Abstract

CUESTA MEJIAS, Leonardo Antonio. Dispensarization in the "Playa" teaching and university polyclinic after one year of the reorganization. Rev Cubana Med Gen Integr [online]. 2011, vol.27, n.1, pp.42-49. ISSN 0864-2125.

Introduction: although originally conceived in the former Soviet Union, the dispensarization in our country was implemented together with the Health Situation Analysis, in main elements of family medicine, in other words, in the work organization of the Family Physician. Objectives: to determine the dispensarization situation after a year of the reorganization implementation of our family physician consulting rooms. Methods: a cross-sectional and descriptive study was conducted in our randomized sample, 400 individual medical records from the total of dispensarized patients presenting with chronic non-communicable diseases from the 9 Family and Nurse Family consulting rooms of the "Playa" Teaching and University polyclinic. Also, we analyzed the family health medical records of patients whose individual records were selected, as well as information from the Statistic Department registries of this polyclinic related to the activity carried out by health basic teams at consultation and in ground practice during January of current year. Results: most of patients are included in age groups over 50 years and of female sex suffering of only one chronic disease. The high blood pressure is the more prevalent chronic disease, followed by diabetes mellitus. The 40 % of patients has not a control, the 81 % of patients has been treated, both situations occurred in past year. Conclusions: the dispensarization has improved but still has many insufficiencies. Reorganization offers a potential still non explored to guarantee a better and integral medical care to our population.

Keywords : Dispensarized; control; non-communicable chronic diseases.

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