title: [Accessibility plan: can offer a higher quality for a lower cost?].
abstract: OBJECTIVE
  Redirect demand pathology severity level IV-V of the hospital emergency room (ED) to the Primary Health Care (AP) reference, increase in technical consultation and assess the effectiveness of the proposed Accessibility Plan (PA). Improving the quality of care offered, lowering the cost to achieve it.
  
  
  METHODS
  Quality research study conducted in January-2010 data collected throughout 2009, and compare them versus those obtained in 2008.
  
  
  METHODS
  Population allocated to the ABS Sagrada Familia (23,265 users).
  
  
  METHODS
  Beneficiaries in HUS AP and population due to specialized care, population scheduled diagnostic and therapeutic procedures (radiology, laboratory echo-doppler, cryosurgery ...), total annual visits, attendance, repetition,...
  
  
  RESULTS
  Increased 86.5% of emergency radiographs in AP (avoiding lead to ED), 7.4% fewer referrals to the emergency; implantation circuit urgent analytical (laboratory of HUS not collapsed) 13.6% fewer referrals to vascular surgery (the Eco-Doppler), 5.92% less analytical (thank Cardio-Check), 297 fewer referrals to dermatology (for cryotherapy), 9.65% less refe- rrals to psychiatry (through group workshops mental health), decreased frequency (1.4%) and recurrence (2.3%) over 2007, 23.9% of referrals to ED pathology avoided level IV-V served in AP; save ∈ 57,335 on 2007.
  
  
  CONCLUSIONS
  Programs that includes the PA has proven its effectiveness, having offered improved quality and user satisfaction, spending economic decline, to be addressed and resolved in AP visits to level IV-V ED.
authors.affiliation: javier.fernández@sanitatintegral.org
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Fernández Martinez
authors.forename: Anna
authors.initials: A
authors.lastname: Blasi Codinach
authors.forename: Antonia
authors.initials: A
authors.lastname: Valsera Robles
authors.forename: Ana
authors.initials: A
authors.lastname: Rivero Morcillo
authors.forename: Norma
authors.initials: N
authors.lastname: Ballestar Palacios
authors.forename: Gemma
authors.initials: G
authors.lastname: Ferriz Villanueva
authors.forename: Natàlia
authors.initials: N
authors.lastname: Riera Nadal
authors.forename: Clara
authors.initials: C
authors.lastname: Riera Nadal
authors.forename: Mireia
authors.initials: M
authors.lastname: Oriol Gato
authors.forename: Marta
authors.initials: M
authors.lastname: Rojas Blanch
mesh_terms: D003365:Costs and Cost Analysis; D003430:Cross-Sectional Studies; D006801:Humans; D011787:Quality of Health Care / Q000191:economics*