Influencia de la hiperfrecuentación en las reconsultas en urgencias

Cortés-Rodríguez, Begoña; Alférez-Reyes, M; Castro, P; Casasola, R Wílmer; Sánchez, F; Lozano, Alexander X.

doi:10.1016/j.jhqr.2019.01.002

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Además, en estudios previos, también se objetivó que existía una mayor probabilidad de reconsulta si los pacientes tenían un dominio limitado del idioma 28 . En uno de estos estudios también se muestra que una quinta parte de las reconsultas al servicio de urgencias se produjo por los llamados pacientes hiperfrecuentadores, en los cuales se consideró que su reconsulta se asociaba a factores socioeconómicos y culturales 29 . Este dato coincide con el presente estudio donde se identificó que los pacientes que consultaban por problemas relacionados con "salud integral o vulnerabilidad social" presentaron mayor frecuencia de reconsulta.…”

Section: Discussionunclassified

Care complexity factors associated with revisits to an emergency department

Urbina,

Juvé-Udina,

Romero-García

et al. 2024

Emergencias

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Objetivo. Analizar la prevalencia de factores de complejidad de cuidados en los pacientes atendidos en el servicio de urgencias y determinar su relación con las reconsultas durante los 30 días posteriores a la vista inicial. Método. Estudio observacional transversal correlacional. Se incluyeron de forma consecutiva todos aquellos pacientes adultos que consultaron al servicio de urgencias de un hospital de tercer nivel durante un periodo de 6 meses. Las variables principales del estudio fueron la reconsulta a los 30 días y 26 factores individuales de complejidad de cuidados categorizados en 5 fuentes (psicoemocional, mental-cognitiva, sociocultural, evolutiva, comorbilidades-complicaciones). Los datos fueron recogidos de la historia clínica electrónica. Resultados. Se incluyeron un total de 15.556 episodios de pacientes. El 82,4% (12.811) presentó algún factor de complejidad de cuidados y el 11,9% (1.088) de los pacientes dados de alta reconsultaron durante los 30 días posteriores. La presencia de mayor número de factores de complejidad de cuidados se asoció a la reconsulta a los 30 días (OR: 1,26; IC 95%: 1,11-1,43; p < 0,05), y los siguientes factores se asociaron con reconsulta: incontinencia, inestabilidad hemodinámica, riesgo de hemorragia, extremo de edad, ansiedad y temor, deterioro de funciones cognitivas y analfabetismo (p < 0,05). Conclusiones. La prevalencia de factores de complejidad de cuidados en pacientes que consultan en el servicio de urgencias es elevada. Los pacientes que reconsultaron a los 30 días presentaron mayor número de factores de complejidad, por lo que su identificación precoz podría ayudar a estratificar los pacientes y diseñar estrategias preventivas para disminuir la incidencia de reconsultas

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Section: Discussionunclassified

Care complexity factors associated with revisits to an emergency department

Urbina,

Juvé-Udina,

Romero-García

et al. 2024

Emergencias

View full text Add to dashboard Cite

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“…In Spain, it is estimated that 15% of the population can be poly-consultants and that this group consumes approximately 50% of the medical consultations in healthcare centers, being responsible for the 65% of health costs (6). This is in line with the progressive increase in this phenomenon during the 2010-2017 period, mainly in the re-consultations of hyperfrequent users in emergency care (7) .…”

mentioning

confidence: 88%

Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study

Sánchez

López

Retamales

et al. 2020

Preprint

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Background: In Europe, Latin-America, and Asia, poly-consultation has become a complex problem for the management of different healthcare systems. However, in the current literature, little attention has been paid to exploring perspectives of territorial and critical analysis to manage unexplained symptoms.The purpose of this study is to analyze the socio-structural elements that underlie the users’ phenomenon of poly-consultation or hyperfrequency in the Chilean primary healthcare system (PHCS). Methods: This paper represents qualitative data collected as part of an exploratory study that used mixed methods across three metropolitan areas of Santiago, Valparaíso, and Concepción, Chile. The study involved a sample of 24 subjects from administrative and management positions in PHC who were recruited from Family Health Care Centers, considering urban municipalities from the low, medium, and high stratum.The study collected data using one set of semi-standardized interviews during a year. Data analysis used an qualitative content analysis.Results: This article shows that poly-consultant patients provide a critical clinic category to management and mental health model (foreshadowing a social topology base that promotes a determinate unspecific and diffuse experience on users) that cannot be cover by current biomedical models. Data showed the strain of a somatoform clinic category, especially in the clinic and epistemological exercise, and, also, the relevance of particularities of Chile, a country with a mixed health system characteristics and their effects: the naturalization of collective problems managed as individual problems. Conclusions: Results from the study have the potential to inform healthcare professionals and managers of strategies for developing effective and territorially based. We conclude that hyperfrequency and poly-consultation in Chile reveal relevant stratification in the territory who has particularities than could be studied from a quantitative perspective.

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“…This group consumes approximately 50% of the medical consultations in healthcare centers, responsible for 65% of health costs [10]. As well as the progressive increase in this phenomenon during the 2010-2017 period, mainly in the re-consultations of hyperfrequent users in emergency care [11].…”

Section: Poly-consultation or Hyperfrequency: A Brief Backgroundmentioning

confidence: 99%

Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study

Sánchez

López

Retamales

et al. 2021

Int J Ment Health Syst

View full text Add to dashboard Cite

Background In Europe, Latin-America, and Asia, poly-consultation has become a complex problem for managing different healthcare systems. However, in the current literature, little attention has been paid to exploring territorial and critical analysis perspectives to manage unexplained symptoms. The purpose of this study is to analyze the socio-structural elements that underlie the users’ phenomenon of poly-consultation or hyperfrequency in the Chilean primary healthcare system (PHCS). Methods This paper represents qualitative data collected as part of an exploratory study that used mixed methods across three metropolitan areas of Santiago, Valparaíso, and Concepción, Chile. The study involved a sample of 24 subjects from administrative and management positions in PHC who were recruited from Family Health Care Centers, considering urban municipalities from the low, medium, and high stratum. The study collected data using one set of semi-standardized interviews during a year—data analysis using qualitative content analysis. Results This article shows that poly-consultant patients provide a critical clinic category to management that cannot be cover by current biomedical models. Data showed the strain of a somatoform category, especially in the clinic and epistemological exercise. Precisely, the relevance of Chile’s case, a mixed health system, and their effects: the naturalization of collective problems managed as individual problems. Conclusions The study results can inform healthcare professionals and managers of developing practical and territorially based. We conclude that hyperfrequency and poly-consultation in Chile reveal relevant stratification in the territory. Those particularities open an opportunity to study quantitative methods, including current analysis categories, to develop new research.

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Influencia de la hiperfrecuentación en las reconsultas en urgencias

Cited by 3 publications

References 5 publications

Care complexity factors associated with revisits to an emergency department

Care complexity factors associated with revisits to an emergency department

Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study

Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study

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