[The variability in the care for diabetic and hypertensive patients as a function of the styles of a physician's practice].

Abstract:

OBJECTIVES:To analyse the variability of certain indicators of the procedure and outcome of medical care in the clinical records of diabetic and hypertense patients, and their relationship with the doctor's style of practice. DESIGN:An observational, descriptive study. SETTING:Seven health centres in the public network. PARTICIPANTS:40 primary care doctors (all the doctors). MEASUREMENTS AND MAIN RESULTS:By means of stratified systematic random sampling, 20 clinical histories for each doctor were chosen (10 for patients diagnosed with diabetes mellitus and 10 with hypertension). The deviation ratio was used as the measurement of variability. Doctors' styles of medical practice were evaluated through the Australia questionnaire. Great variability was found in the frequency with which the different indicators of the two pathologies were recorded (deviation ratio: weight > 90.02% in DM, 81.37% in HT; height > 84.01% in DM, 77.10% in HT), and in the absolute figures (patients with HT, wide variability in all outcome indicators; patients with DM, in last figures, total and HDL cholesterol, and HbA1c). The styles of practice were shown to be related to the frequency of appearance of some indicators in the clinical records and with the quality of particular outcome indicators. The age of the doctor correlated significantly, and negatively, with the recording of almost all the indicators and their quality. CONCLUSIONS:Variability of medical practice in the care of the chronically ill seen in primary care does exist. The use of clinical practice guides is emphasised.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Mira JJ,Llinás G,Gil V,Lorenzo S,Palazón I,Orozco D

subject

Has Abstract

pub_date

1999-02-15 00:00:00

pages

73-81

issue

2

eissn

0212-6567

issn

1578-1275

journal_volume

23

pub_type

杂志文章
  • [Does the system of prescription issuance influence the therapeutic compliance of hypertensive patients?].

    abstract:OBJECTIVES:To find out whether the system for issuing prescriptions is linked to the therapeutic compliance and control of the blood pressure of a group of hypertense patients, and to quantify compliance with hypertension treatment through an indirect measurement method (counting pills). DESIGN:Crossover, descriptive ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: González Sánchez C,Sanz Carabaña P,Alvarez Montero S,Bermejo Fernández F,Gallego Casado P,la Torre del Carmen L

    更新日期:1999-09-30 00:00:00

  • [Clinical management units in primary care: a question under debate].

    abstract:OBJECTIVE:To find the views of health professionals on how the terms of the new management agreement with clinical units affect the quality of health delivery. DESIGN:Qualitative study to find professionals' views. Individual opinions of key informers were obtained, secondary sources were analysed and a discussion gro...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(03)70725-2

    authors: Alvarez Girón M,García Gil C,Solano Parés A

    更新日期:2003-05-15 00:00:00

  • [Factors associated with the knowledge, treatment, and control of arterial hypertension in an adult population of the community of Valencia].

    abstract:OBJECTIVE:To identify the level of hypertension awareness, treatment and control in the adult population (14 years and older) at the Valencian Region. Type of treatment and associated factors to the hypertension awareness will be also explored. DESIGN:Cross-sectional study (population survey). SETTING:Valencian Regio...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Compañ L,Vioque J,Hernández-Aguado I,Quiles J

    更新日期:1998-05-15 00:00:00

  • [Current situation of goiter endemic and iodine intake in the population of the Pyrenees and the Segrià region of Lleida].

    abstract:OBJECTIVE:To assess the prevalence of goiter in five areas of the Pyrineans and in the region of Segrià in Lleida. DESIGN:Transversal descriptive study. SETTING:Five Pyrinean's regions and Segrià. PATIENTS:Randomised selection of a sample of 601 subjects from the population over 6 years old. MEASUREMENTS:The field ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Serna Arnaiz MC,Serra i Majem L,Gascó Eguiluz E,Muñoz Márquez J,Ribas L,Escobar del Rey F

    更新日期:1998-12-01 00:00:00

  • [Can we detect mental disorders in primary care? Usefulness and agreement of 2 diagnostic instruments].

    abstract:OBJECTIVES:The main objective was to evaluate the use of two diagnostic instruments for mental disorders in primary care (PC): the PRIME-MD and the Goldberg anxiety and depression scales. Second, to determine the concordance between the two tests and evaluate the quality of psychiatric diagnosis records in the clinical...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Martínez Bernardos R,Baylín Larios A,Ortiz Jiménez MF

    更新日期:1999-03-31 00:00:00

  • [The experience of women care cargivers with chronic conditions of dependent relatives].

    abstract:OBJECTIVE:To describe the experience of women caregivers with chronic conditions who care for a dependent relative. DESIGN:Qualitative study based on constructivist grounded theory. LOCATION:Study conducted on two Health Areas urban of the Community of Madrid. PARTICIPANTS:Thirty nine women with a chronic condition ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2015.03.006

    authors: Martínez Marcos M,De la Cuesta Benjumea C

    更新日期:2016-02-01 00:00:00

  • [The prevalence of the burnout syndrome or professional exhaustion in primary care physicians].

