Abstract:
OBJECTIVES:With a system of qualitative indicators, to analyse the pharmaceutical prescription of general practitioners (GPs), and to evaluate the relationship of these indicators to the overall pharmaceutical prescription expenditure per inhabitant. DESIGN:Retrospective descriptive study. SETTING:Primary care. MEASUREMENTS AND MAIN RESULTS:The drugs prescription of 285 GPs from 32 primary care teams was evaluated, with the individual prescription of each doctor as the unit of analysis. The prescription was classified in 3 categories according to its intrinsic value (IV): low (< or = 75%), medium (76-79%) and high (> or = 80%). Selected as tracers of over-prescription were: daily dose per inhabitant (DDI) of antibiotics (AB), DDI of non-steroid anti-inflammatory drugs (NSAID), and DDI of ulcer drugs (ULC). Selected as tracers of selection were: % DDI third-generation cephalosporins/DDI total cephalosporins; % DDI broad-spectre quinolones/DDI total quinolones; and % DDI NSAID/DDI NSAID plus analgesics. Quantitative indicators studied were: total expenditure per allocated population, cost per drugs prescription of doubtful efficacy, and cost per daily dose of AB, NSAID and ULC. Variance analysis, including the Scheffe test for multiple comparisons and Pearson's linear correlation, was applied. 26% of the prescriptions had an IV below 75%, and 34% had an IV above 80%. The means of DDI of AB among the categories of IV were different (p < 0.0001), as were those of DDI of NSAID (p < 0.0001) and of ULC (p = 0.007). Lower consumption of AB, NSAID and ULC was found in prescriptions with the highest IV %. The third-generation cephalosporins and the NSAID + analgesics showed significant differences in the three IV categories (p < 0.0001 and p = 0.041), unlike broad-spectrum quinolones (p = 0.18). The total expenditure per allocated population was less for GPs whose prescriptions had the highest IV %; whereas the cost per prescription and cost per daily dose showed no significant differences for IV categories. CONCLUSIONS:The doctors with the best qualitative profile on these indicators had less expenditure per inhabitant. However, no differences were found in the cost per prescription or cost per treatment between doctors. Therefore, interventions must prioritize improving drug prescription quality rather than just promoting changes to lower-cost drugs.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Amado Guirado E,Madridejos Mora R,Pérez Rodríguez M,Puig Xdoi
10.1016/s0212-6567(00)78545-3subject
Has Abstractpub_date
2000-04-30 00:00:00pages
464-8issue
7eissn
0212-6567issn
1578-1275pii
S0212-6567(00)78545-3journal_volume
25pub_type
杂志文章abstract:OBJECTIVE:To examine how some factors connected with Continuous Care Points (CCP) affect attendance at hospital Casualty departments and admittance from them. DESIGN:Ecological study. SETTING:León Health area. PATIENTS AND OTHER PARTICIPANTS:All the CCP's belonging to the León Health area. MEASUREMENTS AND MAIN RES...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-11-30 00:00:00
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
更新日期:2004-06-15 00:00:00
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:
更新日期:1998-05-15 00:00:00
abstract:OBJECTIVES:To find whether the variables age, gender, speciality, training and type of contract of primary care doctors, as well as the size of their patient lists and the sort of centre where they work, affect their absenteeism, as measured by time off work sick. DESIGN:An observational, crossover study. SETTING:Nou...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-03-15 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:OBJECTIVE:To analyse the opinion and satisfaction shown by a sample of primary care (PC) doctors about the patient discharge form (PDF) and to assess proposals for improvement. Design. Descriptive study of the result of a questionnaire. SETTING:All the health districts in the city of Mataró (Barcelona).Participants. 3...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)79106-3
更新日期:2002-11-30 00:00:00
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
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:To discover the perception of health, social support and family function for asymptomatic HIV carriers. DESIGN:This was an observation crossover study, using validated questionnaires. SETTING:Almanjayar and Cartuja Health Centres in Granada. PATIENTS AND OTHER PARTICIPANTS:58 HIV+ patients belonging to the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-03-15 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 get to know the profile of use of antidepressants (AD) and tranquilizers-hypnotics (T-H) in primary care in Catalonia. DESIGN:Transversal, observational, epidemiological study of prescription-indication. LOCATION:Health centres in Catalonia, Spain. PARTICIPANTS:Included, using consecutive sampling, pati...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13079144
