title: Nurse management of 'same day' consultation for patients with minor illnesses: results of an extended programme in primary care in Catalonia.
abstract: OBJECTIVE
  This paper is a report of a study to assess the feasibility and efficacy of a programme of nurse management for patients requesting same day consultation for minor illnesses in primary care.
  
  
  BACKGROUND
  The efficacy of such programmes has been demonstrated in randomized studies but there is little information on these programmes in highly populated areas.
  
  
  METHODS
  Patients seeking same day consultation for one of 23 preselected minor illnesses (16 for adults, 7 for paediatric patients) from March 2009 to April 2010 were seen by trained nurses who followed predefined algorithms. If signs of alarm were detected, patients were referred to a general practitioner.
  
  
  RESULTS
  A total of 629,568 consultations were performed, 575,189 in adults and 54,379 in paediatric patients. Case resolution was achieved in 61.8% of adult and 75.6% of paediatric patients. In adults, the highest resolution rates (>90%) were obtained for burns, skin injury and emergency contraception, and the lowest for lower urinary symptoms (46.7%), sore throat (45.7%), pink eye (45.5%) and upper respiratory symptoms (41.4%). In paediatric patients, the highest resolution rates (>90%) were obtained for stomach cramps and burns and the lowest for cough (36.2%). A return to consultation during a 7-day period for the same reason as the first consultation was low, 4% for adults and 2.4% for paediatric patients.
  
  
  CONCLUSIONS
  An extended programme of nurse management for same day consultation of patients with minor illnesses showed an acceptably high rate of resolution and low rate of return to consultation. The application of such programmes in extensive areas is feasible and effective.
authors.affiliation: Primary Care Nursing Institut Català de la Salut, Lleida, Spain.
authors.forename: Núria
authors.initials: N
authors.lastname: Fabrellas
authors.forename: Angel
authors.initials: A
authors.lastname: Vidal
authors.forename: Gemma
authors.initials: G
authors.lastname: Amat
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Lejardi
authors.forename: Maria
authors.initials: M
authors.lastname: del Puig Deulofeu
authors.forename: Carmen
authors.initials: C
authors.lastname: Buendia
mesh_terms: D000208:Acute Disease / Q000451:nursing*; D000328:Adult; D000465:Algorithms; D001071:Appointments and Schedules; D002648:Child; D002983:Clinical Competence / Q000592:standards; D005194:Family Practice / Q000458:organization & administration; D005240:Feasibility Studies; D006297:Health Services Accessibility; D006801:Humans; D009722:Nurse Practitioners; D024802:Nurse's Role; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000379:methods / Q000458:organization & administration*; D015397:Program Evaluation; D012017:Referral and Consultation / Q000458:organization & administration / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013030:Spain; D013997:Time Factors; D017748:Time Management / Q000379:methods