Hiperfreqüentadors: diferència entre les revisions

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Contingut canviat per «category:Sesiones [http://localhost/wiki/index.php/Hiperfreq%C3%BCentadors WIKI FEINA]».
(Contingut canviat per «category:Sesiones [http://localhost/wiki/index.php/Hiperfreq%C3%BCentadors WIKI FEINA]».)
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[[category:Sesiones]]
[[category:Sesiones]]


=Paraules Mesh=
[http://localhost/wiki/index.php/Hiperfreq%C3%BCentadors WIKI FEINA]
 
==Cerques fetes==
 
*"Primary Health Care"[Mesh] AND "Health Services Misuse/statistics and numerical data"[Mesh]
 
*"Primary Health Care/utilization"[Mesh] AND "Models, Theoretical"[Mesh] AND "Cross-Sectional Studies"[Mesh]
*"Primary Health Care/utilization"[Mesh] AND Attitude to Health [mesh]
*"Primary Health Care/utilization"[Mesh] AND "Models, Theoretical"[Mesh] AND"Cohort Studies"[Mesh]
*"Primary Health Care/utilization"[Mesh] AND "Religion and Psychology"[Mesh]
*"Primary Health Care/utilization"[Mesh] AND "Age Factors"[Mesh] AND "Models, Theoretical"[Mesh]
*"Primary Health Care/utilization"[Mesh] AND "Age Factors"[Mesh] AND "Health Services Research"[Mesh]
*"Primary Health Care/utilization"[Mesh] AND Capitation Fee[Mesh]
*"Primary Health Care/utilization"[Mesh] AND Chronic Disease/epidemiology [Mesh]
*"Primary Health Care/utilization"[Mesh] AND Chronic Disease/psychology
*"Primary Health Care/utilization"[Mesh] AND Educational Status
*"Primary Health Care/utilization"[Mesh] AND Health Status[mesh] AND "Health Services Research"[Mesh]
*"Primary Health Care/utilization"[Mesh] AND Morbidity[Mesh] AND Health Services Research[mesh]
*"Primary Health Care/utilization"[Mesh] AND "Patient Acceptance of Health Care/statistics and numerical data"[Mesh] AND Health Services Research[mesh]
*"Primary Health Care/utilization"[Mesh] AND "Appointments and Schedules"[Mesh] AND "Models, Theoretical"[Mesh]
 
==Freqüentació==
 
Ambulatory Care/utilization*
Appointments and Schedules
Continuity of Patient Care/statistics & numerical data*
Health Services/utilization*
Health Services Misuse/statistics & numerical data
Health Services Needs and Demand*/statistics & numerical data
Office Visits/statistics & numerical data*
Office Visits/utilization*
Primary Health Care*/statistics & numerical data
Primary Health Care/utilization*
utilization
Utilization Review
Utilization Review/statistics & numerical data
Workload*
 
==Factors associats==
 
Affective Symptoms/epidemiology
'''Age Factors'''
Attitude to Health
Attitude of Health Personnel*
'''Capitation Fee'''
Catholicism
'''Chronic Disease'''
'''Chronic Disease/epidemiology'''
'''Chronic Disease/psychology'''
Depression/epidemiology*
'''Educational Status'''
Family Characteristics*
Family Characteristics*
Family Practice*
Family Practice/organization & administration
Family Practice/statistics & numerical data*
Family Relations
Health Behavior
Health Care Rationing*
Health Services Accessibility*
Health Services for the Aged/utilization*
Health Services Needs and Demand
'''Health Status'''
Jews/psychology
Jews/statistics & numerical data
Marital Status
Mental Disorders/diagnosis
Mental Disorders/epidemiology
Mental Disorders/psychology
Models, Organizational*
'''Morbidity'''
Motivation
Neurotic Disorders/epidemiology*
Outpatients/classification*
Outpatients/psychology
Patient Acceptance of Health Care
Patient Acceptance of Health Care/ethnology
Patient Acceptance of Health Care/psychology*
Patient Acceptance of Health Care/statistics & numerical data*
Patients/psychology*
Patient Satisfaction
Personality Assessment
Personality Inventory
Poverty Areas*
Physician-Patient Relations*
Physicians, Family/utilization*
Physician's Practice Patterns/statistics & numerical data*
Practice Management, Medical
Practice Management, Medical/organization & administration*
Protestantism
Psychology, Social
Religion and Psychology*
Risk Factors
Self Assessment (Psychology)
Severity of Illness Index
Sex Factors
Sick Role*
Social Class
Social Support
Socioeconomic Factors
Urban Health
 
