Abstract:
OBJECTIVES:To analyze the degree of utilization of generic drugs in Spain and Catalonia. To determine real savings and scope for further savings due to the use of generic drugs. DESIGN:Descriptive, crossover study. SETTING:Public health prescription in Spain and Catalonia in June of 1999 and in Catalonia from January to June of 1999. MEASUREMENTS AND MAIN RESULTS:In June of 1999, the market share of generic drugs in Spain was 1.15% in units and 0.91% in pesetas of the hole drug prescription. The most used were oral ranitidine, oral diclofenac and oral amoxicillin. Catalonia, in this period, has a greater relative utilization of generic drugs, specially in psychotherapeutic agents like alprazolam and fluoxetine. During the first semester of 1999 only in 9.9% of the occasions where generic drugs could be used, were they actually prescribed. Specifically, the drug most used in its generic form was oral diclofenac with 27.1% of the all possible prescriptions. The real savings generated by the generic drugs were 0.2% of the public pharmaceutical bill, and the theoretical capacity of savings with the current generic offer were 2.3%. CONCLUSIONS:There is a low but fast-rising utilization of generic drugs in Spain and Catalonia. Nevertheless the possibilities of savings are at the moment, in relative terms, small. A greater use of them and specially a diversification of the offer is necessary to achieve important relative savings in the overall pharmaceutical bill.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Torralba Guirao M,Gilabert Perramon A,Peláez de Loño J,Faixedas Brunsoms MTdoi
10.1016/s0212-6567(00)78649-5subject
Has Abstractpub_date
2000-09-15 00:00:00pages
210-5issue
4eissn
0212-6567issn
1578-1275pii
S0212-6567(00)78649-5journal_volume
26pub_type
杂志文章abstract:OBJECTIVES:Estimate the differences in the time of arrival at the Intensive Care Unite (ICU) among patients with previous++ infarction versus first infarction ones. DESIGN:Transversal retrospective study. SETTING:General Hospital of Elche. PATIENTS AND OTHER PARTICIPANTS:622 diagnosed of infarction between 1984-1990...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-10-15 00:00:00
abstract:OBJECTIVES:To determine the factors associated with asthma and asthma-related symptoms in children and adolescents in rural areas of Navarre (Spain). PARTICIPANTS AND METHODS:A cross-sectional study using the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire, as well as additional variable...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2017.05.005
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:Ascertain what effect post-natal visits have on recruiting involvement in the mother and child programme of activities. Identify the profile of mothers and children with little involvement in these activities. Ascertain how suitable the register is. DESIGN:Study of cohorts of previous years. The term expose...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-09-15 00:00:00
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:
更新日期:1998-12-01 00:00:00
abstract:AIM:Describe gender-based violence by intimate partners against female nurses in a sample of nurses in Andalucia, Spain. DESIGN:Descriptive transversal study. SETTING:Hospitals and primary health care districts in Andalucia. PARTICIPANTS:Six hundred and twenty-two female nurses that work as nurses in the eight provi...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.07.009
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To evaluate and compare the use of the different primary care (PC) services between immigrants and the indigenous population. DESIGN:Cross-sectional observation study of a population seen in (PC). SETTING:Patients seen by 15 PC doctors, in 5 basic health areas (BHA) in the city of Lleida, Spain, from March ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13120588
更新日期:2008-05-01 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:AIM:Description of a clinical case of enteropathic arthritis. DESIGN:Descriptive study. SITE. Health Centre. PATIENTS AND OTHER PARTICIPANTS:A clinical case is described, starting with back pain where X-rays perceive no irregularity. Later a diagnosis of Crohn's disease is made. Finally lesions characteristic of anch...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-01-01 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::We retrospectively evaluated the 134 pregnancies which were controlled in our health center in a 4-year period, so as to evaluate anemia in pregnancy and the factors influencing its development. In the study sample, 18.65% of the women had anemia. The age did not have any influence on the hemoglobin and packed red cel...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract:OBJECTIVE:To know the views, experiences and expectations of care provided by the Andalusian Public Health System (SSPA) of users of an urban area in need of social transformation (ZNTS). DESIGN:Qualitative methodology (exploratory study). LOCATION:Urban basic health zone (16,000 inhabitants, 40% ZNTS). PARTICIPANTS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2013.01.016
更新日期:2013-08-01 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::We review the mechanisms of the mental operation to identify the disease in family medicine, using five cases where the diagnosis process began in "the trace that should not be there" or "Robinson sign" as happened to Robinson Crusoe when he saw a human footprint on the beach of the "desert island". How could it be th...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.02.008
