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[Suitability of the practice of recording only the main health problem in primary care]
1Centro de Atención Primaria Ciutat Badia, Unidad Docente de Medicina Familiar y Comunitaria de Barcelona.
Objective:
To analyse if recording only the main health problem (P) can reflect in a valid way the totality of health problems (P+S) cared for and all the actions generated by a consultation.
Design:
Using a representative sample of the patients seen at the centre over a three-month period, information on P+S was gathered, P was identified and the actions generated by each one of the problems were recorded. Health problems were codified through CIPSAP-2-D and grouping diagnoses. SITE. General Medicine service in a Primary Care Centre.
Patients And Others Participants:
All the General Medical physicians at the Centre took part in the study by collecting data on the consultations established by the sampling.
Main Measurements And Results:
Frequency and order among the first 25 P+S and P problems were compared, as was the percentage of secondary problems encountered. Out of 559 consultations examined, Diabetes, Dislepemia and an irritated? Colon stood out as under-represented. Acute infections of the Upper Respiratory Tract, Conjunctivitis and ??Queratitis were over-represented. As for the activity generated, 83.1% corresponded to P, although there was great variability among the problems according to the percentage of secondary problems according to the percentage of secondary problems.
Conclusions:
Recording only the main health problem can be a valid instrument for providing an initial view of problems seen.