[The neurological care in area hospitals and specialized centers in the Valencian community in 1994. Commission of the Analysis of the quality of the SVN].
The law of Sevicio Valenciano de Salud which aim was to organize a new model of healthy care for Valencian Community (CV) coexists with care forms proceeding from the past model. This situation provides different matters to valencian neurologists. For that reason, the Comisión de Análisis de la Calidad de la Asistencia Neurológica de la Sociedad Valenciana de Neurologia, wanted to know the real situation of neurological care in Healthy Areas of Valencian Community and designed a questionnaire which aim was to obtain information on neurological care activity and the resources in each Healthy Area. This questionnaire was distributed to all neurologists who worked in each Area. The whole neurologists number of each Healthy Area. This questionnaire was distributed to all neurologists who worked in each Area. The whole neurologist number of Valencian Community in 1994 was 64 that means a rate of 1.66 neurologists per 100,000 inhabitants. Eighteen neuro-psychiatrists persist in 8 Healthy Areas. In the areas which included Central Hospitals, the rate was 2.1 Neurologists work in the hospitals, in Centros de Especialidades (ambulatory care) or in the two levels depending each Healthy Area, and the access of patient to neurological care varies taking into account the neurological working place. In the Centros de Especialidades, neurologists care a mean of 3,700 visits /year/100,000 inhabitants nearly and the mean visit time is 15 minutes. Ambulatory clinical records are different that records used in hospital but the care is similar. Neurologists depend to Medicine Service and realize admittance works in these services. The mean hospital neurological admissions are 250/100,000 inhabitants yearly and four Country Hospitals have specific beds for neurological patients. CT scan is not present in 5 hospitals, Duplex-Doppler in 12, EMG in 9, EEG in 9 and evoked potentials measurements in 11. Ten hospitals have not clinical neurophysiologist, 3 have not rehabilitation team, 7 have not neuropediatrics and there are not neurosurgery in any Country Hospital. The conclusions of this work includes: A low number of neurologists, the anachronic persistence of neuro-psychiatric care, the absence of homogeneous care organization and the insufficienct of neurological technics in most Healthy Areas in Valencian Community.
Catalá
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Comisión de Análisis de la Calidad, Sociedad Valenciana de Neurologia, Valencia.
D003153:Community Health Services / Q000458:organization & administration / Q000592:standards* / Q000600:supply & distribution*; D006764:Hospitals, Community / Q000600:supply & distribution; D006801:Humans; D009462:Neurology / Q000458:organization & administration* / Q000592:standards*; D010343:Patient Admission; D013030:Spain; D011795:Surveys and Questionnaires; D000078329:Workforce
La asistencia neurológica en los hospitales de área y centros de especialidades de la Comunidad Valenciana en 1994. Comisión de 'Análisis de la Calidad' de la SVN.