{"id":17407,"date":"2018-09-14T07:51:35","date_gmt":"2018-09-14T06:51:35","guid":{"rendered":"https:\/\/diarisanitat.cat\/?p=17407"},"modified":"2018-09-14T07:51:35","modified_gmt":"2018-09-14T06:51:35","slug":"sobre-diversos-models-datencio-a-la-cronicitat-i-la-fragilitat-noves-actuacions-a-urgencies-barcelona-2017-2018","status":"publish","type":"post","link":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/2018\/09\/14\/sobre-diversos-models-datencio-a-la-cronicitat-i-la-fragilitat-noves-actuacions-a-urgencies-barcelona-2017-2018\/","title":{"rendered":"Sobre diversos models d\u2019Atenci\u00f3 a la cronicitat i la fragilitat. Noves actuacions a urg\u00e8ncies Barcelona, 2017-2018"},"content":{"rendered":"<p>Informaci\u00f3 aportada a la Jornada del\u00a0<span class=\"hiddenSpellError\">CSB<\/span>\u00a0sobre noves actuacions a urg\u00e8ncies a Barcelona Ciutat (1017-2018) i la sessi\u00f3 sobre el PLANUC:<\/p>\n<table style=\"height: 532px;\" width=\"687\" cellspacing=\"0\" cellpadding=\"7\">\n<colgroup>\n<col width=\"105\" \/>\n<col width=\"104\" \/>\n<col width=\"83\" \/>\n<col width=\"75\" \/>\n<col width=\"155\" \/> <\/colgroup>\n<tbody>\n<tr valign=\"TOP\">\n<td width=\"105\"><strong><span lang=\"ca-ES\">Centre<\/span><\/strong><\/td>\n<td width=\"104\"><strong><span lang=\"ca-ES\">Nova <\/span><span lang=\"ca-ES\">acci\u00f3<\/span><\/strong><\/td>\n<td width=\"83\"><strong>Inversi\u00f3<\/strong><\/td>\n<td width=\"75\"><strong>Contracte<span lang=\"ca-ES\">anual<\/span><\/strong><\/td>\n<td width=\"155\"><strong><span lang=\"ca-ES\">Activitat<\/span><\/strong><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"105\">Dos de Maig<\/td>\n<td width=\"104\"><span lang=\"ca-ES\">ESIC<\/span><\/td>\n<td width=\"83\"><span lang=\"ca-ES\">202.335<\/span><\/td>\n<td width=\"75\"><span lang=\"ca-ES\">973.567<\/span><\/td>\n<td width=\"155\">CUAP urg\u00e8ncies 49.505\u00a0<span lang=\"ca-ES\">ESIC extrapolaci\u00f3 a l\u2019any: 830 pacients<\/span><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"105\">Casernes + HUVH<\/td>\n<td width=\"104\">ESIC<\/td>\n<td width=\"83\">200.000<\/td>\n<td width=\"75\"><span lang=\"ca-ES\">250.000<\/span><\/td>\n<td width=\"155\"><span lang=\"ca-ES\">Activitat en sis mesos, (al any):<\/span><span lang=\"ca-ES\">386 pacients.<\/span>Visites totals 1156\/a<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"105\">CUAP Cotxeres<\/td>\n<td width=\"104\">UAFUnitat Atenci\u00f3A la Fragilitat<\/td>\n<td width=\"83\"><span lang=\"ca-ES\">275.000<\/span><\/td>\n<td width=\"75\"><span lang=\"ca-ES\">180.000<\/span><\/td>\n<td width=\"155\"><span lang=\"ca-ES\">CUAP urg\u00e8ncies 53.199<\/span><span lang=\"ca-ES\">UAF. a l\u2019any: 228 <\/span><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"105\">CUAP Sant Mart\u00ed<\/td>\n<td width=\"104\">Complexitat<\/td>\n<td width=\"83\">&#8212;&#8211;<\/td>\n<td width=\"75\">&#8212;&#8211;<\/td>\n<td width=\"155\"><span lang=\"ca-ES\">Urg\u00e8ncies CUAP: 48.207<\/span><span lang=\"ca-ES\">(102\/195 dia)\u00a0<\/span>ESIC: 592<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"105\"><strong>TOTALS<\/strong><\/td>\n<td