{"id":29754,"date":"2018-03-09T09:23:01","date_gmt":"2018-03-09T09:23:01","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-consultoria-entre-internista-y-medico-de-familia-mejora-la-eficacia-de-la-atencion-medica-estudio-prospectivo-de-casos-y-controles-en-el-centro-de-salud-de-puerto-real\/"},"modified":"2018-03-09T09:23:01","modified_gmt":"2018-03-09T09:23:01","slug":"la-consultoria-entre-internista-y-medico-de-familia-mejora-la-eficacia-de-la-atencion-medica-estudio-prospectivo-de-casos-y-controles-en-el-centro-de-salud-de-puerto-real","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cadiz\/la-consultoria-entre-internista-y-medico-de-familia-mejora-la-eficacia-de-la-atencion-medica-estudio-prospectivo-de-casos-y-controles-en-el-centro-de-salud-de-puerto-real\/","title":{"rendered":"La consultoria entre internista y medico de familia mejora la eficacia de la atenci\u00f3n medica. estudio prospectivo de casos y controles en el centro de salud de puerto real"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jes\u00fas Casado Recio <\/strong><\/h2>\n<p>Objetivo  evaluar la eficacia de la consultor\u00eda entre medicina interna y medicina de familia (cmi-mf) en comparaci\u00f3n al circuito cl\u00e1sico de derivaci\u00f3n desde el centro de salud de puerto real (cspr).  m\u00e9todos  estudio prospectivo de casos y controles sobre una poblaci\u00f3n de 33415 habitantes realizado durante un a\u00f1o. Se analizan 498 pacientes atendidos en primera vez conjuntamente por el mf y el ic que, se desplaza semanalmente al cspr para atender los pacientes que hbieran sido derivados a consultas para atenci\u00f3n especializada (ae). Como grupo control se seleccionaron aleatoriamente 1470 pacientes simult\u00e1neos de las 14687 primeras consultas solicitadas desde atenci\u00f3n primaria durante el per\u00edodo de estudio.  resultados  observamos una significativa reduccion de: las derivaciones a ae (22%; ic 95%; 18-26%), la demora para la ae (23,6 d\u00edas; 18,3-28,9 d\u00edas), la media de pruebas por paciente solicitada por los mf (1,07; 0,80 &#8211; 1,34 d\u00edas) o la cmi-mf (1,22; 1,02-1,40), la demora de las pruebas solicitadas en la cmi-mf (21,2 d\u00edas; 8,5-33,9 d\u00edas), la demora para la resoluci\u00f3n de los procesos (39,4 d\u00edas; 35,5-43,3 d\u00edas), la tasa de derivaci\u00f3n cruzada entre especialistas (23,7%; 20,3-27,1%) y, de revisiones por ae (28,8%; 24,5-33,1%) (p menor 0,005 en todos los casos). La tasa de resoluci\u00f3n de los procesos (15%; 11-19%) y, de altas (41,6%; 35,5-47,7%), fueron superiores para la cmi-mf (p menor 0,01 en ambos casos). La tasa de derivaci\u00f3n a ae y la calidad del manejo cl\u00ednico se relacionan inversamente (r= -0,81; p menor 0,01). la satisfacci\u00f3n de los pacientes y mf con lacmi-mf es muy alta.  conclusion  la conclusi\u00f3n entre medicina interna y medicina de familia  mejora la eficacia de la atenci\u00f3n m\u00e9dica especializada.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La consultoria entre internista y medico de familia mejora la eficacia de la atenci\u00f3n medica. estudio prospectivo de casos y controles en el centro de salud de puerto real<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La consultoria entre internista y medico de familia mejora la eficacia de la atenci\u00f3n medica. estudio prospectivo de casos y controles en el centro de salud de puerto real <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jes\u00fas Casado Recio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/04\/2004<\/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>Francisco Gomez Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Villar ortiz <\/li>\n<li>Jos\u00e9 Almenara barrios (vocal)<\/li>\n<li>Jos\u00e9 Juan Bosco lopez saez (vocal)<\/li>\n<li> Stiefel garcia junco pablo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jes\u00fas Casado Recio Objetivo evaluar la eficacia de la consultor\u00eda entre medicina interna y medicina de familia [&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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