The banal consultations remaining time to correctly treat chronic diseases and new pathologies

during the 25th National Congress of the society of Pediatrics Extrahospitalaria and primary care (SEPEAP)

-En Spain allergies and asthma are chronic diseases most prevalent in children and adolescents

-more than 10% of children under 15 years of suffering from any chronic disease

-several studies place the asthma as the disease more frequent Chronicle among Spanish children (with an incidence of between 7 and 15.3 per cent), followed by diabetes and Oncology diseases

-La SEPEAP considers it necessary that care is shared by the different levels of care, integrating both health professionals and social

-most of the time the ease of access to consultations, overload the pediatricians with cases of children with most banal pathologies (Snot, tenths of fever, etc.)

-la SEPEAP affects that it is necessary that parents and guardians maintain a responsible attitude and applying appointment when really necessary

Santiago de Compostela, 2011-October Spain allergies and asthma are chronic diseases more prevalent in children and adolescents. According to a study conducted by the Ministry of health, more than 10% of children under 15 years of suffering from chronic illness.

In the context of the 25th National Congress of the society of Pediatrics Extrahospitalaria and primary care (SEPEAP), pediatricians addressed different aspects on chronic diseases in children and adolescents. Especially, the experts contributed in most common diseases and the importance of the role of the pediatrician in the improvement of the quality of life of patients with chronic diseases.

Diseases

Several studies place to asthma disease more frequent Chronicle among Spanish children (with an incidence of between 7 and 15.3 per cent), followed by diabetes and Oncology diseases, being the most common leukaemia, together with brain tumors, with incidence rates ranging between 4 and 40 cases for every 100,000 children. However, in recent years the survival rate has increased 15% and, moreover, now 70% of patients recovering from disease.

The advancement of new technologies is allowing increase levels of survival of children with chronic illnesses. Thanks to advances in chemotherapy, increasingly more diagnosed patients of malignant diseases, like leukemia, was replenished and maintain their quality of life ”, explains Dr. Luis Sánchez Santos, President of the XXV Congress of SEPEAP and pediatrician of the Centre for health of Arzúa, A Coruña.

The role of the pediatrician

For the SEPEAP, the role of primary care pediatrician is essential to assist the child with chronic disease. According to the specialist, is very important that we know the evolution of the disease and we coordinate the necessary care, but we must not forget that support for the child and his family is essential ”.

Help the family to meet and live with the disease of the patient is essential to certain malignant diseases closest relatives can feel fear, despair, or even culpability, sobe everything if it’s genetic diseases.

Also, the SEPEAP considers it necessary that care is shared by the different levels of care, integrating both health professionals and social. In this regard, the experts consider essential to improve communication and coordination among professionals in order to promote the quality of life of the patient and improve the pace of attention in the consultations.

Care overload

Although there are many cases of chronic patients requiring greater attention of health professionals, most of the time the ease of access to consultations, overload the pediatricians with cases of children with most banal pathologies (Snot, tenths of fever, etc.).

The overuse of primary care consultations both affects family physicians like to pediatricians. In this respect, assistance to patients without appointment, whose attendance is not urgent and could be delayed, is a disorder in the pace of consultations. Many times is to pediatrician to solve any problem of the child, whether medical or otherwise, and this represents an increase in medical visits, delayed the appointments of other patients that need more attention ”.

Frequent and not justified assistance to consultation arises from several factors:

1. The promotion made by the public administrations of free health and lack of dedication to the education for health and the promotion of rational use of the services and self-care.

2. Families who need to repeatedly check the same doubts in all queries.

3. Own paediatricians and other specialists suggest that any doubts should be consulted with the expert.

4. Society and the media promote the excessive assistance to pediatricians queries

La SEPEAP affects that it is necessary that parents and guardians maintain a responsible attitude and applying appointment when really necessary, so that consultations, not, above all, soak in the afternoons, which is when the parents leave work and have more time to be in the query.

Spanish society of community-based Pediatrics and primary care (SEPEAP)

The Spanish society of Pediatric Extrahospitalaria and primary care (SEPEAP) emerged to accommodate a group of Pediatricians with a few needs upgrading, training and professional problems differentiated and minusvaloradas pediatric practice 25 years ago. Scientific and professional and non-profit it currently has more than 2,200 members.

The structure of the SEPEAP consists of societies and sections provincial and/or regional paediatric Extrahospitalaria and primary care, without losing its own character, linked to it and to the societies of Pediatric regional of the Spanish Association of Paediatrics (AEP).

Since the beginning of the SEPEAP were clear its purpose, as indicated in its statutes: promoting the study of Pediatrics Extrahospitalaria, the problems of children and adolescents within the lash (outpatient health centers, public and private clinics, external consultations in hospitals, etc.). In addition, is intended to cover the three fundamental missions of Pediatrics Extrahospitalaria: care (preventive, curative and rehabilitative), teacher (collaboration in the formation of undergraduate student of medicine in Pediatrics Extrahospitalaria, in the formation of the residents of the specialty of Pediatrics in pediatric Extrahospitalaria)(, in the continuing education of the lash pediatrician in exercise and health education for the population at all levels) and researcher, to promote the correlation of paediatric Extrahospitalaria and services primary care with other health services and social resources of the community within the A.E.P.

Information relating to this society is located at: www.sepeap.org.