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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Conocer por qu&#233; las personas acuden a los servicios de urgencia hospitalarios &#40;SUH&#41; por problemas de salud de baja complejidad&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; una investigaci&#243;n cualitativa de tipo fenomenol&#243;gica interaccionista&#46; La muestra te&#243;rica pertenec&#237;a a un &#225;rea urbana y otra rural de Catalu&#241;a&#46; Se escogieron personas &#40;n &#61; 36&#41; que hab&#237;an acudido a los SUH o a servicios de urgencia de la atenci&#243;n primaria de salud &#40;SUAP&#41; en el mes previo a su selecci&#243;n&#46; Se recogieron datos en 8 grupos focales&#46; Se realiz&#243; un an&#225;lisis inductivo descriptivo-interpretativo&#44; construyendo categor&#237;as emergentes a partir de la triangulaci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Emergieron 5 categor&#237;as&#58; s&#237;ntomas&#44; elaboraci&#243;n de autodiagn&#243;stico&#44; percepci&#243;n de necesidad&#44; conocimiento de la oferta y contexto global de la persona&#46; Los s&#237;ntomas generan la consideraci&#243;n de p&#233;rdida de salud y desencadenan la acci&#243;n&#46; La elaboraci&#243;n del autodiagn&#243;stico determina la necesidad-tipo de atenci&#243;n&#46; Del contraste entre la percepci&#243;ntipo de necesidad y el conocimiento de la oferta de los servicios&#44; as&#237; como de la situaci&#243;n vital de la persona&#44; surge la decisi&#243;n de acudir a un servicio u otro y se genera la acci&#243;n&#46; El conocimiento de la oferta de los SUH es mejor que el de los SUAP&#46; El tiempo parece b&#225;sico en la toma de decisiones&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La elaboraci&#243;n de un autodiagn&#243;stico es cr&#237;tica en la determinaci&#243;n de la acci&#243;n&#44; pero el conocimiento de la oferta de los servicios&#44; las experiencias previas y la situaci&#243;n vital de la persona modulan el tipo de demanda&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To ascertain why people attend hospital emergency departments &#40;ED&#41; for low complexity health problems&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">A phenomenological&#44; interactionist&#44; qualitative study was performed&#46; A theoretical sample that selected one urban and one rural area from Catalonia &#40;Spain&#41; was designed&#46; In each setting&#44; persons &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>36&#41; who had used the ED or a primary care emergency service 1 month before the beginning of the study were chosen&#46; Data were obtained through 8 focus groups&#46; An interpretative content analysis was performed&#44; and emergent categories were constructed through research triangulation&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Five categories emerged&#58; symptoms&#44; whether or not self-diagnosis was involved&#44; perception of needs&#44; awareness of the health services available&#44; and the overall context of the person&#46; Symptoms generated feelings of failing health and thus initiated care seeking&#46; Self-diagnosis determined perceived need and the type of care sought&#46; People contrasted their selfperception of need with their own opinion about the health services available&#46; The decision to go to one or other service was made as a result of this contrast&#44; but the individual&#8217;s family&#44; work&#44; and social situations also played a part&#46; Informants were more familiar with the service provided by the ED than with that provided by primary care&#46; Time consumption also figured heavily in decision making&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The presence or absence of self-diagnosis is a determining factor in attendance at EDs&#46; Other factors that influence demand are the level of awareness of the health services available&#44; previous experiences&#44; and the life situation of the individual&#46;</p>"
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