Video Experimental Relacionado
Updated: Feb 24, 2026
06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
10.8K
Atención primaria no adscrita: impacto en la mortalidad, hospitalizaciones y costos
Jonathan Fitzsimon1,2, Antoine St-Amant1, Michael E Green3,4,5
1Office of Research, Institut du Savoir Montfort, Ottawa, Ontario, Canada K1K 0T2.
Health affairs scholar
|February 23, 2026
Resumen
Perder la adscripción a atención primaria aumenta el riesgo de mortalidad, especialmente en personas con múltiples problemas de salud. Las relaciones estables de atención primaria son cruciales para los resultados de salud de los pacientes y para reducir la carga de la atención sanitaria.
Área de la Ciencia:
- Investigación de Servicios de Salud
- Salud Pública
- Epidemiología
Sus antecedentes:
- La adscripción a la atención primaria, o la afiliación con un médico habitual, a menudo se interrumpe en muchos países.
- La falta de atención primaria continua conduce a un período de 'no adscripción', lo que afecta la salud del paciente.
- La jubilación del médico puede causar la no adscripción del paciente, lo que requiere investigación sobre sus consecuencias.
Objetivo del estudio:
- Examinar la influencia de la adscripción y la duración de la no adscripción a la atención primaria en la mortalidad, los costos de atención médica y las hospitalizaciones.
- Investigar el impacto de la no adscripción en la vulnerabilidad del paciente.
- Analizar los riesgos amplificados para los pacientes con comorbilidades que experimentan transiciones en la atención primaria.
Principales métodos:
- Estudio de cohorte retrospectivo basado en la población.
- Se utilizaron datos administrativos de salud de 12,726,325 habitantes de Ontario.
- Se examinaron las asociaciones entre la duración de la adscripción/no adscripción y los resultados de salud.
Principales resultados:
- La no adscripción dentro de los primeros 5 años se correlacionó con un aumento del 85% en la mortalidad por todas las causas en comparación con la adscripción a largo plazo.
- Los pacientes con comorbilidades enfrentaron riesgos de mortalidad significativamente mayores, que aumentaron con la no adscripción.
- Se observó un aumento de la mortalidad, los costos y las hospitalizaciones durante los períodos de no adscripción a la atención primaria.
Conclusiones:
- La adscripción estable a la atención primaria es vital para reducir la mortalidad y la utilización de la atención médica.
- Se necesitan estrategias para garantizar la atención continua al paciente, especialmente para aquellos con comorbilidades.
- Es esencial un mayor apoyo al paciente tras la pérdida de un médico de atención primaria.
Palabras clave:
comorbilidadcostos de atención médicapolítica de atención médicautilización de atención médicaadscripción del pacienteatención primariaduración de la no adscripciónMás Videos Relacionados
Videos de Conceptos Relacionados
01:30Primary Healthcare Services
2.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.3K
01:13Patient-centered Care
3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
01:26Methods Of Healthcare Delivery System
4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K
01:11Secondary Healthcare System
2.1K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.1K
01:15Methods of Documentation VI: Case Management Model
978
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
978
01:18Introduction To Health Care Delivery System
4.2K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.2K