    abstract:OBJECTIVE:To find the prevalence of burnout syndrome in general practitioners of the Public Sanitary Service in a health area in Zaragoza (Spain) and compare the results with the original American and two Spanish samples (general practitioners and specialists). DESIGN:A descriptive, crossover population study. SETTIN...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: de Pablo González R,Suberviola González JF

    更新日期:1998-11-30 00:00:00

  • [Application of the Smoking Scale for Primary Care (ETAP) in clinical practice].

    abstract:OBJECTIVE:To determine if the ETAP smoking scale, which measures accumulated exposure to tobacco, both actively and passively, is applicable and effective in the clinical practice of Primary Care for the prevention of acute myocardial infarction (AMI). Location Barranco Grande Health Centre in Tenerife, Spain. DESIGN:...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2017.05.010

    authors: González Romero MP,Cuevas-Fernández FJ,Marcelino-Rodríguez I,Covas VJ,Rodríguez Pérez MC,Cabrera de León A,Aguirre-Jaime A

    更新日期:2018-01-01 00:00:00

  • [Effectiveness of a nursing program of self-care and Mindfulness, in the approach to the common mental disorder in primary care].

    abstract:OBJECTIVE:To evaluate the effectiveness of the implementation of a mindfulness and self-care program to treat common mental health disorders in primary care. DESIGN:Quasi-experimental non-controlled, non-randomised study, with repeated measurements. SETTING:Seven health centres, in area v of the Principality of Astur...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2019.05.015

    authors: Izaguirre-Riesgo A,Menéndez-González L,Alonso Pérez F

    更新日期:2020-01-01 00:00:00

  • [Health care for the children population in Asturias based on levels and health care areas. Hospital health care].

    abstract::The general situation of pediatric care in Asturias is characterized by the imbalance between the two levels of care, with a high number of hospital beds and staff members, requiring a redistribution in number and functions, and a deficit in staff and material resources at the primary care level, with massified practi...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Oterino de la Fuente D,Amador Tejón V,Alvarez García JL

    更新日期:1989-01-01 00:00:00

  • [Mortality due to asthma in the city of Barcelona (1983-1993)].

    abstract:OBJECTIVE:To find asthma mortality in the city of Barcelona. DESIGN:Descriptive study of mortality. SETTING:City of Barcelona. MAIN MEASUREMENTS:Deaths due to asthma in the city of Barcelona in the period 1983-1993 were studied through the register of mortality at Barcelona's Municipal Institute of Health, which in ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(04)78872-1

    authors: Naberan Toña K,Albertí Jaume J

    更新日期:2004-01-01 00:00:00

  • [Requests for microbiological diagnosis by primary care physicians in the Salamanca area].

    abstract:OBJECTIVES:To assess requests for microbiological analysis made by Primary Care doctors and to evaluate the quality of the procedure by the indicator: proportion of contaminated urine samples. DESIGN:A retrospective crossover study of requests to the Microbiology Laboratory in the University Hospital of Salamanca duri...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Mirón Canelo JA,Fresnadillo Martínez MJ,Sáenz González MC

    更新日期:1997-03-15 00:00:00

  • [Antitetanus vaccination in the adult: systematic offer in primary care as an effective approach].

    abstract:OBJECTIVE:To establish the effectiveness of a broad offer for tetanus vaccination (ATT), to any person visiting his general practitioner, by evaluating its coverage, acceptance by patients and final vaccination figures. DESIGN:Intervention study of nonrandom type. SETTING:Primary care. PATIENTS:1349 people aged > or...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Valdivia Altamirano H,Alonso Martínez MM

    更新日期:1996-09-30 00:00:00

  • [Study of the nutritional status of patients over 65 years included in the home care program in an urban population].

    abstract:OBJECTIVE:To analyse the nutritional status of patients older than 65 years included in the home care program (PAD). DESIGN:Croos-sectional study. EMPLACEMENT:3 urban health centers. PARTICIPANTS:218 patients in the PAD. METHOD:Mini Nutritional Assessment questionnaire (MNA) was applied. Sociodemographic, anthropom...

    journal_title:Atencion primaria

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.aprim.2017.02.006

    authors: Muñoz Díaz B,Arenas de Larriva AP,Molina-Recio G,Moreno-Rojas R,Martínez de la Iglesia J,grupo de investigación Nutrianco.

