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. SETTING:Four reformed health districts that share the same referral hospital in the city of Mataró (Barcelona). PATIENTS AND OTHER PARTICIPANTS:124 patients were discharged in 1996 for pathologies requiring ongoing care in primary care (diabetes, hypertension, chronic obstructive pulmonary disease, cerebral vascular accident, femur fracture and neoplasms). INTERVENTIONS:Systematic comparison of various sections of the HDR with the information in the primary care clinical notes (PCCN). MEASUREMENTS AND MAIN RESULTS:In 12.9% (95% CI, 8.1-18.8%) of the PCCNs examined, there was no record of the HDR. In 76.6% (69.1-84.1%) of the patients studied, the HDR contributed new information on some of the contents reviewed ("useful" HDR). In the remaining 22.6% (15.2-30.0%) the HDR contributed no new information and left out necessary follow-up and monitoring information ("useless" HDR). Nevertheless, in as many as 89.5% (84.1-94.9%) of the patients, the PCCNs recorded some clinically important piece of information or intervention that did not figure in the HDR. This occurred more often in questions of prevention and quality of life (56.5%), special treatment (42.3% of those who needed it), anamnesis (40.3%) and follow-up (31.5%). CONCLUSIONS:Despite the potential importance of HDRs for on-going care of patients discharged from hospital for chronic complaints, and although a high percentage of HDRs reach the general practitioner, their lack of content negates their usefulness in 22.6% or more of cases.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Buxadé Martí I,Canals Innamorati J,Montero Alcaraz JC,Pérez Galindo J,Bolíbar Ribas Idoi
10.1016/s0212-6567(00)78687-2subject
Has Abstractpub_date
2000-10-15 00:00:00pages
383-8issue
6eissn
0212-6567issn
1578-1275pii
S0212-6567(00)78687-2journal_volume
26pub_type
杂志文章abstract:OBJECTIVE:To find the pattern of mortality in people between 1 and 14 years old and how this evolved between 1980 and 1993. DESIGN:A descriptive, epidemiological study. SETTING:State-wide study of mortality. PATIENTS AND OTHER PARTICIPANTS:The source of information were the vital statistics published by the National...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-11-30 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:OBJECTIVE:To compare the effectiveness of two interventions in the treatment of obese patients: hypocaloric diet and hypocaloric diet plus serotoninergic medication. DESIGN:Randomised clinical trial. SETTING:Primary Care. Out-patient Endocrinology clinic. PATIENTS:The trial included 60 obese adults, assigned at rand...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1995-10-15 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: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:OBJECTIVE:The objectives of the present study are to describe to the social particularizations, reasons for consultation and diagnoses conducted in the adult immigrants without regularizing that they went to this doctor's office in the district of Villaverde-Usera (Madrid), excluding the data from obstetrics-gynecology...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To establish the effectiveness of a broad offer for tetanus vaccination (ATT), to any person visiting his general practitioner, by evaluating its coverage, acceptance by patients and final vaccination figures. DESIGN:Intervention study of nonrandom type. SETTING:Primary care. PATIENTS:1349 people aged > or...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-09-30 00:00:00
abstract:OBJECTIVE:To find the prevalence of orthostatic hypotension (OH) and associated factors in elderly hypertensive patients in a primary care setting. DESIGN:Descriptive cross-sectional study. SETTING:La Marina Health Centre (an urban centre in Santander). PATIENTS:A random sample of 295 patients aged 65 years or older...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78924-x
更新日期:2001-07-01 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:AIMS:Describing the clinical and epidemiological characteristics of the suspicions of measles notified in the CV during the year 2003 and evaluating the system of surveillance. DESIGN:Cross-sectional, descriptive study. SETTING:Community of Valencia (CV), Spain. PARTICIPANTS:Cases of suspected measles notified in 20...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13079864
更新日期:2005-10-15 00:00:00
abstract:OBJECTIVES:To determine the relationship between some characteristics (cost, intensity, quality) of prescriptions issued by general practitioners in a health district and their patient loads, controlling for possible confounders. To analyze the intensity of prescription of certain groups of therapeutic drugs according ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.02.010
更新日期:2011-02-01 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:OBJECTIVE:To describe the characteristics of the malignant and pre-malignant lesions found in the minor surgical interventions performed at a health centre. DESIGN:Retrospective, descriptive study. PARTICIPANTS:682 lesions: all the lesions extirpated and referred to pathology except for epidermal and trichilemmal cys...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(03)79334-2
更新日期:2003-12-01 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: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:To examine the attitudes of family doctors to patients' rights and to ascertain the social and professional variables that influence these views. DESIGN:Descriptive, cross-sectional study based on a questionnaire. SETTING:Primary care, Murcia, Spain. PARTICIPANTS:Two-hundred and twenty-seven family physic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13098275
更新日期:2007-01-01 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 describe the evolution of the number of potential years of life lost (PYLL) because of AIDS in La Rioja between 1986 and 1993. DESIGN:Descriptive study. SETTING:Autonomous Community of La Rioja. PATIENTS AND OTHER PARTICIPANTS:Secondary data from the regional Register of AIDS cases in La Rioja, from the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-05-15 00:00:00
abstract:OBJECTIVE:To measure doctors' attitudes to the opening of Health Centres. DESIGN:Descriptive study. SITE. Primary Care services on the island of Gran Canaria. PARTICIPANTS:Doctors with tenure. MAIN MEASUREMENTS AND RESULTS:From a self-administered Likert type questionnaire, it could be observed that the proportion o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-04-15 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:OBJECTIVE:To know the health problems or diseases that patients of 2 basic health areas (BHA) assess as the most important for Spanish population and for themselves; to know if any relation exists between these problems and their existence in the family or social patients' environment. DESIGN:An observational cross-se...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78945-7
更新日期:2001-09-15 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::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 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::Eight cases of monoclonal gammapathy of uncertain significance are reported. They were detected from routine analysis in patients from the general population who consulted for several diseases to a primary care center. One patient developed multiple myeloma and the rest remained stable. As there is no effective method...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the economic impact in terms of the direct costs (health care costs) and the indirect costs (effects on production caused by mortality and morbidity) of diabetes mellitus (DM) in the Canary Islands (Spain) during 1998. DESIGN:The approach used was to study the cost of the disease through looking ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)70526-x
更新日期:2002-02-28 00:00:00
abstract:OBJECTIVE:To examine the perceptions and expectations about Family Practice (FP) and Primary Care (PC) in 1st, 3rd and 5th year students in medical schools. DESIGN:An observational study in two cross sections with intervals of two years. LOCATION:Spanish Medical Schools. PARTICIPANTS:1st, 3rd and 5th year students o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2012.07.007
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:To find the amount of non-compliance with medical treatment for Hypertension and its causes, and to describe the profile of non-compliant patients. DESIGN:A crossover study performed on two home visits. SETTING:A rural Health Centre at Calpe, Alicante. PATIENTS:The sample was obtained from the census of m...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-09-15 00:00:00
abstract:OBJECTIVES:To discover the view of primary care doctors on aspects of the safety of medicines, their knowledge of the programme of automatic notification of negative side-effects of medicines (NSEM), their opinion of the programme and factors affecting low notification. DESIGN:A survey of views. SETTING:Madrid's Heal...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-04-15 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