flux continuous positive airway pressure (58.4%) and facial masks (63.5%) are most commonly used. Only 18.9% of hospitals have quality registration in NIV and 35.6% have protocols for using NIV. The method is underused by technicians working in hospital emergency services and there is a lack of uniform protocols with other departments involved.

[What are users views of medical residents attending primary care consultations?]. / 'Qué opinión tienen los usuarios de la presencia de los médicos residentes en las consultas de atención primaria?

OBJECTIVE: To find what users think of the presence of medical residents (MIR) at primary care consultations. DESIGN: Observational and cross-sectional descriptive study. SETTING: Urban health centre. PATIENTS: 421 patients, selected by systematic sampling, attending consultations of MIR tutors. METHOD: A structured questionnaire was drawn up, with some closed questions with multiple-option replies on the Likert scale; and others with a yes/no or "indifferent" reply. The questionnaires were filled out in the waiting-rooms. RESULTS: 100% (63% women, 37% men) answered the questionnaire. 71% preferred to be seen by the same doctor; and 68% thought they were better treated if they were always seen by the same doctor. 89% thought that the presence of the resident was a necessary part of his/her training; 90% were not bothered by his/her presence during the consultation; 82% thought the resident did not obstruct in any way their relationship with the doctor; 94% thought that the presence of the resident had never stopped them mentioning something important; 55% thought that patients had the right to an opinion on the presence of the resident. CONCLUSIONS: Most patients valued the presence of residents at consultations positively and thought it a necessary part of their training.

¿Qué opinión tienen los usuarios de la presencia de los médicos residentes en las consultas de atención primaria? / What are users’ views of medical residents attending primary care consultations?

Objetivo. Conocer la opinión de los usuarios acerca de la presencia de médicos internos residentes (MIR) en las consultas de atención primaria. Diseño. Estudio descriptivo, observacional y transversal. Emplazamiento. Centro de salud urbano. Participantes. Se seleccionó por muestreo sistemático a 421 pacientes de las consultas de los tutores de los MIR. Medición. Se elaboró un cuestionario estructurado de preguntas cerradas de respuestas alternativas de múltiples opciones con escala de Likert, y otras de respuesta dicotómica a la que se añadió la respuesta: «es indiferente». Las encuestas se realizaron en las salas de espera. Resultados. Todos los pacientes respondieron al cuestionario (un 63% mujeres y un 37% varones). El 71% prefiere que le atienda el mismo médico; el 68% considera estar mejor tratado si le atiende siempre el mismo. El 89% cree que la presencia del MIR es necesaria para su formación, al 90% no le molesta su presencia en la consulta, el 82% cree que el MIR nunca entorpece la relación con el médico y el 94% declara que nunca ha dejado de expresar algo importante ante la presencia del MIR en la consulta. El 55% piensa que el paciente tiene derecho a opinar sobre la presencia del residente en la consulta. Conclusiones. La mayoría de los pacientes considera positiva la presencia de los MIR en las consultas de atención primaria y la cree necesaria para la formación de éstos

Objective. To find what users think of the presence of medical residents (MIR) at primary care consultations. Design. Observational and cross-sectional descriptive study. Setting. Urban health centre. Patients. 421 patients, selected by systematic sampling, attending consultations of MIR tutors. Method. A structured questionnaire was drawn up, with some closed questions with multiple-option replies on the Likert scale; and others with a yes/no or "indifferent" reply. The questionnaires were filled out in the waiting-rooms. Results. 100% (63% women, 37% men) answered the questionnaire. 71% preferred to be seen by the same doctor; and 68% thought they were better treated if they were always seen by the same doctor. 89% thought that the presence of the resident was a necessary part of his/her training; 90% were not bothered by his/her presence during the consultation; 82% thought the resident did not obstruct in any way their relationship with the doctor; 94% thought that the presence of the resident had never stopped them mentioning something important; 55% thought that patients had the right to an opinion on the presence of the resident. Conclusions. Most patients valued the presence of residents at consultations positively and thought it a necessary part of their training