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 from among those with a record of the type of DM, date and outcome of at least one HbA1c and treatment at the time of the most recent HbA1c. RESULTS:The quality of the clinical histories was measured through the mean of recording of the following items in the 13 months previous to the most recent HbA1c: weight and height, peripheral pulses, sensitivity, foot examination, creatinine, proteinuria, microalbuminuria, glucaemia levels, back of eye, ECG, and diet, tobacco and alcohol counselling. Other variables that could condition the HbA1c, chronic pathologies and those related to DM, were gathered too. Of patients treated with diet or oral diabetic drugs, patients with a clinical history of < or = 49% quality had a mean HbA1c of 7.40%, whereas those with CH of > or = 50% quality had an average of 6.94% (0.46 difference; 95% CI, 0.03-0.90; p = 0.038). This drop was not attributable to age, gender, years of evolution or BMI differences. The risk of having an HbA1c > or = 7.5% is double in patients with a CH of < or = 49% quality than in those with CH of > or = 50% quality (OR = 2.06; 95% CI, 1.14-3.72). In insulin-treated patients, no association between CH quality and HbA1c was found. CONCLUSIONS:Follow-up of the recommendations for clinical action is associated with better metabolic control in diabetics treated with diet--oral diabetic drugs. This association was not found in insulin-treated patients.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Segovia Pérez C,Maín Pérez A,Corral Cuevas L,González María E,Raquejo Grado MA,Martín Tomero E,de Pablos Heredero A,López Rodríguez A,Hidalgo Santos JCdoi
10.1016/s0212-6567(00)78749-xsubject
Has Abstractpub_date
2000-12-01 00:00:00pages
670-6issue
10eissn
0212-6567issn
1578-1275pii
S0212-6567(00)78749-Xjournal_volume
26pub_type
杂志文章abstract:OBJECTIVE:To find the satisfaction level of health users attended by Bizkaia primary care teams (PCT) with 5 or more permanent doctors and to determine whether there is any relationship between satisfaction and doctors being trained in doctor-patient relationships (DPR). SETTING:Primary Care. Towns in the 2 health are...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-11-15 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 estimate the effectiveness of a Medication Discrepancy Detection Service (MDDS), a collaborative service between the community pharmacy and Primary Care. DESIGN:Non-controlled before-and-after study. SETTING:Bidasoa Integrated Healthcare Organisation, Gipuzkoa, Spain. PARTICIPANTS:The service was provid...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2020.04.008
更新日期:2021-01-01 00:00:00
abstract::In this Clinical practice guide we examine the diagnostic and therapeutic management of adult patients with constipation and abdominal discomfort, at the confluence of the spectrum of irritable bowel syndrome and functional constipation. Both fall within the framework of functional intestinal disorders and have major ...
journal_title:Atencion primaria
pub_type: 共识发展会议,杂志文章,实务指引
doi:10.1016/j.aprim.2017.01.003
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To describe the functional ability of elderly people and analyse its relationship to the use of services. DESIGN:A crossover study. SETTING:An urban population within the metropolitan area of the Community of Madrid. PARTICIPANTS:A random sample of 300 people over 70, taken from the municipal census. MEAS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-03-31 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::We have evaluated the patients that were referred to the referencie hospital from the emergency service of our health center between July 1, 1988, and June 31, 1989, and we have followed them up after their arrival to the hospital. We had cared for 20,546 emergencies, particularly from internal medicine, pediatrics an...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To discover the recruitment and follow-up coverage of Prenatal Care in Parla Health Center, derivation causes and quality control of follow-up. DESIGN:Descriptive and retrospective study. PATIENTS:We obtained 445 newborns (from May 1991 to April 1992) in pediatric records of Health Center, and encountered 4...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-10-31 00:00:00
abstract:OBJECTIVE:To determine the ease of access by telephone when making medical appointments. DESIGN:Cross-sectional, observational, random sample. SETTING:Primary care, Murcia Region. PATIENTS AND OTHER PARTICIPANTS:Centres with a previous appointments system (n = 25) and a random sample of the 276 practitioners involve...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-04-30 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::The aim of this study was to evaluate the proportion of neurological disorders within the overall number of ailments treated in primary care, as well as to classify them, determine the reason for their referral to specialists, and analyze the appropriateness or justification of such referral in each case. The 553 neur...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-09-01 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 know the usefulness and applicability of an information system for basic health areas put into operation 16 years ago. DESIGN:Descriptive study of selected indicators registered in 1994 and 2004. SETTING:Basic health areas of Barcelona, Spain. PARTICIPANTS:Population living in Barcelona, Spain, during 1...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13118058
更新日期:2008-04-01 00:00:00
