In Europe, Latin-America, and Asia, poly-consultation has become a complex problem for managing different healthcare systems. However, in the current literature, little attention has been paid to exploring territorial and critical analysis perspectives to manage unexplained symptoms. The purpose of this study is to analyze the socio-structural elements that underlie the users’ phenomenon of poly-consultation or hyperfrequency in the Chilean primary healthcare system (PHCS). This paper represents qualitative data collected as part of an exploratory study that used mixed methods across three metropolitan areas of Santiago, Valparaíso, and Concepción, Chile. The study involved a sample of 24 subjects from administrative and management positions in PHC who were recruited from Family Health Care Centers, considering urban municipalities from the low, medium, and high stratum. The study collected data using one set of semi-standardized interviews during a year—data analysis using qualitative content analysis. This article shows that poly-consultant patients provide a critical clinic category to management that cannot be cover by current biomedical models. Data showed the strain of a somatoform category, especially in the clinic and epistemological exercise. Precisely, the relevance of Chile’s case, a mixed health system, and their effects: the naturalization of collective problems managed as individual problems. The study results can inform healthcare professionals and managers of developing practical and territorially based. We conclude that hyperfrequency and poly-consultation in Chile reveal relevant stratification in the territory. Those particularities open an opportunity to study quantitative methods, including current analysis categories, to develop new research.

中文翻译：

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无法解释的处理：多重咨询和高频率对智利的初级卫生注意。定性和探索性研究

在欧洲，拉丁美洲和亚洲，综合咨询已成为管理不同医疗保健系统的复杂问题。但是，在当前文献中，很少关注探索领土和临界分析观点以处理无法解释的症状。这项研究的目的是分析构成智利基本医疗保健系统（PHCS）中用户的咨询或频率过高现象的社会结构要素。本文代表了定性数据，这是一项探索性研究的一部分，该研究使用了圣地亚哥，瓦尔帕莱索和智利康塞普西翁三个大区的混合方法。这项研究从PHC的行政和管理职位中抽取了24位受试者样本，这些受试者是从家庭保健中心招募的，其中考虑了城市中低级，中，高阶层。这项研究在一年中使用了一组半标准化的访谈来收集数据-使用定性内容分析进行数据分析。本文显示，多咨询患者为管理提供了关键的临床类别，而当前的生物医学模型无法涵盖这些类别。数据显示了一种躯体形式的菌株，特别是在临床和认识论锻炼中。确切地说，智利案件的相关性，混合医疗体系及其影响：将集体问题的归化处理为个人问题。研究结果可以为医疗保健专业人员和管理人员提供基于实际和地域性发展的信息。我们得出的结论是，智利的高频率咨询和多方咨询显示了该地区的相关分层。