State of emergency medicine in Spain

摘要: Spain has universal public health care coverage. Emergency provisions are offered to patients in different modalities and levels according the characteristics of medical complaint: at primary centers (PCC), an extrahospital setting by emergency services (EMS) hospital departments (ED). We have more than 3,000 PCCs, which run family doctors (general practitioners) pediatricians. On average, there is 1 PCC for every 15,000 20,000 inhabitants, doctor charge 1,500 2,000 citizens, although less populated zones tend lower ratios. Doctors spend part their duty time providing own patients. While not fully devoted medicine (EM) practice, they do manage minor emergencies. However, Spanish EMSs contribute hugely guarantee population coverage all situations. These EMS EM technicians (EMT), nurses doctors, who usually work exclusively arena. EDs dealt with 25 million consultations 2008, implies, on that one out two Spaniards visited ED during this time. They equipped a wide range diagnostic tools, most including ultrasonography computerized tomography scans. The academic training background working varies: nearly half lack any structured specialty residence training, but many done specific master or postgraduate studies within field. demand grown annual rate over 4% last decade. This percentage, was greater 2% increase same period, outpaced growth capacity. Therefore, become overcrowded when system exerts minimal stress. Despite high caseload potential severity conditions, still unregulated Spain. April 2009 Minister Health announced imminent approval specialty, allowing first resident officially start 2011. physicians look forward final approval, will complete modernization provision