Abstract：
AIM:To determine the effectiveness of medical counseling for alcohol abuse, when it is provided in primary care centers. DESIGN:Quasi-experimental, open, multicenter before-after study.Setting. 14 primary care physician's practices (7 rural, 7 urban) in the province of Córdoba (Spain). PARTICIPANTS:306 patients of both sexes, recruited with a case-finding strategy, who consumed >=35 (men) or >=21 (women) IU per week, or who had alcohol dependence syndrome (ADS) (MALTS score O>=11). Interventions. All patients were offered brief counseling to reduce drinking, and all were followed to evaluate their status 3 months, 1 year and 2 years later. MAIN MEASURES:The response variable was self-reported alcohol consumption together with normal GGT values or confirmation of alcohol consumption by a relative. The results were subjected to intention-to-treat analysis. RESULTS:Of the 306 patients included in the study, 95.1% were men and 78.4% had ADS. After 2 years 38.89% (95% CI, 32.2%-44.3%) had attained their treatment goal: 23.85% were in complete abstinence, and 15.0% consumed moderate amounts of alcohol below the limit considered to indicate risk. Starting excessive consumption at less than 16 years of age (odds ratio [OR], 3.0885), living in a slum (OR, 3.2103), smoking (OR, 1.7187), and a positive CAGE test (OR, 1.9949) were associated with failure of the intervention (P<.05). CONCLUSIONS:Counseling provided by the family doctor was highly effective under the usual conditions of general practice, both for patients with excessive alcohol consumption and for patients with con ADS.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Fernández García JA,Ruiz Moral R,Pérula de Torres LA,Campos Sánchez L,Lora Cerezo N,Martínez de la Iglesia J,Grupo de Cordobés de Investigación en Atención Primaria (GCIAP).doi
10.1016/s0212-6567(03)70674-xsubject
Has Abstractpub_date
2003-02-28 00:00:00pages
146-53issue
3eissn
0212-6567issn
1578-1275pii
13044293journal_volume
31pub_type
杂志文章,多中心研究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：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 describe the process of development of community health in a territory where the Primary Health Care board decided to include it in its roadmap as a strategic line. DESIGN:Evaluative research using qualitative techniques, including SWOT analysis on community health. Two-steps study. LOCATION:Primary care...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.10.009
更新日期：2016-12-01 00:00:00
abstract：:The effectiveness and safety of sustained action nifedipine (NF) were compared to those of chlorthalidone (CL) in two groups of 35 and 37 patients with mild to moderate hypertension followed up for 4 months. There was a significant reduction in blood pressure (BP) after 15 days of therapy. The degree of control was ac...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：
更新日期：1990-04-01 00:00:00
abstract：OBJECTIVE:To determine the validity and usefulness of brain natriuretic peptide (BNP) for diagnosing left ventricular dysfunction (LVD). DESIGN:Prospective, descriptive, multi-centred study to validate the diagnostic test. SETTING:Primary care centres in the Community of Madrid, Spain. PARTICIPANTS:Consecutive sampl...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(05)70554-0
更新日期：2005-11-30 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：: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 analyse the repercussions that caring for chronically sick patients at home can have on the health of the main carers. DESIGN:A descriptive crossover study. SETTING:"Raval Nord" Health District, Barcelona. PATIENTS AND OTHER PARTICIPANTS:All the 336 chronically sick at home recorded in the home-care pro...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-04-30 00:00:00
abstract：OBJECTIVE:To validate a self-administrable version of the SMAST questionnaire for diagnosing alcoholism at the primary care level. DESIGN:A descriptive study of a crossover type. SETTING:An urban health centre. PATIENTS AND OTHER PARTICIPANTS:497 patients over 15, selected at random from the log-book of daily demand...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-06-30 00:00:00
abstract：OBJECTIVE:To describe the evolution of mortality due to ischaemic heart diseases in Andalucia between 1975 and 1992 and predict rates up to the year 2000. DESIGN:Descriptive study. SETTING:The Autonomous Community of Andalucia. Patients and other participants. Deaths because of ischaemic heart diseases between 1975 a...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-10-15 00:00:00
abstract：OBJECTIVE:To discover the prevalence of serological markers of the Hepatitis B virus in the out-patient population of the city of Vigo. DESIGN:A year-long retrospective study (from January to December, 1990) of a total of 4,581 serums belonging to patients. These came to our laboratory from patients who attended the o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-12-01 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 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: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:Insomnia is the most common sleeping disorder, increasing as people get older, which therefore creates an increase in the use of hypnotics. The presence of insomnia in elderly people, according to different authors, ranges between 17 and 43% depending on the criteria of diagnosis used and the group of popula...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78530-1
更新日期：2000-04-15 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 identify the practices reported by health professionals on hand hygiene; To determine how the practices of hand hygiene are related to socio-demographic and professional variables and variables in the context of practice. MATERIAL AND METHODS:A descriptive-correlational and cross-sectional study conducted...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/S0212-6567(14)70080-0
更新日期：2014-11-01 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
abstract：OBJECTIVE:To appraise the level of school-children's dental health after five years in operation of the buccal-dental health programme, in which children received fortnightly rinses of sodium fluoride at 0.2%. DESIGN:A crossover study. School survey of the 1993-4 academic year. PARTICIPANTS:A total of 1,674 school-ch...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-10-31 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 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:Empathy is one of the basic skills in medicine that promotes better doctor-patient relationship, best professional competition and less professional stress. We don't found studies in our area. This study aims to measure the degree of empathy in medical students in our area and associated factors. DESIGN:Cros...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2014.12.012
更新日期：2016-01-01 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：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：OBJECTIVE:A clinical epidemiological study at a health centre of carriers of hepatitis C virus (HCV) antibodies. The prevalence of HCV antibodies in immediate family members. DESIGN:Crossover and descriptive. SETTING:Chopera I Primary Care team. PATIENTS AND FAMILY MEMBERS: 37 carriers of HCV antibodies in the Centre...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：OBJECTIVE:To determine if the ETAP smoking scale, which measures accumulated exposure to tobacco, both actively and passively, is applicable and effective in the clinical practice of Primary Care for the prevention of acute myocardial infarction (AMI). Location Barranco Grande Health Centre in Tenerife, Spain. DESIGN:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.05.010
更新日期：2018-01-01 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：OBJECTIVE:To determine the distribution of the public health spending (PHS) among health sectors from 2002 to 2008, and the eventual regional inequalities related to the regional income level and the ageing population. DESIGN:A longitudinal and retrospective study. SETTING:Spain. PARTICIPANTS:The 17 Autonomous Commu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.01.005
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVE:To investigate the habits and risk factors of adolescents from two Health Centres in two semi-urban populations using a structured clinical interview with open questions. DESIGN:Cross-sectional descriptive study. SETTING:Two semi-urban populations from the Malaga area. PARTICIPANTS:Adolescents aged between...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.02.008
更新日期：2011-04-01 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
