EAP

VIC

EQUIP

D’ASSISTÈNCIA

PRIMÀRIA VIC

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 2001DURBAN-WONCA 2001

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VIC

Equip d’Atenció Primària Vic S.LCatalonia. Spain

OUTLINES

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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

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PRIMARY CARE

SERVICES

Why do we evaluate?

Health problems

•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

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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

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Efficiency, tech. quality, satisfaction

EPISODE

Rx

Consulting

Patientsleave

Drug prescrip.

Time

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Laboratory

test

PROSA WORKING•Model

•Task manager

•PGD status

•Unit relative value index

•Configuration of costs

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Several indicators...

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Smoking screening in last two years

Screaning

SM

OK

E

PO

PU

LA

T>

15 y.o.

GP1 1081 2175

GP2 1343 1728

GP3 1222 1693

GP4 980 1681

GP5 839 1614

GP6 857 1707

GP7 176 489

6498 11087EAPVIC

49

,75

0,3

77

,72

22

,28

72

,18

27

,82

58

,34

1,7

51

,98

48

,02

50

,21

49

,79

35

,99

64

,01

58,6141,39

0

10

20

30

40

50

60

70

80

90

100

GP1 GP2 GP3 GP4 GP5 GP6 GP7

% Screaned % NO

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65

,81

34

,19

71

,16

28

,84

71

,37

28

,63

81

,17

18

,83

70

,38

29

,62

68

,41

31

,59

55

,17

44

,83

70,729,3

0

10

20

30

40

50

60

70

80

90

100

GP 1 GP 2 GP 3 GP 4 GP 5 GP 6 GP 7

MESURES IN MEASURES OUT

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VIC2916GP 7

19321366

364249GP 6

341240GP 5

308250GP 4

248177GP 3

215153GP 2

427281GP 1

Nº

HB

P

<160/95

HBP (Average 3 last measures< 160/95)

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% Diabetic with glycated haemoglobin < 7.5

A1c<

7.5%

Nº

DIA

B.

GP1 34 120

GP2 36 73

GP3 25 73

GP4 62 101

GP5 45 93

GP6 33 103

GP7 3 10

241 573EAPVIC

28,3371,67

53,4246,58

34,2565,75

61,3938,61

48,3951,61

32,0467,96

3070

42,0657,94

0

10

20

30

40

50

60

70

80

90

100

GP1 GP2 GP3 GP4 GP5 GP6 GP7

% HbA1c<7.5% % NO

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5000150002500

103125

20000225005000

104625

2500325002500

124875

7500

52500

17500194000

1000040000

25000

235125

5000

55000

10000

139750

25002500012500

107250

0

50000

100000

150000

200000

250000

300000

350000

400000

450000

GP1 GP2 GP3 GP4 GP5 GP6 GP7

Lab. Radiol. Consulting Drug presc. Time

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

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Conclusions (1)

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.

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Prosa allows us:

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.

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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

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Conclusions (4)

5. The provision of clinical investigation lines after studying the results

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