Subject(s)
Health Knowledge, Attitudes, Practice , Oral Health , Oral Hygiene , Adolescent , Child , Humans , Rural Population , SpainABSTRACT
No disponible
Subject(s)
Child , Adolescent , Humans , Health Knowledge, Attitudes, Practice , Oral Health , Oral Hygiene , Rural PopulationABSTRACT
La auditoria de historias clínicas forma parte del proceso de evaluación de los objetivos fijados anualmente con las unidades de atención primaria en el Servicio Gallego de Salud. El objetivo de este trabajo es dar a conocer el sistema de mejora y evaluación de los servicios de atención primaria a través de técnicas de control de calidad y la efectividad del sistema gallego en la mejora de sus indicadores. Por primera vez, en la evaluación de los objetivos del año 2000, esta auditoría se realizó con la misma metodología en todas las áreas, lo que incluía auditar una muestra de historias clínicas representativa a nivel individual, participando en su diseño y como evaluadores los propios profesionales asistenciales. En el año 2001 se midieron 35 de los objetivos del área asistencial del contrato-programa. Fueron evaluados todos los profesionales médicos de familia, pediatras y personal de enfermería que trabajan en unidades de nuevo modelo, participando 60 de ellos como evaluadores. Se revisaron 125 historias clínicas por profesional, lo que supone un total de 130.000 historias clínicas de adultos y 20.000 pediátricas. Se elaboró un informe particular de cada una de las 250 unidades existentes identificando sus áreas de mejora. Si lo comparamos con el año anterior, conocemos la progresión en la cobertura con historia clínica correctamente cubierta que ya alcanza a más de un millón de adultos y de 200.000 niños, la evolución de la captación de pacientes con diabetes, hipertensión, cardiopatía isquémica e inmovilizados, la cobertura de las principales actividades preventivas y la calidad de la atención a nuestros pacientes inmovilizados (AU)
Subject(s)
Humans , Primary Health Care/standards , Quality Assurance, Health Care , Primary Health Care/economics , Quality Indicators, Health Care , SpainABSTRACT
OBJECTIVES: To find how much alcohol, tobacco and drugs adolescents consume and identify some linked socio-family variables. DESIGN: A crossover and descriptive study, with randomised sampling stratified by classrooms. SETTING: Secondary schools in the town of Lugo. PATIENTS AND OTHER PARTICIPANTS: 805 students of both sexes from the secondary schools. MEASUREMENTS AND RESULTS: We used a self-filled anonymous semiclosed questionnaire. 34.6% habitually consumed alcohol, of whom 43.3% had got drunk at least once in the previous 6 months and 7.1% on more than 13 occasions. 25.7% were habitual smokers. 12.3% had consumed cannabis; 10.1% tranquilisers; 7.5% amphetamines; 4.6% sleeping pills; 2.1% cocaine; 1.9% LSD; 1.5% heroin. Variables linked to consumption were: age, repeating the school year, considering him/herself a bad student, fighting, consumption by both parents, not doing sports, having more money and not having a good relationship with parents. CONCLUSIONS: Adolescent alcohol, tobacco and drug consumption is high and similar to other regions of Spain. Prevention strategies are needed, in the family, at school and in the media.
Subject(s)
Alcohol Drinking/epidemiology , Smoking/epidemiology , Substance-Related Disorders/epidemiology , Adolescent , Cross-Over Studies , Female , Humans , Male , Spain/epidemiologyABSTRACT
OBJECTIVE: To assess how fully clinical records (CR) at a health centre are filled in, using quality control techniques. DESIGN: Retrospective, descriptive study. SITE. The "Sagrado Corazón" (Lugo) Health team, made up of 6 General practitioners, 7 nursing staff (ATS-DUE) and 1 paediatrician. PATIENTS AND OTHER PARTICIPANTS: A systematic sample of 400 adult CR. MAIN MEASUREMENTS AND RESULTS: The data card and follow-up sections were correct in over 90% of CR. Weight and height were correct in 25.75%. The composite indicator showed that 32.25% of CR were correct. Results were better for CR of users over 44. The differences were significant for: personal case histories, Arterial Pressure, allergies, weight and height and composite indicator. CONCLUSIONS: The lack and bad distribution of nursing offices and weighing-scales could explain the results of the height and weight sections. The CR is not just a document store. However it must be improved.
