{"id":89620,"date":"2018-03-10T00:14:50","date_gmt":"2018-03-10T00:14:50","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-asociados-a-la-demora-en-la-asistencia-en-un-servidor-de-urgencia-hospitalario\/"},"modified":"2018-03-10T00:14:50","modified_gmt":"2018-03-10T00:14:50","slug":"factores-asociados-a-la-demora-en-la-asistencia-en-un-servidor-de-urgencia-hospitalario","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-asociados-a-la-demora-en-la-asistencia-en-un-servidor-de-urgencia-hospitalario\/","title":{"rendered":"Factores asociados a la demora en la asistencia en un servidor de urgencia hospitalario"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis L\u00f3pez-and\u00fajar Aguiriano <\/strong><\/h2>\n<p>Fundamento  la saturaci\u00f3n de las urgencias hospitalarias es un hecho aceptado, que invariablemente provoca demoras en la asitencia. Analizamos qu\u00e9 factores dependientes del proceso asistencial, del m\u00e9dico que asiste y del paciente est\u00e1n relacioanados con dicha demora.  metodo  estudio descriptivo y prospectivo. An\u00e1lisis de la demora mediante regresi\u00f3n log\u00edstica multivariante de 1,460 urgencias atendidas durante 22 d\u00edas laborables. se consider\u00f3 demora el exceso de tiempo sobre el percentil 75 para los siguientes tiempos: tiempo hasta la asitencia y hasta el diagn\u00f3stico: tiempo en obtenci\u00f3n de pruebas de laboratorio y de raidolog\u00eda; tiempo totales con solicitud de pruebas, con remisi\u00f3n de alta directa y con remisi\u00f3n directa a especialista.  se estudiaron las variables: edad, g\u00e9nero, dificultad idiom\u00e1tica, gravedad del episodio, nivel cultural, especialidad, categor\u00eda del m\u00e9dico, solicitud de pruebas, presi\u00f3n aistencial y turno.  conclusiones  la edad constituye un sesgo en la asistencia a urgencias cuando existe inter-relaci\u00f3n entre personal sanitario y paciente. El turno de mana\u00f1a se manifiesta como factor relacionado con la demora frente a la presi\u00f3n asistencial en relaci\u00f3n con factores externos al propio servicio. La mayor gravedad se asocia como factor protector de la demora en el tiempo hasta la asitencia pero no hasta el diagn\u00f3stico. La solilcitud de pruebas de laboratorio y radiolog\u00eda de modo conjunto se asocia a la demora. Ni el g\u00e9nero de los pacientes ni el nivel cultural ni la dificultad idiom\u00e1tica ni la categor\u00eda del m\u00e9dico se han relacionado con la demora en este estudio.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores asociados a la demora en la asistencia en un servidor de urgencia hospitalario<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores asociados a la demora en la asistencia en un servidor de urgencia hospitalario <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis L\u00f3pez-and\u00fajar Aguiriano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/03\/2001<\/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>Jaime Merino Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Marset campos <\/li>\n<li>Jaime Latour p\u00e9rez (vocal)<\/li>\n<li>Antonio Villalonga morales (vocal)<\/li>\n<li>domingo Orozco beltran (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis L\u00f3pez-and\u00fajar Aguiriano Fundamento la saturaci\u00f3n de las urgencias hospitalarias es un hecho aceptado, que invariablemente provoca [&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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