Resumo

SANSO SOBERATS, Félix José; FERNANDEZ PEREZ, Aidelis  e  LARRINAGA HIERREZUELO. La dispensarización: entre lo normado y lo posible. Rev Cubana Med Gen Integr [online]. 1999, vol.15, n.6, pp. 605-612. ISSN 1561-3038.

A retrospective and descriptive study was conducted in the physician's office No. 27 of "Plaza de la Revolución" Polyclinic, in order to know the fulfillment of classiffication in Primary Care, where from September 1997, a new system for planning health actions has been experimentally applied, which has proved to be more efficient than the present one, regarding the follow- up and control of patients. One hundred percent of the medical records of the physician's office were analyzed and the office and house visits made in 1998 were calculated according to their classification. The number of office visits and house visits during this year, as well as the time devoted to other activities were drawn from the physician's sheet for the control of patients. A comparison between the information gathered in the medical records and in the sheets for the control of patients was made. The average of patients seen by activity and the exact number of non-classified patients, as well as the visits to hospitalized patients and the real number of houses visited by the nurse were determined. It was demonstrated that the Family Physician dedicated 78.96 % of his/her work hours to medical assistance, with a productivity of 9.4 in office visits and 8 in house visits. A little more than the ramaining 20 % of the working time was devoted to other activities. Approximately 1/6 of the area's patients was not classified. It was confirmed that even with a more efficient organization system in the physician's office, the fulfillment of the established norms for the classification was not possible. An analysis of the variables that may be influencing this result is being carried out and recommendations are given.

Palavras-chave : DISPENSATORIES; PRIMARY HEALTH CARE.

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