propuesta de modelo para la transferencia de pacientes en el sistema de salud cubano

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ID: 191059
2003
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Abstract
Desde que en 1996 se orientó que las historias clínicas individuales en la APS dejaran de ser ambulatorias, no existe un modelo oficial para la transferencia de pacientes a través del sistema de salud. Este proyecto es el resultado de un trabajo de investigación y diseño de un modelo para la referencia y la contrarreferencia, como vínculo entre los profesionales de los diferentes niveles y entre los propios profesionales de los centros de la atención primaria de salud. Previo a su diseño se examinaron la antigua historia clínica individual ambulatoria, el modelo de hoja de egreso hospitalario y remisión de caso, y se tuvieron en cuenta los resultados de investigaciones sobre el sistema de transferencia, así como un proyecto anterior de modelo para la referencia y la contrarreferencia. La propuesta se confeccionó procurando que cumpliera con los principios siguientes: único, práctico e integrador; y se concibió para ser portado por el paciente durante la transferencia, o transportado a través del propio sistema de salud en aquellos casos en que esto tenga lugar. Tiene la ventaja de uniformar la información que se intercambia relativa a pacientes comunes, y en teoría, debe mejorar la calidad en la proyectada atención continuada a los pacientes en nuestro país. Se expone el modelo y se recomienda su generalización, así como también normar y controlar el cumplimiento de las disposiciones relacionadas con el sistema de referencia y contrarreferencia.
Since 1996, it was instructed that the individual medical histories used in the primary health care ceased to be ambulatory. From that date on, there is no official form for the patient transfer within the health care system. This project is the result of a research work and of the design of a model for referral and counter-referral of patients, as a linking between the professionals at various levels and the professionals at the primary health care centers. Prior to the design phase, the former individual ambulatory medical history, the hospital discharge form and the case referral model were examined and besides that, the outcome of previous research works about the transfer system and of a former model project for referral and counter- referral were taken into consideration. The new model proposal is aimed at fulfilling the following principles: it should be a unique, practical and comprehensive model to be carried by the patients during transfer or by the health system itself in those cases that require so. The advantage is that it allows us to standardize the information on ordinary patients to be exchanged, and theoretically speaking, it should contribute to improve the quality of the continued care to be given to the patients in our country. This paper presents the model and recommends its general use and also the control of the compliance with the provisions related to the referral and counter-referral system.
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soberats2003propuesta Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Félix J. Sansó Soberats;Cristina Valdivia Onega;Alcidez Lorenzo Rodríguez
Journal chemical biology and drug design
Year 2003
DOI
DOI not found
URL
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252003000100004
Keywords
physicians primary health care patient transfer referral and consultation atención primaria de salud medical records family medicos de familia

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