Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica

Background: Primary care units of ophtalmology (UAPO) were incorporated in 2003 into the healthcare system of the Ministry of Health, in response to the high demand for hospital care. Three of these primary care units were incorporated to provide a network care with the ophthalmology service of a t...

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Autores principales:	Jones,Alex, Gallegos,Manuel, Díaz,Ignacio, Donoso,Rodrigo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Ophthalmology Primary Health Care Tertiary Healthcare
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000800890
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spelling	oai:scielo:S0034-988720180008008902018-10-18Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológicaJones,AlexGallegos,ManuelDíaz,IgnacioDonoso,Rodrigo Ophthalmology Primary Health Care Tertiary Healthcare Background: Primary care units of ophtalmology (UAPO) were incorporated in 2003 into the healthcare system of the Ministry of Health, in response to the high demand for hospital care. Three of these primary care units were incorporated to provide a network care with the ophthalmology service of a tertiary care hospital. Aim: To report the public health impact of networking. Material and Methods: A descriptive-prospective study was carried out analyzing all the healthcare attentions carried out between June and August 2016. An epidemiological characterization of the sample was made. We recorded: clinical diagnoses, decisions, resolution of the clinical problem at the primary care or referral to the hospital. Results: A total of 2,096 ophthalmologic attentions were carried out in the three UAPOs during the study period. The main diseases attended were disorders of refraction, cataracts, glaucoma and diabetic retinopathy. The resolution index was 84% of attentions. Only 16% of attentions required referral and consisted mainly of cataracts (covered by a special health care system), diabetic retinopathy, capsulotomies, iridotomies, uveitis, pterygium and lacrimal duct obstruction. Conclusions: This model of care allowed an efficient management of the high demand for hospital referral. This is expressed in the high-resolution index and low derivation, resulting in a decrease in waiting lists at the tertiary level. This system should be implemented by other tertiary centers of our country.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.8 20182018-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000800890es10.4067/s0034-98872018000800890
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Ophthalmology Primary Health Care Tertiary Healthcare
spellingShingle	Ophthalmology Primary Health Care Tertiary Healthcare Jones,Alex Gallegos,Manuel Díaz,Ignacio Donoso,Rodrigo Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica
description	Background: Primary care units of ophtalmology (UAPO) were incorporated in 2003 into the healthcare system of the Ministry of Health, in response to the high demand for hospital care. Three of these primary care units were incorporated to provide a network care with the ophthalmology service of a tertiary care hospital. Aim: To report the public health impact of networking. Material and Methods: A descriptive-prospective study was carried out analyzing all the healthcare attentions carried out between June and August 2016. An epidemiological characterization of the sample was made. We recorded: clinical diagnoses, decisions, resolution of the clinical problem at the primary care or referral to the hospital. Results: A total of 2,096 ophthalmologic attentions were carried out in the three UAPOs during the study period. The main diseases attended were disorders of refraction, cataracts, glaucoma and diabetic retinopathy. The resolution index was 84% of attentions. Only 16% of attentions required referral and consisted mainly of cataracts (covered by a special health care system), diabetic retinopathy, capsulotomies, iridotomies, uveitis, pterygium and lacrimal duct obstruction. Conclusions: This model of care allowed an efficient management of the high demand for hospital referral. This is expressed in the high-resolution index and low derivation, resulting in a decrease in waiting lists at the tertiary level. This system should be implemented by other tertiary centers of our country.
author	Jones,Alex Gallegos,Manuel Díaz,Ignacio Donoso,Rodrigo
author_facet	Jones,Alex Gallegos,Manuel Díaz,Ignacio Donoso,Rodrigo
author_sort	Jones,Alex
title	Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica
title_short	Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica
title_full	Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica
title_fullStr	Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica
title_full_unstemmed	Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica
title_sort	experiencia de atención en red entre hospital del salvador y tres unidades de atención primaria oftalmológica: un modelo de salud pública para mejorar la atención oftalmológica
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000800890
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Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica

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