AZ Pediatría
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Vol. 13 - Num. 49

Organization, Administration and Management

Weak points of child and adolescent Primary Health Care in Spain (first part)

Concepción Sánchez Pinaa, Narcisa Palomino Urdab, Elisa de Frutos Gallegoc, Carlos Valdivia Jiménezd, Carmen Rosa Rodríguez Fernández-Olivae, Iciar Miranda Berrioategortuaf, Pedro J. Gorrotxategi Gorrotxategig, José Ignacio Pérez Candásh, M.ª Dolores Sánchez Díazi, Manuela Sánchez Echeniquej

aPediatra. CS San Andrés. Madrid. España.
bCS Salvador Caballero. Granada. España.
cPediatra. ABS Raval Nord. Barcelona. España.
dPediatra. CS Los Boliches. Fuengirola. Málaga. España.
ePediatra. Coordinación Pediatría Atención Primaria/Atención Hospitalaria. Dirección General de Programas Asistenciales. Servicio Canario de Salud. España.
fPediatra. Centro de Salud San Agustín. Palma de Mallorca. Mallorca. España.
gPediatra. CS Pasaia San Pedro. Pasajes. Guipúzcoa. España.
hPediatra. CS de Sabugo. Avilés. Asturias. España.
iPediatra. CS Parquesol. Valladolid. España.
jPediatra. Servicio de Planificación y Gestión de Atención Primaria. Navarra. España.

Correspondence: C Sánchez. E-mail:

Reference of this article: Sánchez Pina C, Palomino Urda N, de Frutos Gallego E, Valdivia Jiménez C, Rodríguez Fernández-Oliva CR, Miranda Berrioategortua I, et al. Weak points of child and adolescent Primary Health Care in Spain (first part). Rev Pediatr Aten Primaria. 2011;13:15-31.

Published in Internet: 06-04-2011 - Visits: 21065


Introduction: the board of directors of the Spanish Association of Primary Care Paediatrics (AEPap) decided to address an analysis comparing the situation of child and adolescent assistance in primary care in different regions through the data provided by the corresponding regional federated societies.

Material and methods: in spring 2010 we conducted a survey using Web 2.0 technology with 16 expert paediatricians on the status of child and adolescent primary health care in Spain, we chose one paediatrician for each of the Spanish autonomous region. They answered 39 selected consensuated questions seeking organizational and intercommunity health care differences.

Results: we found significant discrepancies in the way of organizing the consultations in primary care among different regions. It generates iniquities to children, their families and professionals. We defined weak points as the posts with the most unfavourable features, such as general practitioners in paediatric offices, shortage of paediatric nursing, long work hours (work in the evening), low wages and lack of access to the Internet. The worst communities in this regard are Andalucia and Madrid with three of these weak points, followed by Catalonia and Murcia. We have only found four communities without weak points of care.

Conclusion: to reduce these differences in order to avoid important gaps in health resources devoted to children and adolescents falls on health authorities.


Health Care Surveys Health Inequalities Paediatrics Pediatric Nursing Primary care Professional Practice Spain



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