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 study. SETTING:Torrelodones Health District (Madrid). PATIENTS:54 patients known to be hypertense, of which 27 collected their prescriptions over the counter with no need for a doctor's appointment and 27 received them at a consultation with their doctor. MEASUREMENTS AND MAIN RESULTS:To measure the therapeutic compliance, first a phone call and then a surprise visit to the patient's home were made. At this visit, all the hypertension drugs prescribed were counted. It was specified that patients would be considered compliant if they had a compliance rate of 80-110%. 53.7% of the patients were considered good compliers and 46.3% bad compliers (of whom 37% were under-compliers and 9.3% over-compliers). The statistical analysis found that 59.3% of the patients who collected their prescriptions over the counter were good compliers, whereas 48.1% of those who did so at a medical consultation were (p = 0.41). 7.4% of patients who collected their prescriptions over the counter controlled their blood pressure well, whereas 22% of those who collected them at a consultation did so (p = 0.12). CONCLUSIONS:No statistically significant association was found between compliance and blood pressure figures, and systems of issuing prescriptions. The percentage of good compliers is high in comparison with other studies, but still insufficient.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
González Sánchez C,Sanz Carabaña P,Alvarez Montero S,Bermejo Fernández F,Gallego Casado P,la Torre del Carmen Lsubject
Has Abstractpub_date
1999-09-30 00:00:00pages
281-4issue
5eissn
0212-6567issn
1578-1275journal_volume
24pub_type
杂志文章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: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:
更新日期:1997-03-15 00:00:00
abstract:OBJECTIVES:To demonstrate the effects of including mutual aid associations into a continuing care programme for patients with alcohol dependence carried out by Primary Care teams. SITE: Primary Care Teams belonging to the attendance area of the University Hospital 12 de Octubre at Madrid. PARTICIPANTS:207 participants...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2020.04.010
更新日期:2020-10-01 00:00:00
abstract::High blood pressure (HBP) is the main modifiable cardiovascular risk factor. HBP can be related to high salt intake. To measure intake, not all feeding surveys are comparable and valid. The reference procedure for assessing salt intake consists of measuring the urinary excretion of sodium in urine collected during 24h...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2019.05.012
更新日期:2019-12-01 00:00:00
abstract:AIM:To evaluate the level of cardiovascular risk in smokers seenin Primary Care clinics. DESIGN:Epidemiologic, cross-sectional and multicentre study. SETTING:Primary Care. PATIENTS:Every investigator included 4 consecutive patients (3 smokers, 1 non-smoker) aged 35-50 years, who came to the clinic for any reason. A ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.10.005
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To determinate the relationship between the age of smoking initiation and the success of the smoking cessation program. DESIGN:Prospective cohort. SETTING:Smoking Cessation Unit, in the University Hospital of Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain. PARTICIPANTS:2801 smokers of 10 or more ci...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13075481
更新日期:2005-05-31 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: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
更新日期:2003-05-15 00:00:00
abstract:OBJECTIVE:To prepare and validate a tool to measure Basic Life Support (BLS) and semi-automatic defibrillator (SAD) skills adapted for use by health professionals in Primary Care Teams (PCT). To propose an updated version and demonstrate self-sufficiency of the team to use it in a training evaluation. DESIGN:Validatio...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2009.03.006
更新日期:2010-01-01 00:00:00
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
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:To analyze the diagnostic agreement rate between primary care, an asynchronous teledermatology consultation, and a conventional dermatology consultation. DESIGN:Prospective non-randomized concordance study. SETTING:Dermatology Service in Hospital Son Llàtzer (Palma de Mallorca) and primary care centers of S...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2008.11.012
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:To analyse the frequency of attendance and the time elapsed between the diagnosis of Arterial Hypertension (AHT) and the control of Arterial Pressure (AP); and to analyse the different ways of presenting the level of control of AHT. DESIGN:Retrospective study. SETTING:Teaching Health Centre. PATIENTS:103 h...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-10-15 00:00:00
abstract:OBJECTIVE:The echocardiogram (ECC) is not available to all Spanish General Practitioners (GP) despite its proven benefits in prevalent diseases, such as hypertension and heart failure. STUDY OBJECTIVE:To analyse the clinical adequacy of the application, performance, and diagnostic and therapeutic decisions of ECC indi...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2011.03.007
