Impacto económico de la implantación de un programa de cirugía menor en atención primaria

López, Pedro Juan Tárraga; Nieto, Elizabeth; Olmo, Damián García; Rodríguez, A. Celada; Albero, Juan Solera; Oliver, M. Cerdán; Gras, Ch.

doi:10.1016/s0212-6567(01)79377-8

Cited by 14 publications

(4 citation statements)

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“…Another advantage was the reduction of cost of public health by primary care providing a complete resolution. 14 , 16 This also results in career development of the professionals concerned. 3 …”

Section: Discussionmentioning

confidence: 99%

Minor surgery activity in primary care

et al. 2010

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ObjectiveThe aim of this study was to describe the activity in our Outpatient Minor Surgery unit during its first five-year period.DesignRetrospective descriptive study.MethodsIt was carried out in two centres of a Basic Health Area with a catchment area of 73,000 inhabitants.ParticipantsPatients who underwent surgery from January 2002 to December 2007 were included in the research.Main outcome measuresInformation on the sociodemographic data of the patients, characteristics of the lesions, risk factors, treatment and its complications was gathered.ResultsA total of 2317 surgical procedures was performed on 1520 patients. The mean was 46 years old and 52% were men. The concordance between clinical and anatomopathological diagnosis was 81%. There were complications in 5% of them. The main pathologies were: epidermoid cysts (22%), nevus (20%) and fibromas (18%). They were mainly located in the back (24%), superior extremities (14%) and head (11%). In 73% mepivicaine was used as anaesthetic. The most current techniques used were: incision (36%), curettage (33%) and fusiform excision (28%). Less than 1% had malignant lesions, 50% of which were not diagnosed clinically. The mean waiting time was 30 days. Ninety-two percent had the informed consent.ConclusionsMinor surgery in primary care is feasible and has a good clinicopathological concordance and minimum complications, but some malignant lesions are overlooked in the diagnosis based exclusively on clinical criteria.

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Section: Discussionmentioning

confidence: 99%

Minor surgery activity in primary care

et al. 2010

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“…In Spain, with the development of primary care, the competencies of general practitioners (GPs) have been expanded with the aim of increasing the efficiency of the health system [20]. As in other European countries, the development of one of these competencies led to the creation of minor surgery programs in health centers [21].…”

Section: Introductionmentioning

confidence: 99%

Use of 3D Printing in Model Manufacturing for Minor Surgery Training of General Practitioners in Primary Care

2019

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Featured Application: The proposed models can be used to train general practitioners in minor surgery courses in primary care centers. Abstract:In order to increase the efficiency of the Spanish health system, minor surgery programs are currently carried out in primary care centers. This organizational change has led to the need to train many general practitioners (GPs) in this discipline on a practical level. Due to the cost of the existing minor surgery training models in the market, pig's feet or chicken thighs are used to practice the removal of figured lesions and the suture of wounds. In the present work, the use of 3D printing is proposed, to manufacture models that reproduce in a realistic way the most common lesions in minor surgery practice, and that allow doctors to be trained in an adequate way. Four models with the most common dermal lesions have been designed and manufactured, and then evaluated by a panel of experts. Face validity was demonstrated with four items on a five-point Likert scale that was completed anonymously. The models have obtained the following results: aesthetic recreation, 4.6 ± 0.5; realism during anesthesia infiltration, 4.8 ± 0.4; realism during lesion removal, 2.8 ± 0.4; realism during surgical wound closure, 1.2 ± 0.4. The score in this last section could be improved if a more elastic skin-colored filament were found on the market.

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“…La CM ha demostrado ser coste-efectiva5, 6, evitando numerosas derivaciones a atención especializada, dando solución más rápida, efectiva y satisfactoria a los pacientes en un medio más cercano, familiar y conocido como lo es la atención primaria (AP)7, 8.…”

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Descripción de la concordancia clinicopatológica y satisfacción del paciente en la cirugía menor en un centro de atención primaria

et al. 2017

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Impacto económico de la implantación de un programa de cirugía menor en atención primaria

Abstract: In our study, the minor surgery programme in primary care diminish the cost in comparison with private specialized level, at the same time as reducing standby list in specialities like surgery or dermatology.

Cited by 14 publications

References 1 publication

Minor surgery activity in primary care

Minor surgery activity in primary care

Use of 3D Printing in Model Manufacturing for Minor Surgery Training of General Practitioners in Primary Care

Descripción de la concordancia clinicopatológica y satisfacción del paciente en la cirugía menor en un centro de atención primaria

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