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[Quality control of care provided for urinary infections]
J Jaén Díaz1, A Modrego Navarro, A Sardon Rodríguez
1Ambulatorio San Ildefonso, Toledo.
Objective:
To evaluate the quality of the care provided for low-level urinary infections in the Toledo Health Area.
Design:
Retrospective study based on data on procedures supplied from clinical histories. SITE. Primary Care teams in the Toledo Health Area.
Patients Or Other Participants:
Those patients over 14 with a provisional diagnosis of low-level urinary infection, who were attended between June and November, 1991, at the Health Centres participants (n = 243).
Main Measurements And Results:
The fulfillment level of six previously defined criteria was analysed. Looking at the clinical histories, we noted 75.3% non-fulfillment of Criterion 1 (anamnesis and examination), 51.8% of Criterion 5 (follow-up) and 59.3% of Criterion 6 (referral). Among the reasons we identified as causes of these findings were inadequate use of registration systems and the existence in different Centres of various procedures for treating urinary infections.
Conclusions:
The initial suspicion that the treatment and control of urinary infections in our Area contained a problem of attendance was confirmed. Corrective measures were established for the re-assessment. The positive role of quality controls, carried out under the aegis of Area managements, was clear.