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[Differences in the nursing consultation utilization in primary care, Spain].
Jesús Martín-Fernández1, Gemma Rodríguez-Martínez, Gloria Ariza-Cardiel
1Consultorio de Villamanta, Centro de Salud Navalcarnero, Gerencia de Atención Primaria de Madrid, Madrid, España.
Revista Espanola De Salud Publica
|October 9, 2013
Summary
Primary care nurse consultations are utilized based on health needs, but accessibility factors significantly influence their use. Higher income and older populations access more services, while appointment delays reduce utilization.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Nursing Practice
Background:
- Health service utilization disparities can lead to inequities.
- Analyzing nurse consultation use in primary care is crucial for understanding these disparities.
Purpose of the Study:
- To analyze the differences in primary care nurse consultation utilization.
- To identify factors influencing the equitable use of nursing services.
Main Methods:
- Cross-sectional study in 23 Madrid health centers.
- Collected data on environmental, consultation, socio-demographic, and health need variables.
- Utilized multivariate Generalized-Estimating-Equations models.
Main Results:
- Predisposing factors: Higher income and aging populations showed increased nurse consultations.
- Enabling factors: Longer consultation times and more medical visits increased use; appointment delays decreased use.
- Need factors: Chronic conditions increased visits; improved quality of life perception decreased visits.
Conclusions:
- Primary care nurse consultation use is driven by health needs.
- Accessibility factors significantly impact the utilization of these services.
- Addressing accessibility is key to equitable service distribution.
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