[Use of a portable clinical record model in primary care for the follow-up of elderly people who live in different places].
OBJECTIVE
To evaluate the use of a portable clinical record (PCR) given to elderly patients for a one-year period. To describe the health status of these patients.


METHODS
Descriptive study.


METHODS
Eleven primary care teams from zones 8 and 9 of the Madrid area.


METHODS
208 patients, more than 65 years old, living with their different sons and/or daughters for limited periods in an alternate fashion.


RESULTS
44.7% of the patients were male. Their mean age was 84.2 years. On average, they lived in 3.5 different homes, staying for 2.5 months in each one and were assigned to 3.2 physicians. The mean number of drugs taken was 3.2 (3-3.5). They suffered from a mean number of 3.5 chronic diseases. Some degree of functional dependency was noted in 64.9% of patients and cognitive impairment was noted in 26.4% of patients. 138 valid PCR were retrieved after one year (66.3%). The mean number of follow-up visits was 3.9 visits per patient. 2 or less visits were recorded in 3 patients (38%). Visit recording significantly decreased during the evaluated year.


CONCLUSIONS
This is an elderly population with an equivalent health status to other groups, but with a higher degree of functional dependency. The insufficient use of this PCR warrants some care about its generalization.
Cubero González
P
P
Centro de Salud Felipe II (Móstoles), Fundación Hospital Alcorcón y Hospital de Móstoles, Madrid. pcuberog@papps.org
García de Blas González
F
F
Gutiérrez Teira
B
B
Barba Calderón
M
M
Salas Dueñas
R
R
Cid Abasolo
F
F
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006299:Health Services for the Aged; D006801:Humans; D008297:Male; D008499:Medical Records; D011320:Primary Health Care / Q000379:methods*; D012111:Residence Characteristics; D013030:Spain