    更新日期:2018-02-01 00:00:00

  • [Factors involved in noncompliance with pharmacological treatment in arterial hypertension].

    abstract:OBJECTIVES:To find the amount of non-compliance with medical treatment for Hypertension and its causes, and to describe the profile of non-compliant patients. DESIGN:A crossover study performed on two home visits. SETTING:A rural Health Centre at Calpe, Alicante. PATIENTS:The sample was obtained from the census of m...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Piñeiro F,Gil V,Donis M,Orozco D,Pastor R,Merino J

    更新日期:1997-09-15 00:00:00

  • [Consumption of antibiotics and their possible relationship with bacterial resistance in the "Costa de Ponent" health region: analysis of evolution through the initial and end periods of the last decade].

    abstract:OBJECTIVE:To analyse antibiotic consumption (ABC) and its trend in primary care in an area with a high rate of bacterial resistance during the periods 1993-96 and 2000-02. DESIGN:Comparative, retrospective analysis. SETTING:Costa de Ponent Health Region. Population in 1993-96 period was 1,158,098 inhabitants; in 2000...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(04)79482-2

    authors: Solé López J,Rodríguez Palomar G,Grahit Vidosa V,Juncadella García E

    更新日期:2004-07-01 00:00:00

  • [Appraisal of self-measurement of blood pressure in the diagnosis of isolated clinical hypertension. VAMPAHICA study].

    abstract:INTRODUCTION:There are no existing studies that appraise cardiovascular morbidity-mortality in patients diagnosed with isolated clinical hypertension (HCA) through self-measurement of blood pressure (AMPA). OBJECTIVE:To find the prognostic value of AMPA for diagnosing HCA, by means of assessment of cardiovascular morb...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13086703

    authors: Coll de Tuero G,Foguet-Boreu Q,Rodríguez-Poncelas A,Sanmartín-Albertos M,Sáez-Zafra M,Barceló-Rado MA,Grupo del Estudio VAMPAHICA.

    更新日期:2006-04-15 00:00:00

  • [Continuity of care: role of the link nurse].

    abstract:OBJECTIVE:To evaluate the link nurse programme after 2 years of operation. DESIGN:Descriptive study. SETTING:Primary vare in the towns of Sant Boi de Llobregat and Sant Vicenç dels Horts (Barcelona) and the County Hospital of Sant Boi, Spain. PATIENTS:Patients discharged from the hospital (October 2000-October 2002)...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(05)70566-7

    authors: Jódar-Solà G,Cadena-Andreu A,Parellada-Esquius N,Martínez-Roldán J

    更新日期:2005-12-01 00:00:00

  • [Use of health resources and loss of productivity in gastroesophageal reflux disease: results of a cross-sectional study in a primary care setting in Spain].

    abstract:OBJECTIVE:To evaluate healthcare resource use and productivity in patients with gastro-esophageal reflux disease (GERD) and the influence of disease severity on these two factors. DESIGN:Sub-analysis of the Spanish population of a multinational study with a 4-month retrospective period for the identification and selec...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2010.09.009

    authors: Nuevo J,Tafalla M,Zapardiel J,Gisbert JP

    更新日期:2011-09-01 00:00:00

  • [Successful aging and indicators of frailty in the elderly. Octabaix Study].

    abstract:UNLABELLED:Successful aging as a process of adaptation to the optimal state is little known in older people. OBJECTIVE:To describe successful aging and to analyze the factors associated with frailty in people aged 86 years. DESIGN:A cross-sectional study of a clinical trial at the second year of follow-up (Octabaix S...

    journal_title:Atencion primaria

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.aprim.2014.01.004

    authors: Ferrer A,Formiga F,Sanz H,Monserrate E,Verges D,Grupo Octabaix.

    更新日期:2014-11-01 00:00:00

  • [Evaluation of the quality of care of diabetic population at a health center].

    abstract::An evaluation study of the quality of care was carried out in diabetic patients aged 20 years or more diagnosed since the primary health care center had been opened. 20 criteria accepted by consensus were evaluated in all be clinical records of the diabetic population. A remarkable result was the high rate of incorrec...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Buitrago Ramírez F,Vegas Jiménez T,Poblador Curto MD

    更新日期:1989-05-01 00:00:00

  • [Opinions of family doctors on the involvement of patients in the taking of decisions: a study with focus groups].

    abstract:OBJECTIVE:To determine what family doctors think about various aspects of patient involvement in clinical decision making in Primary Care. DESIGN:Qualitative study using focus groups. LOCATION:Primary Care. PARTICIPANTS:Family physicians with and without expertise in clinical communication. METHODS:Three focus grou...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2011.07.007

    authors: Jiménez-De Gracia L,Ruiz-Moral R,Gavilán-Moral E,Hueso-Montoro C,Cano-Caballero Gálvez D,Alba-Dios MA

    更新日期:2012-07-01 00:00:00

  • [Anorexic behavior in a population of high-school students of a health area].

