2017, Number 2
Primary care delivery in orthopedics and traumatology: a need for the health system in Ecuador
Cárdenas LOE, Chiliquinga VSI, Aguirre FRE, Cuenca BS, Arciniega JL, Serra VMA
Language: Spanish
References: 0
Page: 191-198
PDF size: 71.37 Kb.
ABSTRACT
Introduction: The model of comprehensive health care in Ecuador is oriented towards compliance with the national policies of the Plan of Good Living and is one of the mechanisms that every citizen has access to timely, relevant and comprehensive health care.Objective: To describe and analyze the medical care in the orthopedics and traumatology service of the outpatient clinic of the civil hospital in Pasaje during 2015, through the monitoring of the RDACCA (as it stands for Spanish "automated daily record of consultations and outpatient care"), in order to know its epidemiological profile and relevance of linking this specialty to primary health care centers.
Methods: Retrospective and cross-sectional descriptive study that included all 2015 patients who were treated in the outpatient clinic in the service of orthopedics and traumatology. The information was obtained from the RDACAA, being tabulated according to the most frequent causes of morbidity, age groups, sex, and interconsultations received.
Results: The total number of patients treated was 2853. The main nosological entity was unspecified lumbago and the incidence of the main ten causes of specialized care accounted for 31 % (888 patients) of all care delivery cases.
Conclusion: The prevalence of cases treated reveals the need for a service in orthopedics and traumatology to solve orthopedic and trauma problems in primary health care, through close coordination with municipal hospitals, which could be expandable to the rest of the country.