PubMed · 3851406
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J Seymour. 1985-10-16. Practice. Open all hours.. https://pubmed.ncbi.nlm.nih.gov/3851406/
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The differences in awareness of the aged society were evaluated by the AHP technique among 48 citizens, 7 public health nurses, and 2 general clerks of O-Public Health Center in Fukuoka. As evaluating criteria, citizens laid stress on "Health", "Economic status", "Family"; general clerks on "Health", "Family", and "Autonomy of the aged"; public health nurses on "Health". "Economic status", and "Autonomy of the aged". While the citizens evaluated "health promotion" as the most important strategy in the aged society, the other two groups considered "sufficient pension" as the most important. "In-home services" was regarded as the lowest priority by all three groups.
OBJECTIVES: To find the current situation regarding the relationship between Primary Care and specialist doctors. To find the defects in this relationship and to propose actions to improve the situation. DESIGN: Delphi technique. SETTING: Area Medical Directors, Medical Coordinators of Primary Care Centres, Hospital Medical Directors, Internal Medicine Service chiefs and Casualty directors from the entire Community of Valencia. RESULTS: After a qualitative analysis of the replies given in the first and second questionnaires, the 10 most serious problems for the Primary Care/Hospital relationship were extracted, along with 10 possible solutions to improve this relationship. CONCLUSIONS: The main problems detected between Hospital and Primary Care concerned the professional and organisational areas. The solutions suggested mainly centered on the organisational area. Specific differences were found in the prioritization of the replies, both for problems and solutions, depending on whether the point of view was Primary or Hospital Care.
OBJECTIVE: To assess whether scores on the minimum technical norms (MTN) of the diabetes mellitus programme are of use in determining the level of metabolic control achieved. DESIGN: A retrospective study. SETTING: Two teaching health centres in the city of Santander. PATIENTS AND OTHER PARTICIPANTS: 204 patients, the total chosen by the Santander area management for the 1994 annual evaluation of the Diabetes programme. MEASUREMENTS AND RESULTS: The values reached by the variables of the MTN were measured. For a control criterion we took the value of glycosylated haemoglobin HbA1C or over. 52% of patients fulfilled the criteria of good control, 20% acceptable and 28% bad. CONCLUSIONS: Scoring on the MTN has little value in predicting lower values of HbA1C and is no use in assessing the level of metabolic control achieved by the Diabetes programme. The evaluation of the programme should include results indicators.