    abstract:OBJECTIVES:To calculate the prevalence of eating attitudes which determine eating disorders and their relationship to social, personal and cultural variables. DESIGN:Prevalence study. PARTICIPANTS:Centres of secondary education. Gijón Health Area (Asturias). Secondary school students (n = 17,000) selected by multi-st...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(00)78511-8

    authors: Martínez Martínez A,Menéndez Martínez D,Sánchez Trapiello MJ,Seoane Vicente M,Suárez Gil P

    更新日期:2000-03-31 00:00:00

  • [Emigrate or not? How would the next Spanish generation of physicians decide? A study on emigration-related reasons and motivations of advanced medical students in 11 Universities in Spain].

    abstract:OBJECTIVES:To explore intentions, motivations and country preferences related with professional emigration in a sample of advanced medical students. DESIGN:Cross sectional and descriptive study. SETTING:11 Universities in Spain. PARTICIPANTS:A total of 740 students in their two final courses. PRIMARY MEASUREMENTS:T...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2010.01.017

    authors: Bernardini-Zambrini D,Barengo N,Bardach A,Hanna M,Núñez JM

    更新日期:2011-05-01 00:00:00

  • [The consumption of alcohol, tobacco and drugs in adolescents].

    abstract:OBJECTIVES:To find how much alcohol, tobacco and drugs adolescents consume and identify some linked socio-family variables. DESIGN:A crossover and descriptive study, with randomised sampling stratified by classrooms. SETTING:Secondary schools in the town of Lugo. PATIENTS AND OTHER PARTICIPANTS:805 students of both ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Martínez Alvarez J,García González J,Domingo Gutiérrez M,Machín Fernández AJ

    更新日期:1996-10-31 00:00:00

  • [Analysis of a study of the contacts of pulmonary tuberculosis patients in a Health Area during 1991 and 1992].

    abstract:OBJECTIVE:To find whether the systematic investigation of the contacts of Pulmonary Tuberculosis patients is carried out. DESIGN:Crossover and descriptive. SETTING:Asturias Health Area VIII. PATIENTS AND OTHER PARTICIPANTS:We examined whether contacts of the cases of Pulmonary Tuberculosis diagnosed in our area duri...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: García Ordóñez AI,Buznego Alvarez B,Alonso Fernández M,Barbé Riesgo M,Sánchez Hernández A

    更新日期:1994-09-15 00:00:00

  • [Quality control of care provided for urinary infections].

    abstract:OBJECTIVE:To evaluate the quality of the care provided for low-level urinary infections in the Toledo Health Area. DESIGN:Retrospective study based on data on procedures supplied from clinical histories. SITE. Primary Care teams in the Toledo Health Area. PATIENTS OR OTHER PARTICIPANTS:Those patients over 14 with a p...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Jaén Díaz J,Modrego Navarro A,Sardon Rodríguez A,López de Castro F

    更新日期:1992-11-01 00:00:00

  • [Evaluation of a programme to monitor drug therapy in type-2 diabetics].

    abstract:OBJECTIVES:To evaluate the results of pharmaceutical intervention in a programme to monitor the drug therapy of type-2 diabetics; and to assess the improvement of the indicators, glycosylated haemoglobin, basal glycaemia, lipid profile, albumin/creatinine, blood pressure, BMI, medication-related problems and adherence....

    journal_title:Atencion primaria

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0212-6567(04)79451-2

    authors: Fornos Pérez JA,Guerra García MM,Andrés Rodríguez NF,Egea Ibernón B

    更新日期:2004-06-15 00:00:00

  • [Pertinence of analysis requests in primary care].

    abstract:OBJECTIVE:To find the relevance of analytic tests requested by the Primary Care doctor. DESIGN:A descriptive crossover study. Relevance was decided by the definition of criteria through consensus techniques. SETTING:Three urban Health Centres in Area 4 of the City of Valencia. PARTICIPANTS:All the requests for analy...

    journal_title:Atencion primaria

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Sanfélix Genovés J,Pereiró Berenguer I,Oterino de la Fuente D,Altarriba Cano ML,Monzó MJ,Pérez de los Cobos J

    更新日期:1996-06-30 00:00:00

  • [Lumbago cases seen at a health center].

    abstract:AIM:The main aim is to describe the cases of mechanical lumbalgia in relation to clinical and demographic variables, in the period between February and June 1989. The collateral purpose is to analyse the relationship between analgesic/NAI treatment as regards the time needed to resolve the problem. DESIGN:This is an o...

    journal_title:Atencion primaria

    pub_type: 临床试验,杂志文章

    doi:

    authors: Sabaté López P,Bestratén Bellobi J,Llor Vila JL,Santigosa Benet J,Murria Pérez MJ,Milá Niubó A,Iglesias Niubó J,Ferrero Ferré RM,Fernández Ferez E,Espinás Boquet J

    更新日期:1992-03-15 00:00:00