Abstract：
OBJECTIVE:To find the views of health professionals on how the terms of the new management agreement with clinical units affect the quality of health delivery. DESIGN:Qualitative study to find professionals' views. Individual opinions of key informers were obtained, secondary sources were analysed and a discussion group rounded off the study. The categories for the analysis were established on the basis of the results obtained. SETTING:Primary care districts in the provinces of Sevilla and Cádiz, in the Autonomous Community of Andalusia. Health districts of differing social-economic and geographical characteristics were chosen. PARTICIPANTS:9 professionals involved in the new system of management. The selection criteria refer to the kind of professional, the unit or work team and the characteristics of the health district. METHOD:The semi-structured interview with key informers and a discussion group were the basic techniques for gathering information. RESULTS:A view that the clinical management units were designed as a savings strategy was detected. There were differences about primary care teams. CONCLUSIONS:Professionals think there is too much rigidity and adding-up in the measurement of targets and objectives. This creates unfavourable working conditions, which affects the quality of health service delivery.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Alvarez Girón M,García Gil C,Solano Parés Adoi
10.1016/s0212-6567(03)70725-2subject
Has Abstractpub_date
2003-05-15 00:00:00pages
514-8issue
8eissn
0212-6567issn
1578-1275pii
13047734journal_volume
31pub_type
杂志文章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 describe the thyroid pathology seen at our health centre (HC) and its evolution. DESIGN:A longitudinal, retrospective study. SETTING:La Mina HC, Sant Adrià de Besòs, Barcelona. PATIENTS:Patients older than 14 who, between January 1985 and June 1993, had presented functional or morphological thyroid func...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-04-30 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：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 analyse the appropriateness of specific immunotherapy treatment (IT) to indications based on scientific evidence. DESIGN:Cross-sectional, descriptive study. SETTING:Primary care in a health district of about 12,000 inhabitants. PATIENTS:166 patients for whom IT was prescribed in the period between Janua...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78635-5
更新日期：2000-07-01 00:00:00
abstract：OBJECTIVE:To determine the differences in the diagnosis of light arterial hypertension between using three tension measurements (over 2 or 3 weeks) or five (6 or 7 weeks). DESIGN:A descriptive, longitudinal study. SETTING:Santomera Health Centre, Murcia. PARTICIPANTS:In 245 patients initially diagnosed as suffering ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-03-31 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：OBJECTIVES:To evaluate our patients' knowledge of the effects of excess drinking; b) to compare this with their awareness of the effects of their day-to-day drinking habits. DESIGN:Descriptive, randomized, cross-sectional questionnaire-based study. Information on alcohol consumption was obtained from medical records. ...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0212-6567(03)79313-5
更新日期：2003-11-15 00:00:00
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：: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:The aim of this study was to identify multimorbidity patterns in patients from 19 to 44 years attended in primary care in Catalonia in 2010. DESIGN:Cross-sectional study. SETTING:251 primary care centres. PARTICIPANTS:530,798 people with multimorbidity, aged 19 to 44 years. MAIN OUTCOME MEASURES:Multimorb...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.10.006
更新日期：2016-08-01 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：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
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：OBJECTIVE:To measure the impact of the peer-led training for chronic patients on their health status and behaviors. DESIGN:Descriptive, transversal pretest and posttest quantitative approach. PLACEMENT:Andalusia. PARTICIPANTS:Nine hundred sixty-four patients with Diabetes, fibromyalgia and heart failure, trained at ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2018.09.020
更新日期：2020-02-01 00:00:00
abstract：AIM:To evaluate the level of cardiovascular risk in smokers seenin Primary Care clinics. DESIGN:Epidemiologic, cross-sectional and multicentre study. SETTING:Primary Care. PATIENTS:Every investigator included 4 consecutive patients (3 smokers, 1 non-smoker) aged 35-50 years, who came to the clinic for any reason. A ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.10.005
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To identify and analyse the "theory" expressed by family doctors on the essential features of an effective and functional doctor-patient relationship and on how to achieve one ("stated theory" of Argyris and Schon). DESIGN:Qualitative, based on discourse analysis. SETTING:Primary care. METHOD:Interviews re...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13106284
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVE:To get to know the profile of use of antidepressants (AD) and tranquilizers-hypnotics (T-H) in primary care in Catalonia. DESIGN:Transversal, observational, epidemiological study of prescription-indication. LOCATION:Health centres in Catalonia, Spain. PARTICIPANTS:Included, using consecutive sampling, pati...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13079144
更新日期：2005-09-30 00:00:00
abstract：OBJECTIVE:To find the relevance of analytic tests requested by the Primary Care doctor. DESIGN:A descriptive crossover study. Relevance was decided by the definition of criteria through consensus techniques. SETTING:Three urban Health Centres in Area 4 of the City of Valencia. PARTICIPANTS:All the requests for analy...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：
更新日期：1996-06-30 00:00:00
abstract：OBJECTIVE:To describe the experience of women caregivers with chronic conditions who care for a dependent relative. DESIGN:Qualitative study based on constructivist grounded theory. LOCATION:Study conducted on two Health Areas urban of the Community of Madrid. PARTICIPANTS:Thirty nine women with a chronic condition ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.03.006
更新日期：2016-02-01 00:00:00
abstract：INTRODUCTION:There are no existing studies that appraise cardiovascular morbidity-mortality in patients diagnosed with isolated clinical hypertension (HCA) through self-measurement of blood pressure (AMPA). OBJECTIVE:To find the prognostic value of AMPA for diagnosing HCA, by means of assessment of cardiovascular morb...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13086703
更新日期：2006-04-15 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：: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：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：OBJECTIVE:To evaluate the quality of the care provided for low-level urinary infections in the Toledo Health Area. DESIGN:Retrospective study based on data on procedures supplied from clinical histories. SITE. Primary Care teams in the Toledo Health Area. PATIENTS OR OTHER PARTICIPANTS:Those patients over 14 with a p...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-11-01 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：: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 work out and validate a questionnaire that can be self-filled and has closed answers to describe: 1) the kind of relationship between family doctors and the pharmaceutical industry; 2) the attitude of family doctors towards this relationship, and 3) the conduct of family doctors when faced with concrete of...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79465-2
更新日期：2004-06-30 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：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
