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"titulo" => "Urgencias hospitalarias y de atención primaria en Asturias: variaciones entre áreas sanitarias y evolución desde 1994 hasta 2001"
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"correspondencia" => "Correspondencia: Salvador Peiró. Fundación Instituto de Investigación en Servicios de Salud. San Vicente, 112, 3. 46008 Valencia. España."
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"titulosAlternativos" => array:1 [
"en" => array:1 [
"titulo" => "Hospital and primary care emergency services in Asturias [Spain]: variations among health areas and trends between 1994-2001"
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2 => "Variabilidad"
3 => "Análisis de áreas pequeñas"
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"resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Describir la frecuencia de utilización de los servicios de urgencias en las áreas sanitarias de Asturias desde 1994 a 2001 y analizar su variabilidad.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estimó la demanda de urgencias hospitalarias y de atención primaria en las 8 áreas sanitarias de Asturias, y se analizó su evolución y las diferencias entre áreas, usando la estandarización indirecta y estadísticos de variabilidad.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Entre 1994 y 2001 se realizaron casi 6,5 millones de urgencias (un 43,8% en hospitales), con un crecimiento medio anual del 6,2% (un 7,8% en atención primaria y un 5,1% en hospitales) con gran heterogeneidad entre áreas. La variabilidad fue mayor en atención primaria y disminuyó en el período estudiado (coeficientes de variación: 0,38 y 0,27 para 1994 y 2001 en atención primaria, y 0,14 y 0,11 en hospitales, respectivamente).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La utilización de las urgencias creció en el período estudiado y se observa una gran variabilidad entre áreas sanitarias.</p>"
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"titulo" => "Abstract"
"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.</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. Their variability was analysed using indirect standardisation and small area variation statistics.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Almost 6.5 million of emergencies (hospitals: 43.8%) were attended in Asturias from 1994 to 2001. The average annual growth was 6.2% (primary care: 7.8%; hospitals: 5.1%) with differences among districts. Primary care variability was higher (variation coefficient: 0.38 and 0.27 in 1994 and 2001) than hospital variability (variation coefficient: 0.14 and 0.11) and it decreased in the period.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Emergency Health Services utilization growth between 1994 and 2001, with strong variability among health districts.</p>"
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"etiqueta" => "1."
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"titulo" => "Análisis de la demanda en servicios de urgencias de Barcelona"
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0 => array:2 [
"etal" => false
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0 => "E. Torné"
1 => "A. Guarga"
2 => "M.G. Torras"
3 => "A. Pozuelo"
4 => "M. Pasarín"
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"tituloSerie" => "Aten Primaria"
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"etal" => false
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0 => "J.L. Azpiazu"
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"titulo" => "Efectividad de las intervenciones para reducir la utilización inapropiada de los servicios hospitalarios de urgencies. Revisando la literatura 10 años después del Informe del Defensor del Pueblo"
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"autores" => array:3 [
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"titulo" => "Utilización inadecuada de un servicio de urgencias hospitalario. Una evaluación con criterios explícitos"
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"autores" => array:6 [
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4 => "O. Fernández Rodríguez"
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"tituloSerie" => "Gac Sanit"
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3 => "C. Martínez Espín"
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"tituloSerie" => "Rev Esp Salud Pública"
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"colaboracion" => "Health Services Utilization, Research Commision"
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"fecha" => "1997"
"editorial" => "Health Services Utilization and Research Commision"
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"titulo" => "Asistencia especializada. Actividad 2001"
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"titulo" => "Evolución de indicadores 1991-2001"
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"titulo" => "Variabilidad de las decisiones médicas y su repercusión sobre las poblaciones"
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"editorialLocalizacion" => "Barcelona"
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"titulo" => "Variabilidad en las tasas de intervenciones de cirugía general por áreas de salud"
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"etal" => true
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0 => "J.A. Marqués Espí"
1 => "S. Peiró"
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3 => "J. Librero"
4 => "M.T. Pérez-Vázquez"
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