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:The clinics of 44 primary care doctors from 10 autonomous communities. PATIENTS:418,98 people were attended. INTERVENTIONS:The unit of analysis was the care episode. The incidence per 1000 people attended, in total and by demographic mean, of the less common health complaints (incidence less than 1/1000) was calculated. RESULTS:Primary care doctors attended at greater frequency than 1/1000 all diseases of eyes, ears, mastoids (except salpingitis) and menstrual disorders codifiable under the classification CIPSAP; almost all the respiratory, skin and locomotive diseases, and more than half of the circulatory, genito-urinary, digestive and endocrine-metabolic diseases. Incidence was less than 1/1000 in all the malignant tumours and contagious diseases, except viral hepatitis and tuberculosis in the urban setting. CONCLUSIONS:Primary care doctors do not often attend certain serious diseases, which are nevertheless present in many differential diagnoses (malignant tumours). This should be borne in mind in the training strategies aimed at maintaining doctor's diagnostic skills.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Palomo L,Gérvas J,García-Olmos Lsubject
Has Abstractpub_date
1999-04-15 00:00:00pages
363-70issue
6eissn
0212-6567issn
1578-1275journal_volume
23pub_type
杂志文章abstract：OBJECTIVE:To determine the proportion of benzodiazepines consumers who present a mayor depressive disorder and to observe the clinical evolution after restoring an antidepressive treatment. DESIGN:An observational design with a transversal character to determine the prevalence of the depression and a pre and after int...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-06-30 00:00:00
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
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVE:To determine whether hypercholesterolaemia treatment with pravastatin causes modifications in plasma fibrinogen. DESIGN:Descriptive, prospective pharmacological intervention study, with two transversal cuts, one at the start and one after 6 months pravastatin treatment. SETTING:Health area located in the su...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78824-5
更新日期：2001-04-15 00:00:00
abstract：OBJECTIVE:To assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN:A descriptive, prospecti...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-05-31 00:00:00
abstract：OBJECTIVE:Determination of whether rational drug use is facilitated by the quality of the information provided by the Medicom International Vademecum on drugs containing vitamin A as active component. DESIGN:Descriptive study. SETTING:Primary, specialized and hospital health care within the national context. SUBJECT...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-05-31 00:00:00
abstract：OBJECTIVE:To evaluate the impact of joining a home care program on primary caregivers of dependent elderly people. DESIGN:Non-randomised "before-after" intervention study. SETTING:Primary Care. PARTICIPANTS:Primary carers of elderly dependent people included in a home care program (n=156; 7.8% loss to follow up). I...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.09.011
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:To study the adverse side-effects to medication and define their principle characteristics. DESIGN:A descriptive, crossover, observation study with no random distribution. SETTING:The population cared for at a Health Centre in Toledo. PATIENTS:Those over 15 years old during a 6-month period. MEASUREMENTS ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-09-30 00:00:00
abstract：OBJECTIVE:The objective of this study is to assess the usefulness of a programme of attention to pharmaceutical prescriptions (APP) so as to detect medicine-related problems. DESIGN:A descriptive study of the findings after six months operation of this programme. SETTING:Five primary care centres in the Bahía-Cádiz A...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78877-4
更新日期：2001-05-31 00:00:00
abstract：OBJECTIVE:To compare portable coagulometer devices and conventional coagulometers. The clinical validity will be estimated via anticoagulation control (maintenance of therapeutic range), patient satisfaction, thrombotic or haemorrhagic events and mortality. Analytical validity will be studied in quality control terms. ...
