2019, Number 3
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Rev Med Inst Mex Seguro Soc 2019; 57 (3)
General surgery referral´s outcomes and solution time
Castro-Ríos A, Nevarez-Sida A, Baridó-Murguía ME, Tiro-Sánchez MT
Language: Spanish
References: 30
Page: 140-148
PDF size: 160.23 Kb.
ABSTRACT
Background: There are a variety of instruments and
indicators to assess continuity of care; however there is
a lack of those that describe the result of coordination
between the health care levels.
Objective: To show two indicators that summarizes the
result of the complete circuit primary level-secondary
level-primary level.
Methods: An observational prospective cohort study
was conducted, with a one-year follow-up of a random
sample of the references to general surgery services in a
family medicine unit of the IMSS. Two indicators were
analyzed: the outcome of the reference to general
surgery, categorized as resolved, withdrawal and not
resolved; and the time of solution of the surgical
problem, which measures the median in calendar days
from the issuance of the reference to the counterreference
for the reason of original sending. The
indicators were compared by characteristics of the
patient and the first level physician.
Results: The 84.8% of cases were resolved in a median time
of 72 days (50-112), 14.1% of patients reject surgery and 1%
wasn´t resolved. No statistically significant differences were
found according the evaluated characteristics.
Conclusions: The overall solution time of the surgical
problem in the medical unit is within the range built with
previous studies, but in specific diagnoses there are
significant variations. The frequency of solution of the
surgical problem was high for diagnoses of greater risk.
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