title: [The P-10 as a tool in the evaluation of the use of a pediatric hospital emergency service by the primary care network].
abstract: With the aim of determining if the Primary Care network adequately uses our centre's Emergency service, the 390 P-10s received during May and June 1990 were examined. The presence of clinical judgement, the percentage of admissions, the place of origin of the P-10, the relationship of the issuing centre to our Health Area, the diagnosis made in the Emergency Centre and the patient's destination were all analysed. 42.3% came from rural areas. Clinical judgement was exercised in 56.13%. The P-10s from urban areas showed that clinical judgement had been exercised in 63.6% of cases, as against only 49.7% in the rural areas and 43.2% in the special emergency service. 13.2% were admitted. 41.7% of the referral forms did not come from our health area. The results led us to conclude that there is an insufficient use of the P-10 in our field, as the majority of these patients could have been taken on by the Primary Care network.
authors.affiliation: Centro de Salud de Zalfonada, Hospital Infantil Miguel Servet, Zaragoza.
authors.forename: M L
authors.initials: ML
authors.lastname: Rubio Montañés
authors.forename: J C
authors.initials: JC
authors.lastname: Buñuel Alvarez
authors.forename: J A
authors.initials: JA
authors.lastname: Castillo Laita
authors.forename: J C
authors.initials: JC
authors.lastname: Palacín Arbues
authors.forename: A
authors.initials: A
authors.lastname: Fernández Revuelta
authors.forename: M
authors.initials: M
authors.lastname: Ruiz Gracia
mesh_terms: D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D011320:Primary Health Care; D012017:Referral and Consultation; D012424:Rural Population; D013030:Spain; D014505:Urban Population
vernacular_title: El P-10 como instrumento para la evaluación del uso de un servicio hospitalario de urgencias pediátricas por parte de la red de asistencia primaria.