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:For purposes of the present study of people over 65 attending a particular Health Centre, we aimed to discover and inter-relate their morbidity due to chronic illnesses, their frequency of attendance, and the total average outlay of drugs on them. DESIGN:Descriptive crossover study. Information on the clinic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:OBJETIVE:To evaluate SAR-COV-2 pacients' features. To analyse de diferences between those who required hospital care and those who didn't. DESIGN:Observational, descriptive and retrospective study. SETTING:Twomedical practices of an urban health center in Salamanca (Spain). PARTICIPANTS:≥18 years diagnosed with SAR-...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2020.10.005
更新日期:2020-12-13 00:00:00
abstract:OBJECTIVES:To assess the impact of the Law 42/2010, on the health measures on smoking, on the prevalence of the exposure to environmental tobacco smoke (ETS), the repercussions in frequently visited places, and support of the new legislation. DESIGN:A before-after evaluation by comparing two cross-sectional studies th...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2012.02.010
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:To describe sociodemographic and clinical characteristics of a diabetic population. To relate sociodemographic and clinical evolutionaries variables. DESIGN:Descriptive transversal study. SETTING:Three urban Primary Health Centers (PHC). Participants. Diabetic patients attended in these PHC.Measurements. ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)70616-1
更新日期:2002-05-15 00:00:00
abstract:OBJECTIVES:To determine whether the benefit on cardiovascular risk factors (CVRF) persists 5 years after an intensive intervention in lifestyle (LS) that lasted 2 years, in patients with hyperfibrinogenaemia and moderate or high cardiovascular risk. DESIGN:multicentre prospective observational study. LOCATION:13 Prim...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.aprim.2017.04.004
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the dynamics and establish the emotional map of 8 primary care teams. DESIGN:Descriptive, cross-sectional and multi-site study. SETTING:Primary care centers in Granada, Cádiz and Málaga, Spain. PARTICIPANTS:Simple random sampling of 8 health centers and 272 primary care professionals. MAIN MEA...
journal_title:Atencion primaria
pub_type: 评论,杂志文章,多中心研究
doi:10.1016/j.aprim.2008.09.007
更新日期:2009-02-01 00:00:00
abstract:INTRODUCTION:The lack of patient knowledge about their medication is considered to be one of the main reasons for an inappropriate use. OBJECTIVE:This study the level of knowledge in patients about their prescribed antibiotic, and describes some of the factors related to this. DESIGN:A cross-sectional, descriptive an...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2014.04.014
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:To assess the validity of small questionnaires of 4,5 and 1 questions, based on the 15-question Spanish version of the Yesavage geriatric depression scale (GDS-VE), for diagnosing depression in the over-65s. DESIGN:Study to validate questionnaires. SETTING:Health centre consultations. PARTICIPANTS:258 pat...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13071040
更新日期:2005-01-01 00:00:00
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
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-09-30 00:00:00
abstract:OBJECTIVES:The main objective was to determine the prevalence of the burnout syndrome among health workers and its distribution by social, demographic and work variables. The secondary aim was to detect potentially modifiable causes. DESIGN:Descriptive cross-sectional study. SETTING:Primary care. PARTICIPANTS:All th...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)79373-0
更新日期:2001-03-31 00:00:00
abstract:OBJECTIVE:To determine the validity and usefulness of brain natriuretic peptide (BNP) for diagnosing left ventricular dysfunction (LVD). DESIGN:Prospective, descriptive, multi-centred study to validate the diagnostic test. SETTING:Primary care centres in the Community of Madrid, Spain. PARTICIPANTS:Consecutive sampl...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(05)70554-0
更新日期:2005-11-30 00:00:00
abstract:OBJETIVE:To assess the prevalence and risk factors associated with diabetic retinopathy (DR) in Cantabria. DESIGN:ross-sectional population based study. LOCATION:Health center of Cantabria. PARTICIANTS:A random sample of 442 patients with type 2 diabetes. MAIN MEASUREMENTS:Non-mydiatric retinography, classifying th...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2018.10.001
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To critically analyse the concept of nursing prescription through the study of its background and a review of the scientific literature, in order to develop an accurate conception of this nursing activity and to identify the essential elements surrounding this concept. METHOD:Application of the concept analy...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2018.06.006
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To describe the adverse drug events (ADEs) reported by doctors of a primary health care centre in the patient's medical record. DESIGN:A retrospective, descriptive study. SETTING:Burriana Health Centre (Castellón), Spain. PARTICIPANTS:All patients over 75 with a clinical history held on paper at the health...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13116153
更新日期:2008-02-01 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 pathology diagnosed on the basis of the gastroscopies requested from a primary care centre (PCC). Assessment and treatment of Helicobacter pylori (HP) infection. DESIGN:Retrospective and descriptive. SETTING:Urban PCC. PATIENTS:Those over 14 who had a gastroscopy for a diagnostic purpose, r...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78496-4
更新日期:2000-03-15 00:00:00