Organization, Administration and Management
Coordination of pediatric emergencies between Primary Care and Hospital in Madrid Autonomous Community
Reference of this article.:
Gómez Alonso R, González Requejo A, Díaz Cirujano AI, Martinoli Rubino MC, Hernández de las Heras T. Coordinación de las urgencias pediátricas entre Atención Primaria y Hospital en la Comunidad de Madrid. Rev Pediatr Aten Primaria. 2004;6:367-377..
Published in Internet: 30/09/2004
In this article we make an overview of the Emergency Medical Care in the National
Health Services and more specifically in the Community of Madrid. First of all, we define
terms as Urgency, Emergency and the different types of Emergencies according to the
WHO criteria. Emergency incidence and the Emergency Medical Services involved in patient
care are described. In a second part a detailed description of pediatric urgent demand
in Primary Care Centres is made. Its causes and the diagnosis are reviewed, comparing
them with Hospital Emergency data. Special attention is paid to inappropriate demand: its
incidence, the factors involved, the reasons that children caregivers adduce for urgent demand and its negative impact on medical assistance quality. With all this, we scan the
main problems of the Emergency medical assistance, we outline the lack of coordination
between Hospital and Primary Care Centres and we make some proposals for improvement.
Keywords: Emergency medical services. Health Services Misuse.
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