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Revista Cubana de Medicina General Integral

Print version ISSN 0864-2125On-line version ISSN 1561-3038

Abstract

SANSO SOBERATS, Félix José; SILVA AYCAGUER, Luis C  and  SUAREZ JIMENEZ, Julio. Aspectos relacionados con la atención continuada a los pacientes en un área de salud. Rev Cubana Med Gen Integr [online]. 2000, vol.16, n.6, pp.556-563. ISSN 0864-2125.

In order to identify the most significant experiences of the population concerning the continuing attention to the patients and to know the criteria of the primary health care professionals in relation to the role they played in the process of patient referral and to the support they received (for their management) from other units with which they are interrelated, a descriptive and retrospective study was conducted in the health area of Plaza de la Revolución, in Havana City. A survey was done to know the criteria of the family physicians and of the population receiving the medical services. Our universe was composed of 32 physicians who worked at the polyclinic and attended the population living in the area and of all the families (5 895) from this health area that recieved the medical services. A two-stage cluster sampling was performed by selecting the family physician's offices with a probability proportional to the number of families and by systematic selection of families within the family physician's office (l96 in total). It was observed that though the access of the population to the services of the polyclinic is acceptable, the health care delivery by regions at the primary and secondary levels have considerable difficulties. It was also proved that in spite of the fact that most of the patients had access to secondary health care by collateral mechanisms, the accessibility of the population to the system was guaranteed

Keywords : PRIMARY HEALTH CARE [methods]; SECONDARY HEALTH CARE [methods]; PHYSICIANS, FAMILY; REFERRAL AND CONSULTATION; HEALTH CARE SURVEYS; QUALITY OF HEALTH CARE; PROGRESSIVE CARE PATIENT; INTERINSTITUTIONAL RELATIONS [methods]; COMMUNITY-INSTITUTIONAL RELATIONS.

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