==Mètodes==
 
Case-Control Studies
Chi-Square Distribution
Cross-Sectional Studies
Cohort Studies
Follow-Up Studies
Confidence Intervals
Health Care Surveys
Health Services Research
Health Surveys
Interviews
Likelihood Functions
Logistic Models
Models, Theoretical
Odds Ratio
Prospective Studies
Qualitative Research
Questionnaires
Regression Analysis
Retrospective Studies
 
=Estat actual del tema=
 
==Definició d'hiperfreqüentador==
 
*Majors de 14 anys i amb més de 8 visites/metge/any.
*Número de visites superior a 2 desviacions estàndard de la mitja de freqüentació.
 
==Perfil de l'hiperfreqüentador==
 
*Són una part important de la demanda, son un 12-21% de la població que usa el 46-50% de les consultes.
*Edat mitja.
*Predomini femení.
*Múltiples problemes de salut tant físics com mentals.
*Valorar si cal recollir si el pacient és pensionista o no. En l'article <cite>guerra_ap</cite>, ho tenen en compte, però no sé en què es basen.
 
==Factors que condicionen la hiperfreqüentació==
 
*Característiques de la població.
**L'edat cada cop més gran de la població.
**Estat de salut de la població.
**Segons la importància que se li dóna a la malaltia <cite>guerra_ap</cite>. Sobretot les cardiovasculars, osteoarticulars, però també les cròniques i mentals.
**El nivell socioeconòmic podria influir en la HF dels serveis públics, ja que se sposa que els rics van a la privada <cite>guerra_ap</cite>.
**Falta de suport social o familiar augmenten la HF <cite>guerra_ap</cite>.
*Factors del professional.
**No influeix la satisfacció amb el seu metge o infermera.
*Factors de la organització.
**Un augment d'accessibilitat augmenta la freqüentació segons els propis pacients <cite>guerra_ap</cite>.
**La satisfacció amb el centre podria augmentar la HF <cite>guerra_ap</cite>.
 
=Metodologia utilitzada=
 
*Per als factors que determinen l'hiperfreqüentació:
**Metodologia qualitativa amb grups focals <cite>guerra_ap</cite>.
 
=Bibliografia=
 
==Llegits==
 
*Factors explicatius de la HF amb metodologia qualitativa <cite>guerra_ap</cite>.
 
==Pendents de llegir==
 
*Definició HF <cite>lourenzo_econh, neal_brgen, wilson_brgen, howe_brgen, neal_brgen3, anderson_scan, knishkowy_jfp</cite>.
*Descripció de la freqüentació <cite>crampton_nzeland, busato_famprac, lou_ap, arenas_ap, capitation, sidorov, carlson_bmc, papa_bmc, suominen_bmc, halloran_austr, flemming, sihvonen_scand, ovaskainen_hp</cite>.
*Variabilitat <cite>guerra_ap2, bolanos_fp</cite>.
*Demanda induïda <cite>bellon_ap</cite>.
*Perfil de l'HF <cite>byrne_annals, kapur_brgen, bergh_scand, vedsted_publich, bellon_psychol, dowrick_brgen, ortega_ap, frostholm_psychosom, aguirre_ap, segovia_ap, orueta_ap, probst_fammed, rubio_ap, carlsson_scand</cite>.
*Factors explicatius de l'HF <cite>eggen_scand, kransic_dmb, foster_fp, vedsted_social, burgos_ap, smucker_jfm, kapur_psychol, mancera_ap, meer_psychosom, baez_ap, bago_hecon, crampton_nzeland2, bellon_gc, portella_gc, otero_ap, dovey_nzeland, conrad_jama, jyv, karlsson, parslow_soc, scott_hsrm, gross_wh, sutton_soc, mendoza_saudi, keene_jph</cite>, el model explicatiu d'Andersen <cite>andersen_beh</cite>, socio-economics <cite>pescosolido_sociol, martinez_ap, gomez_famprac</cite>, factors psicològics <cite>bebbington_psychol, thode_bgg, virtanen_bmc, have_psyepi, cort_ap pmid, korff_agp, lopez_ap</cite>, sistemes d'organització dels serveis sanitaris <cite>sominen_eurph</cite>, religió <cite>reindl_social</cite>.
*Metodologia <cite>vedsted_phealth</cite>:
**Estudis qualitatius <cite>neal_brgen2, hodgson_annals</cite>.
**Multivariant <cite>bellon_ap2</cite>.
 
