[Is the pediatric service coordinated? Survey of pediatricians in Valencia and solutions].
OBJECTIVE
The objective of this study was to identify existing problems in the coordination between the different levels of the pediatric care system and suggest possible solutions.


METHODS
A poll of 66% of the health center pediatricians (HCP) of the greater metropolitan area of Valencia (city + 30 km) on the problems in the coordination between HCP and hospital pediatricians (HP), possible solutions and the number of patients per HCP per day, including the average and range, was performed.


RESULTS
Answers were received from 54% of the HCP (n = 51), which represented 81% of the sample. Problems were identified in coordination (100%), institutional organization (98%), communication (96%), access to reports from outpatient clinics (84%), lack of time and mobility of the HCP (33%), and in the structure of the emergency service for primary child care (ESPCC; 4%). The suggested solutions were; None (6%), global institutional organization (94%) by creating a hierarchy in the HP and HCP, meetings and protocols by consensus, rotation of HP, HCP and pediatric residents between health centers and hospitals, institutionalized intercommunication, allotting time and work mobility to HCP, limiting patients per day and planning ESPCC in hospitals. The average number of patients per day was 32 +/- 8 patients/day (pd), range: 5-100 pd, with 92% of the HCP seeing > 20 pd, 63% > 30 pd, 17% > 40 pd and 2% > 50 pd. At > 6 km from the city there is no coordination and the number of patients/day is greater (p < 0.02).


CONCLUSIONS
There is no institutionalized coordination between HP and NCP. The greater the distance from the city, the greater the overload and the lower the coordination. There is a lack of institutional organization.
Boscà Berga
J
J
Pediatra del Centro de Salud Marco Merenciano de Valencia, Vocal de Pediatría Extrahospitalaria de la Sociedad Valenciana de Pediatría.
Paricio Talayero
J M
JM
D006296:Health Services / Q000592:standards; D006298:Health Services Administration; D006801:Humans; D010372:Pediatrics; D013030:Spain; D011795:Surveys and Questionnaires