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COMPUTERIZED EVALUATION OF THE PRIMARY CARE PRODUCT AND HEALTH PROFESSIONALS: ITS EFFICIENCY AND TECHNICAL QUALITY Casanovas J, Serrarols M , Ledesma A, Carvajal JA, Gorrindo S, Ausió J. DURBAN-WONCA 2001 Equip d’Atenció Primària Vic S.L Catalonia. Spain EAP VIC

OUTLINES Introduction : Why do we want to evaluate? The computer skill to evaluate Primary Care product: PROSA. Episode and its indicators. Efficiency and technical quality. Results of several indicators Conclusions EAP VIC

Introduction : Why do we want to evaluate?

The computer skill to evaluate Primary Care product: PROSA. Episode and its indicators. Efficiency and technical quality.

Results of several indicators

Conclusions

PRIMARY CARE SERVICES Why do we evaluate? Health problems Optimal work conditions Evidence-based practice Appropiate technical resources Mr. Money! Limited resources ? EAP VIC

Optimal work conditions

Evidence-based practice

Appropiate technical resources

Mr. Money!

Limited resources

A computer skill: PROSA Computerized clinical report We evaluate patients, professionals and health provide company EFFICIENCY TECHNICAL QUALITY SATISFACTION INDICATORS EPISODES EAP VIC

INDICATORS numerical variables effective, precise, quantitative, easily drawn can be monitored to be followed result indicators set of basic indicators established with public health service Efficiency, tech. quality, satisfaction EAP VIC

numerical variables

effective, precise, quantitative, easily drawn

can be monitored to be followed

result indicators

set of basic indicators established with public health service

EPISODE Laboratory test Rx Consulting Patients leave Drug prescrip . Time EAP VIC

PROSA WORKING Model Task manager PGD status Unit relative value index Configuration of costs EAP VIC

Model

Task manager

PGD status

Unit relative value index

Configuration of costs

Several indicators... EAP VIC

Smoking screening in last two years 489 176 GP7 11087 6498 1707 857 GP6 1614 839 GP5 1681 980 GP4 1693 1222 GP3 1728 1343 GP2 2175 1081 GP1 POPULAT >15 y.o. Screaning SMOKE EAP VIC EAP VIC

HBP (Average 3 last measures< 160/95) 29 16 GP 7 1932 1366 364 249 GP 6 341 240 GP 5 308 250 GP 4 248 177 GP 3 215 153 GP 2 427 281 GP 1 Nº HBP <160/95 EAP VIC EAP VIC

% Diabetic with glycated haemoglobin < 7.5 10 3 GP7 573 241 103 33 GP6 93 45 GP5 101 62 GP4 73 25 GP3 73 36 GP2 120 34 GP1 Nº DIAB. A1c<7.5% EAP VIC EAP VIC

Back pain; breaking down costs (whithout patients’ leave) EAP VIC

Conclusions (1) The evaluation of the result of our daily work not only with process indicators, bearing in mind patients and professionals opinion about their satisfaction with the public health service provider. Prosa allows us: EAP VIC

The evaluation of the result of our daily work not only with process indicators, bearing in mind patients and professionals opinion about their satisfaction with the public health service provider.

Conclusions (2) 2. The monitoring of the level of implementation of preventive activities and the control of chronic diseases in order to identify areas which can we improved by some health programmes. PROSA makes the identification of such areas an easy and fast process. EAP VIC

Conclusions (3) 3. The creation of an incentive system for the professionals 4. The identification of differences in results between different kinds of health services providers EAP VIC

Conclusions (4) 5. The provision of clinical investigation lines after studying the results EAP VIC

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