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espanolObjetivos. Conocer las caracteristicas demograficas, el perfil clinico y el consumo generado por el paciente hiperfrecuentador, identificado mediante el sistema de clasificacion de pacientes Grupos Clinicos Ajustados (ACG©: Adjusted Clinical Groups). Material y metodo. Estudio observacional, descriptivo y transversal de la poblacion mayor de 14 anos atendida en un Centro de Salud durante el ano 2012 segun estandar ACG©. Variables: edad, sexo, episodios, derivaciones a Atencion Especializada, farmacos prescritos, consultas de Medicina de Familia y Enfermeria, y coste farmaceutico. Resultados. De 15.090 pacientes del ano 2012, 40,61 % cumplian criterios de hiperfrecuentacion y acumulaban 62,5 % de las visitas. Con una edad media de 54,61 anos, el 61,2 % eran mujeres. Los episodios mas prevalentes fueron: hipertension arterial, alteraciones del metabolismo lipidico y obesidad. La media de visitas del grupo hiperfrecuentador fue de 18,21. Menos de 25 % de las visitas corresponden a consultas de enfermeria. No hubo incremento significativo de derivaciones, pero si de principios activos prescritos. Los hiperfrecuentadores acumulan el 65,8 % del gasto farmaceutico, con un gasto medio por individuo un 62 % mayor. Conclusiones. La proporcion de pacientes identificados como hiperfrecuentadores es elevada. Los motivos de consulta mas frecuentes son enfermedades cronicas de alta prevalencia. Esto nos debe hacer reflexionar sobre la gestion del paciente cronico y el papel de cada profesional en la misma. Se debe incidir en la educacion para la salud para empoderar al paciente en el autocuidado de su enfermedad. Con todo ello disminuirian demanda y costes y mejoraria la calidad asistencial. EnglishObjectives. To know the demographic characteristics, clinical profile and consumption generated by the frequent visitor patient, identified through the Adjusted Clinical Groups (ACG©) patient classification system. Material and methods. Descriptive and cross-sectional observational study of the population over 14 years of age seen in a Health Care Center during 2012 according to the ACG© standard. Variables: age, gender, episodes, referrals to Specialized Care, drugs prescribed, consultations in Family Medicine and Nursing, and drug cost. Results. Out of the 15,090 patients seen in the year 2012, 40.61 % fulfilled criteria of hyper-frequent visitor and accumulated 62.5% of the visits. With a mean age of 54.61 years, 61.2 % were women. The most prevalent episodes were: high blood pressure, lipid metabolism disorders and obesity. Mean visits of the high frequency group was 18.21. Fewer than 25% of the visits correspond to nursing visits. There was no significant increase of referrals, but there was for active ingredients prescribed. The hyperfrequent visitors accumulated 65.8% of the drug cost, with a mean cost per individual 62% greater. Conclusions. The proportion of patients identified as high frequent visitors is elevated. The most frequent reasons for the visit are high prevalence chronic diseases. This leads us to reflect on the management of chronic patients and the role of each professional in it. Emphasis should be made on health education to empower the patient in self-care of their disease. With this, demand and cost would decrease and care quality would improve. |
