Table 4 Application of the set of indicators related to clinical management coordination across levels of care
Indicator | Baix Empordà | Girona | Ciutat Vella | |||
|---|---|---|---|---|---|---|
ICS- Parc de Salut Mar | ICS- Parc de Salut Mar | |||||
CC1. Percentage of secondary care visits of patients diagnosed with HF in which the specialist ordered tests that were performed in the previous six months in primary care | Duplication of radiographies | %; n | 3.6 %; n:56 | - | - | - |
Duplication of electrocardiograms | %; n | 48.2 %; n:56 | - | - | - | |
Duplication of analytics | %; n | 16.1 %; n:56 | - | - | - | |
CC2. Percentage of pneumology visits of patients diagnosed with COPD in which the specialist ordered a spirometry that was performed in the previous six months in primary care | %; n | 2.5 %; n:81 | - | - | - | |
CC3. Percentage of patients with DM who started insulin therapy during hospitalization and whose primary care medical record documents a follow-up within one week of discharge | %; n | - | - | - | - | |
CC4. Percentage of patients with HF correctly referred from primary care to non-urgent outpatient secondary care | % (95 % IC) n | 85.7 % (69.4-100) n:42 | 81.0 % (68.9-93.3) n:42 | 83.3 % (75.6-95.1) n:42 | 88.5 % (75.3-100) n:26 | |
CC5. Percentage of patients with HF that have been correctly referred to emergency care from primary care | % (95 % IC) n | 97.4 % (92.0-100) n:39 | - | - | 95.2 % (88.5-100) n:42 | |
CC6. Percentage of patients with HF diagnosed in the past year who had an echocardiogram as part of the diagnostic process | %; n | 22.7 %; n:203 | 13.9 %: n:216 | - | - | |
FU1. Percentage of hospital discharges with contact between the hospital and primary care prior to the discharge of patients hospitalized for severe exacerbation of COPD | %; n | 58 %; n:88 | 36.8 %; n:407 | 3.2 %; n:95 | 0 %; n:49 | |
FU2. Percentage of hospital discharges with contact between the hospital and primary care prior to the discharge of patients hospitalized for decompensated HF | %; n | 40.3 %; n:119 | 44.78 %; n:201 | 0 %; n:48 | 2.78 %; n:36 | |
FU3. Percentage of hospital discharges of patients admitted for exacerbation of COPD who have a consultation in primary care in less than 72 h | %; n | 76.7 %; n:86 | 52.9 %; n:240 | 26.0 %; n:68 | 53.3 %; n:45 | |
FU4. Percentage of hospital discharges of patients admitted for decompensated HF who have a consultation in primary care in less than 7 days | %; n | 70.9 %; n:110 | 79.6 %; n:157 | 55.3 %; n:38 | 70.6 %; n:19 | |
AAL1. Mean time elapsed from non-urgent, non-priority primary care referral of HF patients to cardiologist visit | Mean (SD); n | 28.2 (4.0); n:42 | - | 39.6 (5.6); n:57 | 100.9 (9.1); n:86 | |
AAL2. Mean time elapsed from the referral of a patient with suspected cancer (lung, colorectal, breast, bladder and prostate) to the first specialist visit | Mean (SD); n | 5.3 (0.3); n:362 | - | 6.5 (0.4); n:87 | 6.6 (1.0); n:17 | |
AAL3. Mean time elapsed from the referral of a patient with suspected cancer (lung, colorectal, breast, bladder and prostate) to cancer diagnosis | Mean (SD); n | 46.9 (9.7); n:70 | - | 31.4 (4.6); n:36 | 39.9 (8.5); n:8 | |
AAL4. Mean time elapsed from the referral of a patient with suspected cancer (lung, colorectal, breast, bladder and prostate) to the initiation of cancer treatment (surgery and/or chemotherapy and/or radiotherapy) | Mean (SD); n | 71.4 (9.2); n:64 | - | 48.1 (5.1); n:33 | 46.9 (5.8); n:8 | |