<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732023000100030</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v39i1.13407</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Referenciação aos cuidados de saúde secundários em idade adulta: protocolo de estudo coorte retrospetivo]]></article-title>
<article-title xml:lang="en"><![CDATA[An analysis of referrals from primary care to secondary care to a general hospital outpatient clinic in adult age: retrospective cohort study protocol]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferraz]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosário]]></surname>
<given-names><![CDATA[Frederico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Dão Lafões USF Tondela ]]></institution>
<addr-line><![CDATA[Tondela ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Medicina Instituto de Medicina Preventiva e Saúde Pública]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>27</day>
<month>02</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>27</day>
<month>02</month>
<year>2023</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<fpage>30</fpage>
<lpage>35</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732023000100030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732023000100030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732023000100030&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivos:  Estimar a taxa de referenciação à consulta externa do Centro Hospitalar Tondela Viseu (CHTV) na idade adulta; avaliar a qualidade das referenciações realizadas pelos médicos de família (MF), tendo como base o Guia de Referenciação do ACeS Dão Lafões à Consulta Externa do Centro Hospitalar Tondela-Viseu (GR); comparar as referenciações entre as unidades funcionais participantes no estudo; analisar os tempos de resposta dos cuidados de saúde secundários aos pedidos de consulta; avaliar a existência de informação de retorno para o MF após a alta.  Métodos:  Este protocolo de estudo coorte retrospetivo multicêntrico será implementado em seis unidades do ACeS Dão Lafões [Unidade de Saúde Familiar (USF) Cândido Figueiredo, USF Montemuro, USF Viseu Cidade, USF Tondela, UCSP São Pedro do Sul e UCSP Vouzela], bem como no CHTV e terá como população estudada os utentes inscritos nas unidades envolvidas, com 18 ou mais anos de idade completos em janeiro de 2018. Será selecionada aleatoriamente uma amostragem de 8.000 observações. Serão avaliadas as referenciações realizadas para o CHTV no ano de 2018. Os dados serão colhidos por consulta do processo clínico das USF e do CHTV. Variáveis estudadas: sexo, idade, unidade funcional, utilizador, número de referenciações, taxa de referenciação por consulta, taxa de utilizadores referenciados, taxa de referenciação por utente utilizador, consulta pedida, qualidade das cartas, tempo até à resposta, caracterização da resposta, avaliação das respostas, tempo até à consulta hospitalar, informação de retorno. O estudo será realizado no último trimestre de 2021 relativamente a referenciações efetuadas no ano de 2018.  Discussão:  Os resultados deste estudo contribuirão para um melhor conhecimento, por um lado, do processo e qualidade da referenciação por parte dos cuidados de saúde primários, por outro da qualidade da resposta dada pelos cuidados de saúde secundários no que respeita aos tempos de resposta e à transferência de cuidados após a alta hospitalar. Ao nível dos cuidados de saúde primários poderá ainda contribuir para avaliar se existem ou não discrepâncias no processo de referenciação entre diferentes modelos de unidades de cuidados de saúde primários. Outro aspeto diferenciador deste estudo é a forma como os dados serão analisados para medir a resposta hospitalar aos pedidos de consulta, permitindo estimar com maior precisão o tempo que medeia a referenciação e a realização da consulta hospitalar. Este estudo poderá ainda servir como ponto de partida para um ciclo de melhoria contínua da qualidade em várias vertentes da articulação entre estes dois níveis de cuidados no que respeita ao processo de referenciação.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Aim of the study:  To determine the referral rate of adult patients to the Centro Hospitalar Tondela-Viseu (CHTV) outpatient clinic; evaluate the quality of the referral information based on Guia de Referenciação do ACeS Dão Lafões à Consulta Externa do Centro Hospitalar Tondela-Viseu (GR); compare referrals between chosen family health units (FHU); analyze referrals response times by secondary care; verify if the family physician receives feedback after discharge.  Methods:  This retrospective cohort study protocol will be conducted in six FHU from ACeS Dão Lafões (USF Cândido Figueiredo, USF Montemuro, USF Viseu Cidade, USF Tondela, UCSP São Pedro do Sul and UCSP Vouzela) and in CHTV. The population studied will be all the patients enrolled in the HU, with the age of 18 or older by January 2018. There will be a random selection of 8000 samples. The referrals made to CHTV during the year 2018 will be evaluated. Data were collected by examining hospital and FHU clinical records. The variables assessed were sex, age, family health unit, regular patient, number of referrals, referral rate per appointment, referral rate of regular patients, requested consultation, referral quality, time to response, response description, response evaluation, time to the first consultation, and feedback information. The study will be conducted during the last trimester of 2021, evaluating referrals from the year 2018.  Discussion:  The results of the study will add to a better understanding of the process and quality of referrals made by primary care physicians and the quality of response given by secondary care, concerning response times and post-discharge care. The study will allow us to evaluate if there are discrepancies in the referral processes between different FHUs. Another differentiator feature of the study is the way the data is analyzed to measure hospital response which will allow for estimating more precisely the time until the first consultation. This study may become a starting point for a continuous improvement cycle of the quality of the referral processes between these two healthcare settings.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Referenciações]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de saúde primários]]></kwd>
<kwd lng="pt"><![CDATA[Qualidade dos cuidados de saúde]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de saúde secundários]]></kwd>
<kwd lng="en"><![CDATA[Referral and consultation]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
<kwd lng="en"><![CDATA[Quality of health care]]></kwd>
<kwd lng="en"><![CDATA[Secondary care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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