Abstract

CUESTA MEJIAS, Leonardo Antonio. The urgency care and dispensarization in the Playa Teaching and University Polyclinic. Rev Cubana Med Gen Integr [online]. 2011, vol.27, n.3, pp. 371-377. ISSN 0864-2125.

INTRODUCTION: A significant number of dispensarized patients due to priority of chronic diseases came frequently to our urgency services and generally are not real urgencies. The dispensarization in our health area has many insufficiencies. This situation determines the assistance of many of patients to above mentioned services searching of a non-satisfied care at physician and nurses family consulting rooms. OBJECTIVES: To characterize the situation of urgencies care in general and the urgency care to patients diagnoses with non-communicable diseases in particular in the Playa Teaching University Polyclinic. METHODS: A cross-sectional and descriptive study was conducted through a documentary review of activity files of urgency service of October, November and December, 2006 and January, February and March, 2007. The main study variables were: number of patients in general seen in this service, patients cared due to priority diseases within dispensarization, patients seen due a real deterioration of their disease and especially those that needed to be admitted in our observation ward from some of these affections. These latter were registered and their medical records were reviewed, as well the daily activities files of their family physicians from the three days after admission. RESULTS: Most of patients coming to our service of urgency are adults, from them around the 15 % do it due to a chronic disease, most of them from bronchial asthma and blood pressure (more than 97 %). Only the 1.1 % of patient seen due to some chronic disease, was admitted in the observation ward by deterioration of its affection. CONCLUSIONS: Patients in general, but those carriers of non-communicable chronic diseases in particular, have a poor care at level if our family physicians and family nurses who in some extent try to replace the urgency services of the polyclinic.

Keywords : Chronic diseases; urgency care; dispensarization.

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