Accesibilidad y utilización de la espirometría en los centros de atención primaria de Cataluña |
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| Institution: | 1. EAP Encants, SAP Muntanya-Dreta de Barcelona, ICS, Barcelona, España;2. Pla Director de les Malalties de l’Aparell Respiratori (PDMAR), Departament de Salut de Catalunya, Barcelona, España;3. Subdirecció de Planificació Sanitària, Direcció General de Planificació i Recerca en Salut, Departament de Salut, Generalitat de Catalunya, Barcelona, España;4. Centre Diagnòstic Respiratori, Institut del Tòrax, Hospital Clínic, IDIBAPS, Barcelona, España;5. Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Palma de Mallorca, España;6. Red de servicios de Salud Orientados a Enfermedades Crónicas (REDISECC), Madrid, España;7. Agència d’Informació, Avaluació i Qualitat en Salut (AIAQS), Barcelona, España;8. Observatori de Teràpies Respiratòries (OBsTRD), FORES, Vic (Barcelona), España;9. Programa d’Atenció a la Cronicitat, Hospital Clínic i Barcelona Esquerra, Barcelona, España |
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| Abstract: | ObjectiveExamine the accessibility and use of forced spirometry (FS) in public primary care facilities centers in Catalonia.DesignCross-sectional study using a survey.ParticipantsThree hundred sixty-six Primary Care Teams (PCT) in Catalonia. Third quarter of 2010.MeasurementsSurvey with information on spirometers, training, interpretation and quality control, and the priority that the quality of spirometry had for the team. Indicators FS/100 inhabitants/year, FS/month/PCT; FS/month/10,000 inhabitants.Main resultsResponse rate: 75%. 97.5% of PCT had spirometer and made an average of 2.01 spirometries/100 inhabitants (34.68 spirometry/PCT/month). 83% have trained professionals. > 50% centers perform formal training but no information is available on the quality. 70% performed some sort of calibration. Interpretation was made by the family physician in 87.3% of cases. In 68% of cases not performed any quality control of exploration. 2/3 typed data manually into the computerized medical record. > 50% recognized a high priority strategies for improving the quality.ConclusionDespite the accessibility of EF efforts should be made to standardize training, increasing the number of scans test and promote systematic quality control. |
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| Keywords: | Spirometry Quality control Training Interpretation |
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