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dc.contributor.authorDe Vos, Polen
dc.contributor.authorVanlerberghe, Veerleen
dc.contributor.authorRodríguez, Armandoen
dc.contributor.authorGarcía, Renéen
dc.contributor.authorBonet, Marianoen
dc.contributor.authorVan der Stuyft, Patricken
dc.date.accessioned2019-08-22T15:42:09Z
dc.date.available2019-08-22T15:42:09Z
dc.date.issued2007-08-17
dc.identifier.citationDe Vos, P., Vanlerberghe, V., Rodríguez, A., García, R., Bonet, M. & Van der Stuyft, P. (2007) Uses of first line emergency services in Cuba. Health Policy, 85(1), pp. 94-104.en
dc.identifier.issn0168-8510en
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/9928
dc.identifier.urihttps://doi.org/10.1016/j.healthpol.2007.07.001
dc.descriptionDe Vos, Pol - ORCID 0000-0002-1672-6469 https://orcid.org/0000-0002-1672-6469en
dc.descriptionItem not available in this repository.
dc.description.abstractObjectives To rationalise the use of hospital emergency units, the Cuban health system developed from 1996 onwards an extra muros first line emergency system (FLES). We analyse the use of the FLES and its determinants, in order to develop proposals to channel inappropriate users to their family doctor.en
dc.description.abstractMethods In the FLES of an urban (Cerro) and a rural (Baracoa) municipality we collected, from July 1999 to June 2001, data on the moment of consultation, age and sex of the patient, referral status, motive of consultation, emergency classification, diagnosis and medical conduct. A variable “inappropriate use” was constructed. We used multivariate logistic regression to quantify the strength of the associations between patient characteristics, the night-time use, medical procedures, referral, and inappropriate use of the FLES.
dc.description.abstractResults Over the 2 years observation period, 24 879 and 59 795 patient contacts were registered with the principal emergency policlinic in Baracoa and Cerro, respectively. In both municipalities the overall “inappropriate” use was almost 60%. There was no correlation with age and gender but inappropriate use was 50% more frequent during the day. Referred patients in both localities were up to 12 times more frequently hospitalized.
dc.description.abstractConclusion Cuba's FLES attract patients that would be better attended by their family doctor. To strengthen his central position in the health system, one should strengthen the family doctor's technical platform, increase his permanence at the cabinet, and improve communication with the community on the rationale of the family doctor—FLES set up.
dc.description.urihttps://doi.org/10.1016/j.healthpol.2007.07.001en
dc.format.extent94-104en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.ispartofHealth Policyen
dc.subjectCubaen
dc.subjectHealth Service Organizationen
dc.subjectFirst Line Health Servicesen
dc.subjectEmergency Servicesen
dc.subjectHealth Services Utilizationen
dc.titleUses of first line emergency services in Cubaen
dc.typeArticleen
dcterms.accessRightsnone
dc.description.volume85en
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2007-08-17
refterms.dateFCD2019-08-22
refterms.depositExceptionNAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorDe Vos, Polen
qmu.centreInstitute for Global Health and Developmenten
dc.description.statuspub
dc.description.number1en
refterms.versionNAen
refterms.dateDeposit2019-08-22


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