Characteristics of the unit and the programmatic area of operation |
Location according to unit PHC |
|
|
PHC 1.0 |
12.3 |
|
PHC 2.1 |
12.3 |
|
PHC 2.2 |
4.4 |
|
PHC3.1 |
21.9 |
|
PHC 3.2 |
6.1 |
|
PHC 3.3 |
11.4 |
|
PHC 4.0 |
7.9 |
|
PHC 5.1 |
2.6 |
|
PHC 5.2 |
10.5 |
|
PHC 5.3 |
10.5 |
Number of family health teams per unit |
|
|
Between 1-3 teams |
21.9 |
|
Between 4-7 teams |
60.5 |
Average number of registered users per team |
|
|
Between 3001-4000 users/team |
45.6 |
|
More than 4000 users/team |
40.4 |
Easiest exams to perform in PHC (shorter waiting time) |
|
|
Radiography |
63.2 |
|
Mammography |
42.1 |
|
Ultrasonography |
28.9 |
Most difficult exams to perform in PHC (longer waiting time) |
|
|
MRI |
27.2 |
|
Colonoscopy |
27.2 |
|
Doppler |
26.3 |
Easiest specialties to perform in PHC (shorter waiting time) |
|
|
Dermatology |
78.9 |
|
Otolaryngology |
39.5 |
|
Pneumology |
17.5 |
Most difficult specialties to perform in PHC (longer waiting time) |
|
|
Ophthalmology |
31.6 |
|
Nephrology |
29.8 |
|
General Surgery |
24.6 |
Technical preparation and structure for regulation |
Preparation for regulation (MR) |
|
|
Peer-Driven |
55.3 |
|
Through courses and training on regulation |
37.7 |
IT and connectivity at the unit |
|
|
The infrastructure for regulation is adequate, but connectivity presents problems of instability and/or slowness frequently |
52.6 |
SISREG features and speed |
|
|
Features are adequate, but speed is unsatisfactory |
62.3 |
Clinical capacity and quality of requests from the unit's physicians |
|
|
Most physicians have good clinical training, and most requests are relevant |
52.6 |
|
It is very heterogeneous, depends very much on the physician and the type of examination/specialized consultation requested |
36.0 |
Local activities and practices in the regulation process |
Tools used in regulation (MR) |
|
|
SISREG |
95.6 |
|
Electronic Health Record |
74.6 |
|
Regulation Protocol |
72.8 |
Hours per week dedicated to local regulation |
|
|
Between 1-3 hours |
31.6 |
|
Between 4-8 hours |
41.2 |
|
More than 8 horas |
20.1 |
Place where regulation activities take place |
|
|
At work and outside of work |
70.2 |
|
Only when at work |
29.8 |
Type of actions performed in local regulation (MR) |
|
|
Requesting exams and consultations |
97.4 |
|
Analyzing requests |
88.6 |
|
Request for clarification or complementation (return or outstanding issues) |
88.6 |
Parameters applied to user scheduling |
|
|
Considers both the waiting time and the location of the performing unit |
67.5 |
|
Considers mainly the distance to the performing unit |
21.1 |
|
Seeks to schedule the consultation, procedure or exam considering mainly the waiting time |
8.8 |
Distance from the places to which users are referred |
|
|
The place of scheduling varies a lot, according to the specialty or exam, so it is not possible to say what happens in general |
67.5 |
Risk rating evaluation of the unit's requests |
|
|
They are very heterogeneous, varying according to the person requesting them and the unit's team |
47.4 |
|
They are almost always inserted with risk classification appropriate to the diagnostic hypothesis and the severity of the clinical condition of the described user |
40.4 |
Interactions of the local regulator with other professionals of the unit and the Network |
Type of interaction between colleagues in the same unit (MR) |
|
|
In person on a daily basis |
92.1 |
|
By messaging application - WhatsApp |
79.8 |
Interaction with regulators from other units (MR) |
|
|
By messaging application - WhatsApp |
82.5 |
|
In person at meetings |
41.2 |
Interaction with other services in the network, beyond PHC |
|
|
There is little direct interaction with specialized services |
63.2 |
|
No direct interaction with specialized services |
35.1 |
Most frequent forms of direct interaction with specialists from other services |
|
|
By telephone |
50.0 |
|
By e-mail |
45.9 |
ECFH's participation in local regulation |
|
|
Participates |
25.5 |
|
Does not participate |
48.2 |
|
There is no ECFH in the unit |
26.3 |
Sector/level most sought after in case of problems/doubts beyond local governability |
|
|
IRC or RT of PAC |
86.8 |
|
Other RT colleagues |
10.5 |