Multiple demands on Primary Care

Abstract

Title: Multiple demands on Primary Care

Objectives: To acknowledge the percentage of consultation with multiple demands and the patients needs

Design: Cross-sectional observational

Site: Primary Care

Measurements/Methods:  The variables to collect are: cualitative (gender, consultations according to CIAP-2 classification, act’s nature, type of attention) and cuantitative (age, number of waiting days for a consultation on demand, number of demands, total time of consultation in minutes registered in electronic clinical history)  

Results: Total proportion of multiple demand was 32,65% (CI95% 30,14-35,17) associated to urban clinics, more-year-experienced profesionals, consultations on demand and face-to-face appointments. When multiple demands were registered, mean increase in appointment duration was 3,45 minutes (CI95% 2,98- 3,91). Most frequent CIAP-2 classification groups were A (general and inespecific) with 32,45% (CI95% 30,37-34,53) and L (locomotor system) with 13,72% (CI95% 12,19-15,23)

Conclusions: Multiple demands proportion was elevated with a minimum of 30,15%, more frequent in appointments on demand and face-to-face. This implies a minimum increase in appointment duration of 2,98 minutes for each consultation above the first. It was shown that more waiting days for an appointment increase multiple demands