Family or Paediatric Nurse, which model of work is more effective in Primary Care?

Section: Originals

How to quote

García Vallejo R, Alberquilla Menéndez-Asenjo A, Antón Barca C, García López M, López Palacios S. Enfermera familiar o de pediatría: ¿qué modelo de trabajo es más efectivo en Atención Primaria? Metas Enferm abr 2017; 20(3): 49-55.

Authors

Raúl García Vallejo1, Ángel Alberquilla Menéndez-Asenjo2, Cristina Antón Barca3, Montserrat García López3, Sonia López Palacios4

Position

1Enfermero. Centro de Salud “Campamento”. Dirección Asistencial Centro. Gerencia de Atención Primaria de Madrid. Profesor Asociado. Facultad de Enfermería, Fisioterapia y Podología. Universidad Complutense de Madrid2Médico. Técnico de Salud Pública. Unidad Docente Multiprofesional de Atención Familiar y Comunitaria Centro. Gerencia de Atención Primaria. Madrid3Enfermera. Responsable de Centros. Dirección Asistencial Centro. Gerencia de Atención Primaria. Madrid4Directora de Enfermería. Dirección Asistencial Centro. Gerencia de Atención Primaria. Madrid

Contact address

Raúl García Vallejo. Centro de Salud “Campamento”. C/ Mirueña, 5. 28024 Madrid.

Contact email: raul.garcia@salud.madrid.org

Abstract

Objective: to compare the effectiveness of two organization models for nursing care: the Family Nurse Model (FNM) and the Model for Differentiated Care for Adults / Paediatrics (ANM / PNM).
Method: an observational transversal study on the coverage reached by the indicators from the Portfolio of Services and the 2014 Contract Program, in all Health Centres from the Healthcare Management for Central Madrid. There was a comparison of the outcomes between the health centres working with each model: FNM vs. ANM/PNM.
Results: the study included the 49 health centres within the Healthcare Management for Central Madrid; 43% of them had the FNM Model of Care, and 57% had the ANM/PNM Model. There were statistically significant differences of coverage in 14 of the 15 indicators, showing the disparities in healthcare services according to the FNM or the ANM/PNM model. The highest differences were found in the indicators “Patients with results in healthcare plans by Nursing CIAS (Health Area Identification Codes): coverage was superior in the FNM Model with CR= 1.68 (CI 95% 1.65-1.71) and “Promotion of Healthy Habits in Adolescence” (201), with higher coverage results in the ANM/PNM Model with CR= 0.63 (CI95% 0.58-0.69). Variation coefficients are excessive in practically all the indicators studied.
Conclusions: it cannot be demonstrated that any of the two models for the organization of nursing work in Primary Care is clearly more effective than the other. A great variability of results was found between health centres, regardless of their organization model.

Keywords:

Primary Care; organization model; care; family nursing; indicators; indicators

Versión en Español

Título:

Enfermera familiar o de pediatría: ¿qué modelo de trabajo es más efectivo en Atención Primaria?