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:This study aims to discover the individual, microsocial and macrosocial factors and the milieu which lead to today's pattern of adolescent alcohol consumption. DESIGN:A descriptive, crossover study without randomisation. SETTING:Primary Care. School population from the Bajo-Asón Centre 1 Health Area, Cantab...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-10-31 00:00:00
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:
更新日期:1998-11-30 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 describe the type of relationship between primary care family doctors (PCDs) and the pharmaceutical industry (PI) and its representatives in Aragon, to describe doctors' attitudes to this relationship and to find out how doctors behave towards offers from the industry. DESIGN:Descriptive cross-sectional ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)70840-9
更新日期:2004-09-30 00:00:00
abstract:OBJECTIVES:To find out the perceptions of family doctors (FD) and psychiatrists (PS) on their inter-relationships in the health care of patients with depression. DESIGN:Qualitative methodology. Exploratory design based on FD and PS discussion groups (DG). SETTING:Primary health care centres (PHCC) and mental health c...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2008.04.003
更新日期:2009-01-01 00:00:00
abstract::To assess the prevalence of the hepatitis B virus carrier status in pregnant women from the population of Alicante and to evaluate the need of screening studies in future programs of attention to pregnant women, 550 women at the final stage of their pregnancies who were admitted to the Alicante Hospital were evaluated...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-04-01 00:00:00
abstract:OBJECTIVE:To establish the diagnostic validity and usefulness of Eating Attitudes Test-26 (EAT-26) for the risk assessment of eating disorders in a male population. DESCRIPTION:Observational validation study questionnaire. SETTING:Performed in Medellin city at a community care level of mixed (public and private) psyc...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2016.02.016
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the prevalence of deformities of the vertebral column in the child population of a rural area; the index of false positives that diagnoses in the School Health programme generate; and the percentage of children where the diagnosis is confirmed and the treatment is then followed. DESIGN:Descriptiv...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVES:To validate the Cockroft-Gault and the abbreviated Modification of Diet in Renal Disease (MDRD) formulas in a hypertense population aged over 60 and with blood pressure monitored in out-patients. To evaluate the prevalence of various stages of hidden chronic kidney disease in this population. DESIGN:Descrip...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13101799
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:To assess the effectiveness of an educational intervention on antibiotic adherence and patient-reported resolution of symptoms. DESIGN:A controlled experimental study with systematic assignment to groups. SETTING:A pharmacy in Murcia. Participants were patients who came to the pharmacy with a prescription f...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2013.12.003
更新日期:2014-08-01 00:00:00
abstract::The aim of the present study was to analyze the content in health education of the patient-physician interview. The study was observational and descriptive. The target population were the patients attending the general practices of the Social Security clinics. With permission of patients and physicians, 53 visits of t...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-03-01 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: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:AIMS:To determine the attitudes of community-dwelling elderly patients about the possibilities for cure of urinary incontinence. DESIGN:Cross-sectional study. INTERVENTIONS:A specific questionnaire on urinary incontinence and the Barthel Index Modified by Shah. LOCATION:Basic Health Zone of Cabra (Córdoba, Spain). ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78708-7
更新日期:2000-10-31 00:00:00
abstract:OBJECTIVE:To describe short-term time off work procedures, its duration and the determining factors in an active population covered by health insurance at a health centre. DESIGN:Descriptive and observational study of prevalence. SETTING:Ribadeo Health Centre, Lugo, Spain. PARTICIPANTS:All sickness certificates issu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13083937
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the level of agreement between information compiled from the Vademecum, the Pharmaceutical Catalogue and instruction leaflets on the four excipients most commonly used to prepare pharmaceutical products (saccharin, saccharose, lactose and ethanol). DESIGN:Descriptive study. SETTING:Primary care....
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-09-15 00:00:00
abstract:OBJECTIVE:To assess if work-related activities represented a threatening situation for nursing personnel through the correlation between the level of usual anxiety (trait-anxiety) and the level of anxiety present during working hours (state-anxiety). As well as, to determine state-anxiety risk factors. MATERIAL AND ME...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-02-28 00:00:00