{"id":15452,"date":"2002-06-02T00:00:00","date_gmt":"2002-06-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efectividad-eficacia-y-eficiencia-de-la-consulta-externa-de-medicina-interna-en-un-hospital-general-basico\/"},"modified":"2002-06-02T00:00:00","modified_gmt":"2002-06-02T00:00:00","slug":"efectividad-eficacia-y-eficiencia-de-la-consulta-externa-de-medicina-interna-en-un-hospital-general-basico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efectividad-eficacia-y-eficiencia-de-la-consulta-externa-de-medicina-interna-en-un-hospital-general-basico\/","title":{"rendered":"Efectividad, eficacia y eficiencia de la consulta externa de medicina interna en un hospital general b\u00e1sico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Javier Conde Garcia <\/strong><\/h2>\n<p>Se analiza las hojas de derivaci\u00f3n, la historia cl\u00ednica y el informe final del especialista en una muestra aleatoria de los pacientes derivados a las 4 consultas externas del servicio de medicina interna del hospital general b\u00e1sico de osuna. Se valoran estad\u00edsticamente las variables personales, administrativas, cl\u00ednicas, diagn\u00f3stica, terap\u00e9uticas y el destino final de los pacientes aleatorizados.  las conclusiones obtenidas son las siguientes:  1,- las consultas externas del s\u00c2\u00ba de medicina interna atienden pacientes de 1\u00aa vez de una edad avanzada. Los derivados desde atenci\u00f3n primaria tienen una edad media inferior al resto de niveles de derivaci\u00f3n. El grupo etario comprendido entre 50 y 69 a\u00f1os constituye el 40% de los pacientes atendidos, con diferencias significativas entre las 4 consultas analizadas. Las mujeres acuden en mayor proporci\u00f3n que los hombres, excepto en el grupo etario de 60 a 69 a\u00f1os. Existen diferencias estad\u00edsticamente significativas en cuanto al sexo entre las 4 consultas y entre los distintos niveles de derivaci\u00f3n. m\u00e1s del 60% de los pacientes atendidos en las consultas de medicina interna son derivados desde atenci\u00f3n primaria, siendo mayoritariamente mujeres. en cerca del 80% de las derivaciones se mencionaba alg\u00fan dato cl\u00ednico que justificase el envi\u00f3 a la consulta de especialidad. La coincidencia con la informaci\u00f3n del especialista se daba en el 68% de los casos.  2,- la solicitud de estudios complementarios por el nivel de derivaci\u00f3n es independiente de la categor\u00eda diagn\u00f3stica emitida. El tipo de tratamiento s\u00ed se relacionaba con la constancia de los estudios complementarios. El 52% de los pacientes se resolvieron en la consulta con los estudios complementarios disponibles por el nivel consulta con los estudios complementarios disponibles por el nivel asistencial que derivaba al enfermo (47% en los procedentes de atenci\u00f3n primaria). La solicitud de estudios complementarios es variable<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efectividad, eficacia y eficiencia de la consulta externa de medicina interna en un hospital general b\u00e1sico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efectividad, eficacia y eficiencia de la consulta externa de medicina interna en un hospital general b\u00e1sico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Javier Conde Garcia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/02\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Manuel Vaquero Abell\u00e1n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Casal roman <\/li>\n<li>carmen Bellido g\u00e1mez (vocal)<\/li>\n<li>eduardo G\u00f3mez camacho (vocal)<\/li>\n<li> L\u00f3pez chozas Jos\u00e9 Manuel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Javier Conde Garcia Se analiza las hojas de derivaci\u00f3n, la historia cl\u00ednica y el informe final [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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