abstract:AIMS:to validate the PROFUND index in PP in Primary Health Care (PHC). DESIGN:two-year prospective multicenter study. LOCATION:three health care centers in Seville Province (Spain). SUBJECTS OF THE ASSESSMENT:PP with signed informed consent. SAMPLE:n=446 (p=20%; α=5%; β=99%); consecutive sampling. MEASUREMENT:Depe...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/S0212-6567(14)70064-2
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVES:To find how suitable a semFYC guide is for the indication of bone densitometry in menopausal women; and how appropriate their Osteoporosis treatment is. DESIGN:Cross-sectional study.Setting. Girona-3 Health District. PARTICIPANTS:Women between 50 and 80 allocated to the Girona-3 Health District. Suffering ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)79391-9
更新日期:2004-03-15 00:00:00
abstract:OBJECTIVE:To analyse the length of sick leave (SL) and its associated factors in Andalusia. DESIGN:Descriptive observational study. SETTING:Andalusia. PARTICIPANTS:A total of 1,633,405 sick leave forms issued from the 1st January 2002 to the 31st of December 2006 for any reason by Primary Health Care doctors in the ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2008.10.020
更新日期:2009-07-01 00:00:00
abstract::Acute pharyngitis in adults is one of the most common infectious diseases seen in general practitioners' consultations. Viral aetiology is the most common. Among bacterial causes, the main agent is Streptococcus pyogenes or group A β-haemolytic streptococcus (GABHS), which causes 5%-30% of the episodes. In the diagnos...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.02.002
更新日期:2015-10-01 00:00:00
abstract:AIM:To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction. DESIGN:Descriptive and retrospective study. SETTING:Primary Care, urban health care centre, Almería, Spain. PARTICIPANTS:The population were the patien...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2016.05.002
更新日期:2017-02-01 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::We have evaluated serum cholesterol in a primary care center with a recently introduced portable analyzer: Reflotron (Boehringer Mannheim). The linearity and exactitude were investigated with Hitachi 704 (Boehringer Mannheim) used in the reference laboratory. Accuracy was also tested. We found a good accuracy after re...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the prescription of generic medicines by the primary care doctors in a health district after an intervention programme conducted by the area pharmacist. DESIGN:Intervention study. Two indicators were selected as indicators of pharmaceutical prescription of generics. SETTING:Primary care. Distric...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13087380
更新日期:2006-04-30 00:00:00
abstract:OBJECTIVE:To describe trends and geographical distribution of breast cancer mortality in Andalusian women between 1976 and 1995. DESIGN:Descriptive study. SETTING:Andalusia. PATIENTS AND OTHER PARTICIPANTS:Deaths from breast cancer during the period 1976 to 1995 were obtained. MEASUREMENTS AND MAIN RESULTS:The foll...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-10-15 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::We have evaluated the fulfillment of the aims of an integrated influenza vaccination program for a basic urban health area. We have focused the analysis on the vaccine coverage for age and sex groups, groups of risk modifiers and risk gradient. We have evaluated the most adequate method of call. Overall coverage was 6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract:OBJECTIVE:To analyse association between the development of type 2 diabetes and the health-related quality of life (HRQL). DESIGN:Descriptive cross-sectional study. SETTING:Primary care centre in Ayamonte (Huelva). PARTICIPANTS:Selection by simple random sampling between the patients registered with type 2 diabetes:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.03.014
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:A description of early diagnosis of cervical cancer in the Barbastro Hospital area. DESIGN:Descriptive and retrospective study on all the CIN III cases collected in the Tumor Hospital Registry from 1989 to 1998. To correlate the data to the population covered by the hospital. PARTICIPANTS AND METHODS:59 CIN...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)70421-0
更新日期:2001-10-31 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 evaluate the costs of influenza epidemics in Spanish society. DESIGN:Observational, longitudinal, and multi-centre study of healthcare and non-healthcare resource use associated with flu. SETTING:Two primary care centres, 3 hospital emergency services, and the medical service at an old people's home. PA...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13092984
更新日期:2006-09-30 00:00:00
abstract:OBJECTIVES:To find the prevalence of vaginal candidiasis in pregnant women monitored through primary care and to see whether it is on the increase. DESIGN:Descriptive and retrospective study of pregnant women. SETTING:Cazoña Health District (34,783 inhabitants). SUBJECTS:The entire obstetric population monitored by ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78471-x
更新日期:2000-02-15 00:00:00
abstract:OBJECTIVE:To study social inequalities in health in Catalonia. DESIGN:Cross-sectional survey of a representative sample of the population of Catalonia, Spain (Catalan Health Interview Survey, 1994). PARTICIPANTS:Responses from 5641 males and 6604 women aged 15 years or over were included for analysis. MEASUREMENTS A...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78568-4
更新日期:2000-05-15 00:00:00