[Clinical records: our experience during the 1st year].
OBJECTIVE
To describe the evolution of attendance indicators over a period of a year on introducing a new model of health care.


METHODS
Observational and descriptive.


METHODS
A local primary health care consulting-room.


METHODS
Population in the census, population requesting care, population with medical records, the number of visits and reasons for attendance.


METHODS
The introduction of clinical records, medical and nursing consultations by appointment, long-treatment booklets and a basic recording system.


RESULTS
54% of the population was recorded. Morbidity indicators, the first and subsequent visits and the number of prescriptions per patient were all stable. The percentage of bureaucratic reasons for attendance went down and the proportion of scheduled attendances increased. Requests for complementary tests and referrals to specialists also increased.


CONCLUSIONS
The greatest effort in opening clinical records took place during the first four months. The most telling indicators of the evolution of attendances are the percentages of bureaucratic visits and scheduled ones, the requests for complementary tests and referrals to specialists. Other common attendance indicators have contributed no additional information, yet have supposed a greater effort of data-gathering.
Subías Lorén
P J
PJ
ABS Canet de Mar. Barcelona.
Ruiz Ortega
C
C
Jimeno Resa
B
B
Gardella Company
A
A
Ginés García
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D011307:Drug Prescriptions; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D011320:Primary Health Care; D012424:Rural Population
Historiar a la población: nuestra experiencia a lo largo del primer año.