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Estudio de las prestaciones sanitarias urgentes y emergentes en la Comunidad Autonoma Vasca: analisis y propuestas de mejora [Study of urgent and emergency health services in the basque autonomous community: analysis and proposals for improvement] |
Unanue JM, Perez I, Alcorta I, Gurruchaga MI, Lasa M, Arrese-Igor A, Bustinduy A, Esquisabel R, Medina I, Lopez A, Garcia S, Rojo M |
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Citation Unanue JM, Perez I, Alcorta I, Gurruchaga MI, Lasa M, Arrese-Igor A, Bustinduy A, Esquisabel R, Medina I, Lopez A, Garcia S, Rojo M. Estudio de las prestaciones sanitarias urgentes y emergentes en la Comunidad Autonoma Vasca: analisis y propuestas de mejora. [Study of urgent and emergency health services in the basque autonomous community: analysis and proposals for improvement] Vitoria-Gasteiz: Basque Office for Health Technology Assessment (OSTEBA). D-09-05. 2009 Authors' objectives <p>The aim of this report is to: 1) describe the social-demographic, professional, technological and organisational environment that affects urgent care; 2) examine and describe the emergency care provided in the Basque Autonomous Community, in both quantitative and qualitative terms; 3) through a review of the literature, analyse any possible alternatives currently in operation in communities with a similar health system to that of the Basque Community, their efficiency and possible application to our environment. In accordance with the results obtained and following their analysis by a group of experts, efficient and contextualised alternatives will be proposed for urgent care in the Autonomous Community of the Basque Country.</p> Authors' conclusions Twenty-six proposals are made, the main ones being the need to draw up a strategic plan for urgent and emergency care in the Autonomous Community of the Basque Country, treating this as an overall system in which accessibility, the continuity of care services and the flow of information through a common registration tool are key aspects. It is proposed that the procedural model is the most suitable one for managing urgent care from an overall perspective, including all the players involved in care: primary care, emergency and urgent hospital services, as well as the general public. The aforesaid process must guarantee the accessibility of the system and as a consequence, a single, common system for all the possible points of access to urgent care is proposed. The consequences of such a classification would be adapted to the standards to be drawn up. This process must establish a system of interaction with the preferential social-health care process, as the chronic and elderly patient is a potential and frequent user of the urgency process. strengthen organisational, technological and supportive measures with the chronic patient as a strategy to lessen his use of the urgency services so that after being admitted to this circuit an integral and continuous control can be guaranteed. Indexing Status Subject indexing assigned by CRD MeSH Emergency Medical Services; Emergency Nursing; Emergency Service, Hospitals Language Published Spanish Country of organisation Spain English summary An English language summary is available. English Summary English summary available Address for correspondence Basque Office for Health Technology Assessment, Calle Donostia 1, ES-01010 Vitoria-Gasteiz, Spain, Tel: +34 9 45 01 9250, Fax: +34 9 45 01 9280 Email: rosarico-osteba@ej-gv.es AccessionNumber 32011000153 Date abstract record published 09/02/2011 |
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