width=\"104\"><\/td>\n<td width=\"83\"><strong>677.335<\/strong><\/td>\n<td width=\"75\"><strong>1.403.567<\/strong><\/td>\n<td width=\"155\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Un cop m\u00e9s, en aquesta taula, veiem les \u00abnoves pol\u00edtiques\u00bb de la ger\u00e8ncia del\u00a0CSB, que sense fer cas a un model racional d&#8217;atenci\u00f3 Prim\u00e0ria, va concertant noves formes, sense avaluar-les i perdent efectivitat, afeblint el Sistema que hauria de ser\u00a0Primarista, com molt\u00a0b\u00e9\u00a0deia en el seu <a href=\"https:\/\/diarisanitat.cat\/latencio-a-la-cronicitat-competencia-de-latencio-primaria-de-salut\/\">recent article a aquest diari el\u00a0FOCAP<\/a>:<\/p>\n<p>De c\u00e8ntims, en la nostra sanitat, n&#8217;hi ha, el que passa\u00a0\u00e9s\u00a0que es gasten malament, sense prioritzar ni avaluar l&#8217;efici\u00e8ncia i qualitat.<\/p>\n<p>No s&#8217;entenen les grans\u00a0difer\u00e8ncies\u00a0de pressupost entre\u00a0els tres centres\u00a0d&#8217;AP\/CUAP: Dos de Maig, Casernes i Cotxeres.\u00a0\u00c9s\u00a0possible que es paguin altres coses (?)<\/p>\n<p>Si\u00a0aquests\u00a0diners concertats fossin utilitzats en refor\u00e7ar la Prim\u00e0ria ja existent en aquests tres centres per fer les funcions amb qualitat d&#8217;atenci\u00f3 a la cronicitat i fragilitat, podrien contractar:<\/p>\n<ul>\n<li>Casernes: 2 metgesses i 2,5 infermeres<\/li>\n<li>Cotxeres: 1,5 metgesses i 1,8 infermers<\/li>\n<li>Dos de Maig: 7\u00a0metgesses!\u00a0i 9\u00a0infermeres!<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Informaci\u00f3 aportada a la Jornada del\u00a0CSB\u00a0sobre noves actuacions a urg\u00e8ncies a Barcelona Ciutat (1017-2018) i la sessi\u00f3 sobre el PLANUC: Centre Nova acci\u00f3 Inversi\u00f3 Contracteanual Activitat Dos de Maig ESIC 202.335 973.567 CUAP urg\u00e8ncies 49.505\u00a0ESIC extrapolaci\u00f3 a l\u2019any: 830 pacients Casernes + HUVH ESIC 200.000 250.000 Activitat en sis mesos, (al any):386 pacients.Visites totals 1156\/a [&hellip;]<\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[116,69],"class_list":["post-17407","post","type-post","status-publish","format-standard","hentry","category-altres","tag-atencio-primaria","tag-focap"],"_links":{"self":[{"href":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/wp-json\/wp\/v2\/posts\/17407","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/wp-json\/wp\/v2\/users\/37"}],"replies":[{"embeddable":true,"href":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/wp-json\/wp\/v2\/comments?post=17407"}],"version-history":[{"count":0,"href":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/wp-json\/wp\/v2\/posts\/17407\/revisions"}],"wp:attachment":[{"href":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/wp-json\/wp\/v2\/media?parent=17407"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/wp-json\/wp\/v2\/categories?post=17407"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/amazing-bassi.82-223-8-23.plesk.page\/index.php\/wp-json\/wp\/v2\/tags?post=17407"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}