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[Protocol for coordination with primary care: a new working system in urology. Validation]

J Caballero Alcántara1, M Padilla León, C Marchal Escalona

  • 1Unidad de Urologia, Hospital Costa del Sol, Marbella.

Actas Urologicas Espanolas
|May 20, 1998
PubMed
Summary

Coordinated care between hospital urology and primary care improves referral quality. This collaboration is effective and likely cost-efficient for healthcare systems.

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Area of Science:

  • Urology
  • Healthcare Management
  • Primary Care

Context:

  • The Urology Unit at Costa del Sol Hospital collaborates with primary care using established protocols.
  • Evaluating the effectiveness of this coordinated system is crucial for optimizing patient referral.

Purpose:

  • To assess the quality of patient referrals from family doctors to the hospital's Urology Unit.
  • To determine if the coordinated care system impacts referral quality.

Summary:

  • Analysis of 578 coordinated and 269 non-coordinated referrals revealed significant differences in quality.
  • For coordinated conditions, 29% of referrals were high quality and 45.9% were poor quality.
  • For non-coordinated conditions, only 9.2% were high quality, while 57.7% were poor quality (p < 0.001).

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Impact:

  • The findings suggest that coordinated healthcare efforts between hospital specialists and primary care physicians are feasible.
  • This collaborative approach appears effective in improving the quality of patient referrals.
  • The study indicates potential cost-efficiency benefits from integrated healthcare delivery models.