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 notes. DESIGN:Crossover observational study. SETTING:Luis Vives Health Centre (EAP 1), Alcalá de Henares (Madrid). PATIENTS:175 patients who attended for consultation on-demand over three months. MEASUREMENTS AND MAIN RESULTS:Each patient was given the PRIME-MD test for detecting disorders of depression, anxiety, food, alcohol and body form; and the Goldberg scale to evaluate anxiety and depression. The clinical records were then reviewed for previous psychiatric diagnoses. The two scales were compared and the level of concordance obtained. The PRIME-MD found that 78 patients (44.6%) had some mental disorder, the most frequent being depression (32.6% of the total). The Goldberg scale detected 89 patients (50.8%) with some suspected mental disorder: here too, the most common was depression (41.7% of the total). The best indication of concordance between the two tests was the diagnosis of anxiety disorders: kappa = 0.68 (CI 95%, 0.53-0.82). CONCLUSIONS:Both scales seem useful instruments for detecting a pathology which is very common in PC clinics: mental disorders. Moreover, the concordance between the two scales is acceptable. There was poor recording of psychiatric diagnoses in clinical records.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Martínez Bernardos R,Baylín Larios A,Ortiz Jiménez MFsubject
Has Abstractpub_date
1999-03-31 00:00:00pages
285-8issue
5eissn
0212-6567issn
1578-1275journal_volume
23pub_type
杂志文章abstract：OBJECTIVE:The objective of this work was to value the relationship between cardiovascular disease and presence of hidden renal failure in patients between 35 and 74 years followed up for 10 years. DESIGN:Observational, longitudinal, retrospective study of a cohort of patients. SETTING:Primary care health centre. PAR...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(08)75696-8
更新日期：2008-12-01 00:00:00
abstract：:Research is one of the fundamental functions that have to be carried out in Primary Care. The clinical information stored in different records arising from medical care is a basic tool for this activity. The use of personal data for the purposes of research is legitimate according to our laws; however, this informatio...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.02.009
更新日期：2012-03-01 00:00:00
abstract：OBJECTIVE:To describe the incidence of health problems dealt with less often in primary care medical consultations, and to discuss its relationship with the maintenance of professional skill, with in-work training and case-load planning. DESIGN:A prospective observational study based on a year's recording. SETTING:Th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-04-15 00:00:00
abstract：AIMS:to validate the PROFUND index in PP in Primary Health Care (PHC). DESIGN:two-year prospective multicenter study. LOCATION:three health care centers in Seville Province (Spain). SUBJECTS OF THE ASSESSMENT:PP with signed informed consent. SAMPLE:n=446 (p=20%; α=5%; β=99%); consecutive sampling. MEASUREMENT:Depe...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/S0212-6567(14)70064-2
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVES:To analyse the qualitative composition of medication prescribed to paediatric patients, in function of the intrinsic value of the medication and active principles used, and to evaluate risks run by children through being exposed to medication. DESIGN:An observational, descriptive, crossover study. SETTING:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：:Cardiovascular risk stratification is currently part of routine clinical practice to establish cardiovascular prevention strategies. A complementary approach to the assessment scales of cardiovascular risk stratification is the non-invasive evaluation of the atherosclerotic lesion to identify patients at high risk for...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2009.11.005
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVES:To calculate the number of hospital discharge reports (HDR) received in primary care for determined kinds of patients suffering chronic pathologies who need on-going care. To evaluate whether the reports' contents are of use to the family doctor's monitoring of the patient. DESIGN:Descriptive study. SETTIN...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78687-2
更新日期：2000-10-15 00:00:00
abstract：AIM:To determine the effectiveness of medical counseling for alcohol abuse, when it is provided in primary care centers. DESIGN:Quasi-experimental, open, multicenter before-after study.Setting. 14 primary care physician's practices (7 rural, 7 urban) in the province of Córdoba (Spain). PARTICIPANTS:306 patients of bo...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/s0212-6567(03)70674-x
更新日期：2003-02-28 00:00:00
abstract：OBJECTIVES:The goal of this work was to prove the usefulness of simple standard geriatrics tools as a predictors of basic daily activities or quality of life decline in one year in older patients apparent healthy to apply in primary care. DESIGN:Prospective study of a randomised sample of 100 patients. SETTING:Urban ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2003-09-30 00:00:00
abstract：:The program of help to the smoker (PHS) consists of a systematic intervention upon the whole of the demanding population, identifying the smokers and acting on them with a short, concise advise in all visits. The results after 2 months of operation of the PHS in a primary care center are reported. Among 483 persons 10...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-05-01 00:00:00
abstract：OBJECTIVE:To analyze adherence to treatment of tuberculosis infection and to identify risk factors for its compliance. DESIGN:An observational historical cohort study. SETTING:Hospital Universitari Sant Joan d'Alacant (Alicante). PARTICIPANTS:All patients with a tuberculin skin test (TST) done during tuberculosis co...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.05.009
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:Empathy is one of the basic skills in medicine that promotes better doctor-patient relationship, best professional competition and less professional stress. We don't found studies in our area. This study aims to measure the degree of empathy in medical students in our area and associated factors. DESIGN:Cros...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2014.12.012
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVES:To analyse the risk of pneumonia and/or exacerbations in patients with chronic obstructive pulmonary disease (COPD) who receive treatment with inhaled corticosteroids (CI), in comparison with those who are not treated with inhaled corticosteroids (NCI). To estimate the risk of pneumonia according to CI dose....
