Resumen

SANSO SOBERATS, Félix José. Propuesta de modelo de referencia y contrarreferencia en el sistema de salud cubano. Rev Cubana Med Gen Integr [online]. 1999, vol.15, n.6, pp.613-620. ISSN 0864-2125.

Since it was decided in 1996 that individual medical records in the primary health card would not longer be ambulatory, there is not an ofiicial model to transfer patients through the health system. This task consists in the presentation of a project for a reference and counter- reference model to be used in such a system. Prior to the creation of this model, the previous ambulatory individual medical record and the hospital discharge summary were examined; and the results of the investigations on the transference system were taken into acccount. On making the proposal, care was taken so that the model would meet the following principles: unique, practical and integrating. It was conceived to be carried by the patient during tranference. The model is presented and its validation is recommended. It is also suggested to establish and control the fulfillment of rules related to the reference and counter-reference system.

Palabras clave : MEDICAL RECORDS; PRIMARY HEALTH CARE.

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