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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Describir la frecuencia de utilizaci&#243;n de los servicios de urgencias en las &#225;reas sanitarias de Asturias desde 1994 a 2001 y analizar su variabilidad&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estim&#243; la demanda de urgencias hospitalarias y de atenci&#243;n primaria en las 8 &#225;reas sanitarias de Asturias&#44; y se analiz&#243; su evoluci&#243;n y las diferencias entre &#225;reas&#44; usando la estandarizaci&#243;n indirecta y estad&#237;sticos de variabilidad&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Entre 1994 y 2001 se realizaron casi 6&#44;5 millones de urgencias &#40;un 43&#44;8&#37; en hospitales&#41;&#44; con un crecimiento medio anual del 6&#44;2&#37; &#40;un 7&#44;8&#37; en atenci&#243;n primaria y un 5&#44;1&#37; en hospitales&#41; con gran heterogeneidad entre &#225;reas&#46; La variabilidad fue mayor en atenci&#243;n primaria y disminuy&#243; en el per&#237;odo estudiado &#40;coeficientes de variaci&#243;n&#58; 0&#44;38 y 0&#44;27 para 1994 y 2001 en atenci&#243;n primaria&#44; y 0&#44;14 y 0&#44;11 en hospitales&#44; respectivamente&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La utilizaci&#243;n de las urgencias creci&#243; en el per&#237;odo estudiado y se observa una gran variabilidad entre &#225;reas sanitarias&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To describe primary care and hospital emergency utilization rates in Asturias health districts from 1994 to 2001 and to analyse their variability&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Hospital and primary care rates from 1994 to 2001 in the 8 Asturias health districts were estimated&#46; Their variability was analysed using indirect standardisation and small area variation statistics&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Almost 6&#46;5 million of emergencies &#40;hospitals&#58; 43&#46;8&#37;&#41; were attended in Asturias from 1994 to 2001&#46; The average annual growth was 6&#46;2&#37; &#40;primary care&#58; 7&#46;8&#37;&#59; hospitals&#58; 5&#46;1&#37;&#41; with differences among districts&#46; Primary care variability was higher &#40;variation coefficient&#58; 0&#46;38 and 0&#46;27 in 1994 and 2001&#41; than hospital variability &#40;variation coefficient&#58; 0&#46;14 and 0&#46;11&#41; and it decreased in the period&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Emergency Health Services utilization growth between 1994 and 2001&#44; with strong variability among health districts&#46;</p>"
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Urgencias hospitalarias y de atención primaria en Asturias: variaciones entre áreas sanitarias y evolución desde 1994 hasta 2001
Hospital and primary care emergency services in Asturias [Spain]: variations among health areas and trends between 1994-2001
David Oterino de la Fuentea,b, José Francisco Baños Pinoc, Víctor Fernández Blancoc, Ana Rodríguez Álvarez, Salvador Peirób,
Autor para correspondencia
speiro@comv.es

Correspondencia: Salvador Peiró. Fundación Instituto de Investigación en Servicios de Salud. San Vicente, 112, 3. 46008 Valencia. España.
a Area de Medicina Preventiva y Salud Pública, Universidad de Oviedo, Oviedo, España
b Fundación Instituto de Investigación en Servicios de Salud, Valencia, Asturias, España
c Departamento de Economía, Universidad de Oviedo, Oviedo, España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To describe primary care and hospital emergency utilization rates in Asturias health districts from 1994 to 2001 and to analyse their variability&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Hospital and primary care rates from 1994 to 2001 in the 8 Asturias health districts were estimated&#46; Their variability was analysed using indirect standardisation and small area variation statistics&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Almost 6&#46;5 million of emergencies &#40;hospitals&#58; 43&#46;8&#37;&#41; were attended in Asturias from 1994 to 2001&#46; The average annual growth was 6&#46;2&#37; &#40;primary care&#58; 7&#46;8&#37;&#59; hospitals&#58; 5&#46;1&#37;&#41; with differences among districts&#46; Primary care variability was higher &#40;variation coefficient&#58; 0&#46;38 and 0&#46;27 in 1994 and 2001&#41; than hospital variability &#40;variation coefficient&#58; 0&#46;14 and 0&#46;11&#41; and it decreased in the period&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Emergency Health Services utilization growth between 1994 and 2001&#44; with strong variability among health districts&#46;</p>"
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