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 Area. PATIENTS:All the patients (499) who requested advice on their drug therapy and were included at the request and on the criterion of their doctor were studied. INTERVENTION:We introduced the APP programme for chronic patients, with two basic aims: Care: to detect medicine-related problems and propose individual solutions. Teaching: to bring drug-therapy skills used in clinical practice into line with the scientific evidence available. MEASUREMENTS AND RESULTS:We focused on the detection of problems related to the most common medicines, with direct and relevant incidence on morbidity and mortality. We detected 236 cases (47%) of possible therapeutic improvement that had important implications for associated morbidity, of which 114 (23%) also had implications for mortality. 56% of the patients took more than 4 medicines, multiple medication that could easily be reduced in 43.5% of cases, so avoiding the use of medicines of low intrinsic value. CONCLUSIONS:The programme was very useful, as numerous very clinically relevant problems were detected and information was gained that the doctor can use to bring drug therapy into line with the available scientific evidence.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Alegre del Rey E,Martínez Rodríguez L,Tejedor de la Asunción I,Rabadán Asensio Adoi
10.1016/s0212-6567(01)78877-4subject
Has Abstractpub_date
2001-05-31 00:00:00pages
663-6issue
9eissn
0212-6567issn
1578-1275pii
S0212-6567(01)78877-4journal_volume
27pub_type
杂志文章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 evaluate the efficacy of an educational intervention to minimise the prescription of those new medicines whose therapeutic effects are of little benefit. DESIGN:Controlled and randomised experimental study. SETTING:27 health centres in the province of Sevilla, Spain. PARTICIPANTS:376 general practitione...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1157/13080299
更新日期:2005-10-31 00:00:00
abstract:OBJECTIVES:To find the causes of worry in second-year family and community medicine (FCM) residents on their arrival at health centres. DESIGN:A descriptive study. A survey with 4 questions on difficulties found in the on-demand clinic, in consultations by appointment, other causes of anxiety and problems foreseen a p...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of chronic kidney disease and associated risk factors in subjects over 60 years of age, as well as its staging by determining the glomerular filtration rate (GFR). DESIGN:Cross-sectional observational study. SETTING:Primary Health Care. PARTICIPANTS:Patients≥60 years of age who ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2014.06.003
更新日期:2015-04-01 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: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:OBJECTIVE:To test the hypothesis that women with epilepsy come from families with poor cohesion and adaptability to the disease, compared with healthy women. DESIGN:Cross-sectional study. SETTING:A retrospective study was done on 263 women from a neurology outpatient department and a family medicine unit from the Mex...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2013.10.005
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To discover the level of autochthonous urinary microflora and their sensitivity to antimicrobials, at the primary care level. DESIGN:A descriptive and retrospective study of a sequential sampling of urine cultures in primary care (during July, August and September, 1991). SITE. Primary care in the Province o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-06-15 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::Recognizing the clinical heterogeneity of COPD suggests a specific therapeutic approach directed by the so-called clinical phenotypes of the disease. The Spanish COPD Guidelines (GesEPOC) is an initiative of SEPAR, which, together with the scientific societies involved in COPD patient care, and the Spanish Patient For...
journal_title:Atencion primaria
pub_type: 杂志文章,实务指引
doi:10.1016/j.aprim.2012.04.005
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To find the sociodemographic and family characteristics of our Health Centre's over-user, along with the connection between psychological malaise, family dysfunction and greater or lesser attendance. DESIGN:We carried out a descriptive crossover study, after a prior simple random sampling. SETTING:La Felgue...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-02-15 00:00:00
abstract:OBJECTIVE:To find the origin of primary care pharmaceutical prescription and where expenditure is attributed. DESIGN:A descriptive study of a prospective character. SETTING:Medical clinics of a primary care team at the Torre del Mar Health Centre, Málaga. MAIN RESULTS:A total of 2,580 prescriptions, whose average pr...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-06-15 00:00:00
abstract:OBJECTIVES:To find the views of family doctors (FD) on care demand, its conditioning factors, its repercussions and possible rationalizing measures, and to relate these to personal and professional characteristics. DESIGN:A descriptive crossover study. SETTING:Primary care. PARTICIPANTS:140 of 262 FD from Health Cen...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-06-15 00:00:00
abstract::An evaluation study has been done on the quality of long-term drugs prescription. The aim was to check the effectiveness of certain corrective measures agreed by the professionals working in a primary care centre. Using the results of a first evaluation made in 1989, a series of recommendations were made to reduce the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-12-01 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 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:OBJECTIVE:To determine the comorbidity, the therapeutic objectives, and economic impact in subjects with cardiovascular risk in primary care (PC). DESIGN:Multicentre, cross-sectional study. SETTING:Five urban PC centres, Spain. PARTICIPANTS:Patients over 55 years seen during the year 2006. Compared according to the ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13126421
更新日期:2008-09-01 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: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: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: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: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: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:OBJECTIVES:The overall objective is to prioritize health care for women and children at higher social risk. DESIGN:Intervention study. SETTING:An urban health centre. PATIENTS:Women and children using a programme for mothers and infants at greater social risk. Infant health (IH): immigrant children, low social and e...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-04-30 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: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:OBJECTIVE:Study of the prevalence of smoking among La Rioja's health professionals. DESIGN:Descriptive study. SETTING:The Autonomous Community of La Rioja. PARTICIPANTS:A random sample of health workers taken from the censuses of their respective Professional Colleges on February 1st, 1988. RESULTS:Of a representat...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-04-30 00:00:00
abstract:OBJECTIVES:To explore intentions, motivations and country preferences related with professional emigration in a sample of advanced medical students. DESIGN:Cross sectional and descriptive study. SETTING:11 Universities in Spain. PARTICIPANTS:A total of 740 students in their two final courses. PRIMARY MEASUREMENTS:T...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.01.017
更新日期:2011-05-01 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 describe the situations of risk and the prevalence of HIV in women with a heterosexual partner infected by HIV. DESIGN:Cross-sectional descriptive study. SETTING:Out-patient HIV diagnosis centre in Madrid. PATIENTS:229 women seen for the first time between 1993 and 2002 because they had a stable heteros...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)78926-x
更新日期:2004-11-15 00:00:00