Abstract：
OBJECTIVES:To describe referrals from primary care (PC) to mental health (MH) and to study the diagnostic and therapeutic concordance between the two. DESIGN:Retrospective, descriptive study. SETTING:Gavà II Primary Care Centre, Barcelona.Participants. All patients referred to MH in 1998, 1999 and 2000 (n=380). MAIN MEASUREMENTS:The following from the referral form and PC medical records were analysed: general diagnosis, drugs treatment, number of words in the report, and purpose of referral; and on the first visit to MH: general diagnosis and drugs treatment. The kappa index was used to analyse the concordance between the diagnostic and therapeutic groups. RESULTS:There were 380 referrals, 63.4% of which were women. Information was obtained from the referral form in 81.6% of cases. In 50.7% the reason for referral was for the case to be supervised; and in 12.4% the reason was not recorded. 18.7% (71 cases) did not attend their first MH appointment and waited an average of 78 days (SD=70.9) until the appointment. As 92 cases were lost (71 who did not attend and 21 for whom insufficient information was obtained), only 288 cases were analysed.The greatest diagnostic concordance between PC and MH was in mental deficiency (kappa=0.85) and psychotic disorder (kappa=0.77); and the minimum was in anxiety-depressive disorder (kappa=0.24). The maximum degree of therapeutic concordance was for neuroleptic drugs (kappa=0.66). CONCLUSIONS:The diagnostic and therapeutic concordance between PC and MH is weak. The referral sheet is not present in a great many cases. The waiting-time until the first consultation may explain patient absenteeism.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Miranda Chueca I,Peñarrubia María MT,García Bayo I,Caramés Durán E,Soler Vila M,Serrano Blanco Adoi
10.1016/s0212-6567(03)70782-3subject
Has Abstractpub_date
2003-11-30 00:00:00pages
524-30issue
9eissn
0212-6567issn
1578-1275pii
13054672journal_volume
32pub_type
杂志文章abstract：OBJECTIVE:To assess if work-related activities represented a threatening situation for nursing personnel through the correlation between the level of usual anxiety (trait-anxiety) and the level of anxiety present during working hours (state-anxiety). As well as, to determine state-anxiety risk factors. MATERIAL AND ME...
journal_title：Atencion primaria
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doi：
更新日期：1999-02-28 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
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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
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abstract：OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-09-30 00:00:00
abstract：:A descriptive study of virtually all patients with leprosy in the Córdoba province was carried out. The socioeconomic and hygienic features of the patients' homes, some clinical variables, the therapeutic habits and the features of the foci were evaluated. The major findings were as follows: More than 50% of patients ...
journal_title：Atencion primaria
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更新日期：1989-06-01 00:00:00
abstract：AIM:To determine the relevance level of non-technical skills of those professionals dedicated to the healthcare of patients with chronic diseases, from an analysis of home care professionals. DESIGN:Quantitative and qualitative research conducted in 2 phases: 1.st from November 2010 to March 2011 and 2.nd from Decembe...
journal_title：Atencion primaria
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journal_title：Atencion primaria
pub_type： 杂志文章
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abstract：OBJECTIVES:Development and training of a neurone network that enables the patients who attend the clinic with symptoms of dyspepsia to be classified into two groups: those who very probably have peptic ulcer disease or gastro-oesophageal reflux (GOR) and those more likely to have functional or idiopathic dyspepsia. Res...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2002-06-30 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
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doi：10.1016/j.aprim.2008.04.003
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-09-15 00:00:00
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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: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
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-04-15 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：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...
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journal_title：Atencion primaria
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doi：
更新日期：1997-05-31 00:00:00
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-06-15 00:00:00
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-04-30 00:00:00
abstract：OBJECTIVES:To assess the impact of the Law 42/2010, on the health measures on smoking, on the prevalence of the exposure to environmental tobacco smoke (ETS), the repercussions in frequently visited places, and support of the new legislation. DESIGN:A before-after evaluation by comparing two cross-sectional studies th...
journal_title：Atencion primaria
pub_type： 杂志文章
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
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journal_title：Atencion primaria
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journal_title：Atencion primaria
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doi：
更新日期：1997-11-15 00:00:00
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-09-30 00:00:00
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
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journal_title：Atencion primaria
pub_type： 杂志文章
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journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13106284
更新日期：2007-06-01 00:00:00
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pub_type： 杂志文章
doi：
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journal_title：Atencion primaria
pub_type： 杂志文章
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journal_title：Atencion primaria
pub_type： 杂志文章
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更新日期：2015-11-01 00:00:00
