Evaluación de la Gestión Compartida de la Demanda de enfermería en atención primaria de Salamanca a los 6 meses de su implantación

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2025-04-08 DOI:10.1016/j.aprim.2025.103266

María del Mar González Fernández-Conde , Cristina Fernández Arquisola , Marta Manzano García

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引用次数: 0

Abstract

Objective

To evaluate the efficacy and satisfaction of users attended in Nurse Demand Management (NDM), 6 months after its implementation.

Design

Observational, descriptive, cross-sectional study.

Location

Primary Health Center.

Participants

≥ 14 years cited in NDM (July 1-December 31, 2023). A total of 39.95% of nursing professionals in the area participated.

Interventions

Specific training was provided in accordance with the Framework Document of Castilla y León and its protocols for ordinary and continuous care.

Main measurements

By means of a questionnaire completed after each NDM recording: reason for consultation, nursing interventions performed, resolution and other variables. User satisfaction was assessed by means of an anonymous self-administered Likert-type questionnaire.

Results

5,090 questionnaires were completed (8.52% of consultations). The main reasons for consultation were discomfort when urinating, sore throat, administrative reasons, wounds and upper respiratory symptoms. 21.9% of the reasons for consultation were not included in the protocols.

A total of 34.3% of the consultations achieved autonomous nursing resolution, with greater resolution capacity in rural areas (OR = 2.22; 95% CI: 1.94-2.55). The interventions most related to autonomous resolution were counseling (43.7%) and health education (28.1%).

90% considered that the care received was good or very good and 83% that the health problem was resolved satisfactorily or very satisfactorily.

Conclusions

NDM achieves high population satisfaction, with a low/medium degree of short-term resolution, higher in rural areas. Long-term results need to be evaluated.

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.