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2018.02.007
更新日期：2019-01-01 00:00:00
abstract：AIM:To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction. DESIGN:Descriptive and retrospective study. SETTING:Primary Care, urban health care centre, Almería, Spain. PARTICIPANTS:The population were the patien...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2016.05.002
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To discover the prevalence of serological markers of the Hepatitis B virus in the out-patient population of the city of Vigo. DESIGN:A year-long retrospective study (from January to December, 1990) of a total of 4,581 serums belonging to patients. These came to our laboratory from patients who attended the o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：OBJECTIVE:To measure the correctness of decisions concerning counter-indications to vaccination (CV), taken by Primary Care professionals involved with the vaccination programme; to identify their associations with personal or organisational variables; and to sound out professionals' views on the source of false counte...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：OBJECTIVE:To investigate the habits and risk factors of adolescents from two Health Centres in two semi-urban populations using a structured clinical interview with open questions. DESIGN:Cross-sectional descriptive study. SETTING:Two semi-urban populations from the Malaga area. PARTICIPANTS:Adolescents aged between...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.02.008
更新日期：2011-04-01 00:00:00
abstract：INTRODUCTION:Chronic diseases have become more central to Primary Care due to their greater prevalence and the difficulties of monitoring them. This complex problem requires a many-sided solution that affects patients' behaviour, health workers' approach and changes in how the health service is organised. OBJECTIVES:T...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)78910-6
更新日期：2004-09-15 00:00:00
abstract：OBJECTIVE:To assess the views of primary care physicians (PCPs) in Spain regarding the purpose of inspection validation of prescriptions (IVP) and its impact on prescription and patients, as well as doctors' acceptance of this measure. DESIGN:Cross-sectional study through a telephone survey. SETTING:Primary care cent...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13086315
更新日期：2006-03-31 00:00:00
abstract：OBJECTIVE:To carry out a budget impact analysis (BIA) of olmesartan/amlodipine (20/5, 40/5 and 40/10mg) marketed as a fixed combination (FC) in its approved indication for the National Health System (NHS). DESIG:We developed a decision tree model in order to estimate usual hypertension treatment algorithm in Spanish c...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.04.017
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:To find out what urban low and middle class women think about the relationship between health and daily behaviours, their social and family situation and the setting in which they live. DESIGN:Qualitative methodology and the focus group technique. SETTING:Urban population. PARTICIPANTS:Low and middle class...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-06-15 00:00:00
abstract：OBJECTIVE:We undertook this study to assess the validity of cytologic diagnosis of sexually transmitted infections like: bacterial vaginosis (BV), tricomoniasis and candidiasis using the Papanicolaou (Pap) smear. DESIGN:Prospective, descriptive transverse study. SETTING:The present study was carried out in the Health...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2001-03-15 00:00:00
abstract：OBJECTIVE:To check whether the information in the written publicity that the pharmaceutical industry gives to family doctors really is based on the scientific studies that support it. DESIGN:Cross-sectional study. SETTING:Health centre on the outskirts of a big city. PARTICIPANTS:Over a year, all the scientific stud...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13075926
更新日期：2005-06-15 00:00:00
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
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the Maternity Education (ME) programme: improvement of previous knowledge, changes in hygiene and dietary habits, attitudes to giving birth, satisfaction with the development of the sessions and perceived use. DESIGN:Pre-test/post-test. SETTING:Urban Health Centre. PARTICIPANTS:222 pregnant wom...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-06-30 00:00:00
abstract：OBJECTIVE:To evaluate the validity of a rapid serology test for diagnosing Helicobacter pylori infection in our area. DESIGN:Longitudinal, prospective study. SETTING:Urban primary care centre. MEASUREMENTS:As reference tests for defining the presence/absence of Helicobacter pylori, histology and the urease gastric m...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：10.1016/s0212-6567(01)78912-3
更新日期：2001-06-30 00:00:00
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：
更新日期：1999-09-30 00:00:00
abstract：OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-09-15 00:00:00
abstract：OBJECTIVE:To study the association between the potential inappropriate prescriptions (PIP) and the 30 and 180-day adverse event rate after discharge from a Short Stay Unit (SSU). METHODOLOGY:A retrospective cohort observational study was conducted on patients aged ≥75years discharged from an SSU from February to April...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.03.018
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVE:To analyse information on adolescent use of tobacco in Spain from different school surveys. DESIGN:Data on daily smoking prevalence by sex at the end of compulsory education is extracted and figures are compared, analysing trends. SETTING:The five representative studies on adolescents in Spain are reviewed:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.12.016
更新日期：2012-01-01 00:00:00
