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La "cartella informatizzata" del Medico di Medicina Generale nel sistema di valutazione delle performance dell?Assistenza Primaria

Author

Listed:
  • Maria Cristina Ghiotto
  • Ylenia Rizzolo
  • Elisa Carraro
  • Mirko Claus

Abstract

Background. Una buona tenuta della "cartella informatizzata" del Medico di Medicina Generale (MMG) e fondamentale per garantire la continuita dell?assistenza. IVAQ e stato definito nella Regione Veneto per valutare l?accuratezza della registrazione strutturata da parte del MMG relativamente alle informazioni dei propri assistiti e delle attivita di prevenzione, di presa in carico e di aderenza ai percorsi clinici. Scopo. Il presente studio descrive l?esperienza nella definizione e implementazione di un flusso informativo e del relativo indice per la valutazione dell?accuratezza e della qualita del dato presente nella "cartella informatizzata" del MMG. Metodi. Dopo un percorso condiviso con i MMG dal 2016, IVAQ e stato strutturato nel 100% dei software dei MMG. A oggi e alimentato con cadenza mensile da dati aggregati anonimi delle "cartelle informatizzate" dei MMG e permette il calcolo di singole misure e di un indice di sintesi (indice IVAQ, punteggio 0-1). L?analisi si focalizza sulle performance delle Medicine di Gruppo Integrate (MGI) e delle forme associative nel 2018. Risultati. Nel periodo 2017-2019, 2.905 su 3.249 MMG attivi hanno effettuato almeno un invio. L?indice IVAQ assume valori diversi in relazione alla forma associativa del MMG con risultati migliori per i medici che lavorano nelle MGI consolidate (MGI > 22 mesi v.m. 2017: 0,82; 2018: 0,86; 2019: 0,89) rispetto al Medico Singolo (2018: 0,56; 2019: 0,57).

Suggested Citation

  • Maria Cristina Ghiotto & Ylenia Rizzolo & Elisa Carraro & Mirko Claus, 2019. "La "cartella informatizzata" del Medico di Medicina Generale nel sistema di valutazione delle performance dell?Assistenza Primaria," MECOSAN, FrancoAngeli Editore, vol. 2019(112), pages 41-59.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2019-112003
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    References listed on IDEAS

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