更新日期:2005-09-30 00:00:00
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: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: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:OBJECTIVES:Development and training of a neurone network that enables the patients who attend the clinic with symptoms of dyspepsia to be classified into two groups: those who very probably have peptic ulcer disease or gastro-oesophageal reflux (GOR) and those more likely to have functional or idiopathic dyspepsia. Res...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:2002-06-30 00:00:00
abstract:OBJECTIVES:To find the profile of the heroin addict included in the Methadone Maintenance Programme (MMP) and the standard of information which primary care doctors have about these patients. DESIGN:A descriptive crossover study. PATIENTS AND OTHER PARTICIPANTS:All the drug addicts included in the MMP, located at the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-05-31 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 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:BACKGROUND:The Spanish Family Medicine National Commission is proposing a new portfolio-type Specialist Training Book (STB). OBJECTIVE:To pilot its contents, structure, and implementation strategies. DESIGN:Cross-sectional, descriptive study. SETTING:A Provincial Family Medicine Teaching Unit. PARTICIPANTS:Twenty-e...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13109498
更新日期:2007-09-01 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:OBJECTIVE:To assess the frequency of migraines attributable to continuous consumption of analgesics. DESIGN:A longitudinal prospective study of a descriptive type. SETTING:A specialised Neurology Clinic within a County hospital, which provides the Primary Care coverage for ibiza and Formentera. PATIENTS:All those pa...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-06-15 00:00:00
abstract:OBJECTIVE:To design and validate a self-administered questionnaire to evaluate sexual function in women. DESIGN:Cross-sectional, multi-centre study. SETTING:Primary care, in 9 health centres of the Community of Valencia. PARTICIPANTS:Women not at risk of sexual dysfunction, selected by consecutive sampling. Initial ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/s0212-6567(04)79497-4
更新日期:2004-10-15 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: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: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:OBJECTIVES:To determine the percentage of female authors in original articles published during 2periods, in the journal of Atención Primaria (Primary Care), and to examine the differences between the categories of authorship (first, last author, and co-author) between both periods. DESIGN:Cross-sectional study. SETTI...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2019.11.002
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:To find the seroprevalence of Toxoplasma gondii in pregnant women and identify associated factors. To assess the relevance of systematic screening of pregnant women. DESIGN:A descriptive crossover study of prevalence. SETTING:Primary Care in the "Puerto de la Torre" district of Málaga. PATIENTS:Pregnant w...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVES:To choose, as part of a strategy of change in the records system, the best sampling design for obtaining data on primary care activity and to evaluate the appropriateness of introducing this design. DESIGN:An experimental study of the errors committed and the precision of four different sampling designs. A:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-04-15 00:00:00
abstract:OBJECTIVE:To describe, analyse and discuss the activities in the Network of Community Activities of the Programme of Community Activities in Primary Care of the Spanish Society of Family and Community Medicine. DESIGN:Description of the activities within this Network.Setting. Network of Community Activities of the Spa...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)70495-2
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:To find the prevalence of DM in the population of Albacete, and their relationship with other risk factors. DESIGN:A descriptive cross-sectional population study. SETTING:Community setting in the province of Albacete. PARTICIPANTS:A sample of 2121 people+ over 18 (843 from the capital and 1278 from the res...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78481-2
更新日期:2000-02-28 00:00:00
abstract:OBJECTIVE:The purpose of this study was the quantitative and qualitative analysis of the water in the reservoir and supply system to 27 villages of over 100 inhabitants or those which had a village council, within the Cistierna Health Area. DESIGN:It was a descriptive, longitudinal, prospective and observational study...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-06-30 00:00:00