[Usefulness of a morbidity registry for service planning and assessment of quality of care]. / Utilidad para la planificación de servicios y evaluación de la calidad asistencial de un registro de morbilidad.

BACKGROUND: Objective. 1. To know the primary and secondary chief complaints. 2. To obtain health problems incidence and prevalence rates of the population attended. 3. To evaluate the usefulness of a selective morbidity registry, of certain complaints in order to elaborate assistance quality indicators. DESIGN: Descriptive cross-sectional study. Site: Health urban center (Nazaret, Valencia) for primary assistance. PARTICIPANTS: Randomized sample of patients attended during a year (n = 2898). Age, sex and case history number were recorded as well as whether the complaint was chief, secondary, new or known. RESULTS: Among all the problems recorded, the bureaucratic ones (prescriptions) accounted for 11.6% (IC95%: 4.3 +/- 12.8), working disability certificates due to health being 5.1% (IC95%: 4.3 +/- 5.9). Among the patients attended there was an incidence rate of 10(5) year patients in the acute respiratory infections of 12584.3, acute bronchitis was 2516.8 showing the highest prevalence those regarding administrative sources and attention of chronic pathologies. CONCLUSIONS: A morbidity record with the characteristics mentioned leads to the knowledge of the problems of the population attended and to assess some aspects of assistance quality (disease cases avoidable by vaccine, assistance administrative charge, health training activities during the consult ...), especially when these sampling are performed periodically.

[Survey of satisfaction among health center users]. / Encuesta de satisfacción a los usuarios de un centro de salud.

OBJECTIVES: To find out the satisfaction's level of the Nazaret (Valencia) Health Center's users; To detect the deficiencies in the areas under study; To find out whether or not there are differences with previous studies in primary care. DESIGN: Transversal study, results evaluation with no equivalent control group. SETTING: (site). Primary health care. Neighborhood of Valencia with 6749 people. With a regressive Sundbarg index, and the 42.6% of the population that are older than nine years are illiterate or with incomplete primary education, the income level index by neighborhood in 1986 is -5.6 (range: 13.4; -8.1). TARGET POPULATION: all the Nazaret Health Center users. The inclusion criteria were: 1. Eighteen years old (or older) users. 2. That had contacted previously for whatever reason (administrative or sanitary) with the health center at least in one occasion during the prior 6 months. The random sample was selected for a 5% maximum error, a 95.5% confidence level, and a p < or = 30% for the negative answers from the scale, its size was 323 patients, with a 20% increase for forecasted no cooperation/no answers (n = 388). INTERVENTION AND RESULTS: The average age of the interviewed was 42 years. The total adding score was 98.1 (theoretical range: 27-135). The score by areas (theoretical range 9-45) was: personal quality area 35.5 professional competence 32.4 and the relationship cost-comfort 30.5. A total (overall) satisfaction item had an average of 7.2 on a 1 to 10 scale, with P10 = 5, P50 = 7, P90 = 10. The analysis of variance shows that satisfaction increases with age, with the attachment to the same doctor, with feminine sex, with unemployment and, with low educational level, being more critic the young people and the people with educational level (not significative difference). CONCLUSION: We consider that users have a good degree of satisfaction, that the ratio cost-comfort should be improved, there is a significative improvement compared with previous studies done with the former primary health care model.