journal_title：Atencion primaria
pub_type： 杂志文章,评审
doi：10.1016/j.aprim.2010.03.017
更新日期：2011-03-01 00:00:00
abstract：AIMS:To assess the level of immunity in a healthy population to the hepatitis A virus (HAV), according to age groups and in an urban health area. DESIGN:Transversal random prospective study of a sample of the population found by letters. SITE. Primary Care Centre covering the population of an urban health area in Vall...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:To evaluate how much women who attend primary care consultations understand about the correct use of emergency ("morning after") contraception (EC), their information requirements and their views about free EC prescription. DESIGN:Cross-sectional study, using a questionnaire. SETTING:Les Corts Primary Care ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13098676
更新日期：2007-02-01 00:00:00
abstract：OBJECTIVE: MAIN OBJECTIVE:to elaborate a Persons at Risk Index (PRI) for the abandonment of elderly handicapped. SECONDARY OBJECTIVES:to discover the profile of these invalids and their carers within our Health District. DESIGN:A case-control study. A uni- and multi-variant analysis (multiple logistic regression). ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
abstract：OBJECTIVE:To ascertain the diagnosis associated with specific treatment for dementia in the Primary Care Electronic Clinical Record (PC-ECR) and to analyse the factors associated with the quality of registration. METHODS:Descriptive study of patients taking cholinesterase inhibitors or memantine registered in Database...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.03.002
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:Study of the prevalence of smoking among La Rioja's health professionals. DESIGN:Descriptive study. SETTING:The Autonomous Community of La Rioja. PARTICIPANTS:A random sample of health workers taken from the censuses of their respective Professional Colleges on February 1st, 1988. RESULTS:Of a representat...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-04-30 00:00:00
abstract：OBJECTIVE:To work out and validate a questionnaire that can be self-filled and has closed answers to describe: 1) the kind of relationship between family doctors and the pharmaceutical industry; 2) the attitude of family doctors towards this relationship, and 3) the conduct of family doctors when faced with concrete of...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79465-2
更新日期：2004-06-30 00:00:00
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
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:To investigate whether there is a relationship between the quality of the clinical history (CH) in primary care and metabolic control of patients with diabetes (DM). DESIGN:Retrospective and observational. SETTING:15 health centres in the Segovia Area. PATIENTS:315 diabetic patients, selected at random fro...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78749-x
更新日期：2000-12-01 00:00:00
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
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:To measure the impact of the peer-led training for chronic patients on their health status and behaviors. DESIGN:Descriptive, transversal pretest and posttest quantitative approach. PLACEMENT:Andalusia. PARTICIPANTS:Nine hundred sixty-four patients with Diabetes, fibromyalgia and heart failure, trained at ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2018.09.020
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of metformin against placebo, diet, oral anti-diabetics, or insulin in type 2 diabetes mellitus. DESIGN:Systematic review. DATA SOURCES:MEDLINE (1966-2003), EMBASE (1974-2003), LILACS (1986-2003), Cochrane library (Issue 3, 2003). SELECTION OF STUDIES:29 randomized clinical trials ...
journal_title：Atencion primaria
pub_type： 杂志文章,meta分析,评审
doi：10.1157/13078602
更新日期：2005-09-15 00:00:00
abstract：OBJECTIVES:To assess the usefulness of measuring in primary care the intraocular pressure (IOP) of diabetics as a glaucoma screening test, validating the Schiörtz tonometer for this end. To analyse the prevalence of glaucoma and associated risk factors in our diabetic population. DESIGN:An observational crossover stud...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：
更新日期：1996-01-01 00:00:00
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：
更新日期：1992-03-15 00:00:00
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：
更新日期：1996-10-31 00:00:00
abstract：OBJECTIVE:To determine the epidemiological and clinical characteristics of children with Cryptorchidism in our milieu. DESIGN:Crossover study. SETTING:Specialist care. PATIENTS:159 children referred from Primary Care for a Cryptorchidism study. MEASUREMENTS AND RESULTS:Average age of detection: 1.5-3 years. Lateral...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-11-15 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：OBJECTIVES:To evaluate the efficacy of nursing care and monitoring of patients over 65 in primary care, to reduce the rate of readmission and to extend time till readmission. DESIGN:Non-randomised clinical trial with control. SETTING:Base Area 8, Madrid, Spain. Primary and specialist care. PARTICIPANTS:Patients over...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：10.1157/13123681
更新日期：2008-06-01 00:00:00
abstract：OBJECTIVES:To evaluate our patients' knowledge of the effects of excess drinking; b) to compare this with their awareness of the effects of their day-to-day drinking habits. DESIGN:Descriptive, randomized, cross-sectional questionnaire-based study. Information on alcohol consumption was obtained from medical records. ...
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(03)79313-5
更新日期：2003-11-15 00:00:00
abstract：:Oxyuriasis is one of the commonest infestations in our area, with rates ranging from 5% to 75% in several studies. The present study was carried out in 100% of schoolchildren in a rural town with a population of 1,000 in the Lerida province. The study had two parts. On the one side, the prevalence of oxyuriasis was ev...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the results of a programme of intervention into the monitoring of short-term unfitness for work of members of the Special Sea Regime at Cádiz during 1997. DESIGN:Quasi-experimental intervention study with a pre- and post-intervention group, formed by the doctors from the Instituto Social de la Ma...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-11-30 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