==Pendents de buscar==
 
*Referència 15, 22 de <cite>guerra_ap</cite>.
 
==Referències==
 
<biblio>
#guerra_ap pmid=17669318
#byrne_annals pmid=12605196
#burgos_ap pmid=12812687
#andersen_beh pmid=7738325 
#pescosolido_sociol Pescosolido B. ''[http://links.jstor.org/sici?sici=0002-9602%28199201%2997%3A4%3C1096%3ABRCTSD%3E2.0.CO%3B2-L Beyond Rational Choice: The Social Dynamics of How People Seek Help]''. The American Journal of Sociology, Vol. 97, No. 4, New Directions in the Sociology of Medicine. (Jan., 1992), pp. 1096-1138.
#kapur_brgen pmid=11593846
#bergh_scand pmid=14531510
#vedsted_publich pmid=11939384
#bellon_psychol pmid=10616940
#dowrick_brgen pmid=10897531
#neal_brgen pmid=9604412
#ortega_ap pmid=14967124
#smucker_jfm pmid=11674886
#kapur_psychol pmid=15099425
#mancera_ap pmid=11412559
#neal_brgen2 pmid=11050788
#hodgson_annals pmid=16046564
#have_psyepi pmid=16003591
#sominen_eurph pmid=15542872
#meer_psychosom pmid=9623879
#frostholm_psychosom pmid=16314606
#reindl_social pmid=14572925
#lourenzo_econh pmid=16127679
#aguirre_ap pmid=15225536
#wilson_brgen pmid=12830576
#howe_brgen pmid=12120728
#neal_brgen3 pmid=11224969
#baez_ap pmid=10413982
#segovia_ap pmid=9887577
#anderson_scan pmid=8919367
#orueta_ap pmid=8329552
#sihvonen_scand pmid=2284523
#bago_hecon pmid=16127676
#thode_bgg pmid=15768302
#virtanen_bmc pmid=17014702
#vedsted_social pmid=15177837
#probst_fammed pmid=12269538
#bebbington_psychol pmid=11097076
#crampton_nzeland pmid=17589550
#busato_famprac pmid=16115833
#crampton_nzeland2 pmid=11194763
#rubio_ap pmid=9931557
#bellon_gc pmid=8666513
#cort_ap pmid=8518351
#lopez_ap pmid=1420775
#portella_gc pmid=1295842
#otero_ap pmid=1504224
#dovey_nzeland pmid=1625824
#lou_ap pmid=2129725
#arenas_ap pmid=2129724
#martinez_ap pmid=2104132
#bellon_ap pmid=17020715
#bellon_ap2 pmid=1807435
#capitation pmid=16381327
#sidorov pmid=12068963
#guerra_ap2 pmid=10547919
#conrad_jama pmid=9516000
#carlson_bmc pmid=16483353
#carlsson_scand pmid=15370795
#gomez_famprac pmid=8872097
#korff_agp pmid=1550468
#jyv pmid=9800226
#karlsson pmid=7895972
#papa_bmc pmid=17081303
#suominen_bmc pmid=16952306
#halloran_austr pmid=16489377
#parslow_soc pmid=15351477
#scott_hsrm pmid=12626026
#gross_wh pmid=11708687
#sutton_soc pmid=10468392
#mendoza_saudi pmid=14666207
#flemming pmid=10165630
#vedsted_phealth pmid=15694959
#foster_fp pmid=16675502
#keene_jph pmid=15637107
#ovaskainen_hp pmid=14637008
#bolanos_fp pmid=12028800
#kransic_dmb pmid=9408740
#eggen_scand pmid=8484078
#knishkowy_jfp pmid=1985136
</biblio>
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