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, patients on treatment with AD and/or T-H. MEASUREMENTS:The variables studied were: age, sex, type and number of drugs, treatment schemes, reason for prescribing, and the health professional who initiated it. RESULTS:1613 drugs were evaluated: 43% were AD and 57% were T-H. The sub-groups most prescribed were: selective serotonin reuptake inhibitors (SSRI) (31.6%) and short half-life (32.9%) and long half-life (19.8%) benzodiazepines (BZD). We included 998 patients, 76% of the participants were women. The average age was 52.24 years (range, 16-96). 19.9% (n=199) received treatment with AD only, 34.3% (n=342) with T-H only, and 45.8% (n=457) combined treatment. The mean number of drugs per patient was 1.6. The main reasons for prescribing were: major depression or dysthymia (60.2%; n=417) for AD and generalised anxiety (33.3%; n=306) and insomnia (23.9%; n=220) for T-H. 39.8% (n=268) of the AD and 51.0% (n=441) of T-H had been prescribed for more than 1 year. CONCLUSION:The described profile of the use of psychiatric drugs suggests the need to reconsider the over-prescribing of BDZ and improve coordination between psychiatrists and primary care doctors.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Vedia Urgell C,Bonet Monne S,Forcada Vega C,Parellada Esquius Ndoi
10.1157/13079144subject
Has Abstractpub_date
2005-09-30 00:00:00pages
239-45issue
5eissn
0212-6567issn
1578-1275pii
13079144journal_volume
36pub_type
杂志文章abstract：OBJECTIVE:To establish the effectiveness of a broad offer for tetanus vaccination (ATT), to any person visiting his general practitioner, by evaluating its coverage, acceptance by patients and final vaccination figures. DESIGN:Intervention study of nonrandom type. SETTING:Primary care. PATIENTS:1349 people aged > or...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-09-30 00:00:00
abstract：OBJECTIVE:To improve follow-up of health problems, once detected, until their resolution. Also to introduce corrective measures to the demand for Primary Care consultations. DESIGN:Prospective study of Organised Telephone Consultations (OTC). SITE. General Medicine quota of the PC team at Ofra-Delicias (Tenerife). PA...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-06-01 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：OBJECTIVE:To describe, analyse and discuss the activities in the Network of Community Activities of the Programme of Community Activities in Primary Care of the Spanish Society of Family and Community Medicine. DESIGN:Description of the activities within this Network.Setting. Network of Community Activities of the Spa...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)70495-2
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVE:To estimate the prevalence of orthostatic hypotension (OH) in patients 80 years old and over attending a primary care unit. To relate OH to the most prevalent pathologies and to the most used drugs. DESIGN:Transversal observational study. LOCATION:Primary care unit, Santiago de Compostela. PARTICIPANTS:Eig...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.12.003
更新日期：2019-05-01 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：SETTING:Community level. "Santa María de Benquerencia" Health District, Toledo. PARTICIPANTS:People over 15, chosen by random sampling from the municipal census, who stated that they had suffered some health disorder over the previous fortnight. MEASUREMENTS AND MAIN RESULTS:212 surveys were accepted as valid (averag...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-06-15 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：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：: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 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 assess the prevalence of thyroidal disorders in our area using a representative sample of the population in terms of age and distribution by sex. DESIGN:Descriptive observational transversal study. SETTING:Six areas from the province of Lleida including its capital. PARTICIPANTS:All the inhabitants olde...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-11-15 00:00:00
abstract：OBJECTIVE:To ascertain the diagnosis associated with specific treatment for dementia in the Primary Care Electronic Clinical Record (PC-ECR) and to analyse the factors associated with the quality of registration. METHODS:Descriptive study of patients taking cholinesterase inhibitors or memantine registered in Database...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.03.002
更新日期：2016-01-01 00:00:00
abstract：INTRODUCTION:Inadequate sleep patterns and insomnia are frequently linked and represent common sleep disorders among adolescents. The present study provides data on sleep patterns and insomnia among Portuguese adolescents. MATERIAL E METHODS:In a cross-sectional study we evaluated 6,919 students from the 7th to the 12...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/S0212-6567(14)70090-3
更新日期：2014-11-01 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：OBJECTIVE:To describe the frequency and distribution of sexual conduct with risk of pregnancy, the degree of information on sexuality and contraceptive methods. To analyze the relationship between sexual conduct with risk of pregnancy and the most relevant variables of social surroundings of the adolescent: family, fri...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：OBJECTIVES:To assess the validity of small questionnaires of 4,5 and 1 questions, based on the 15-question Spanish version of the Yesavage geriatric depression scale (GDS-VE), for diagnosing depression in the over-65s. DESIGN:Study to validate questionnaires. SETTING:Health centre consultations. PARTICIPANTS:258 pat...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13071040
更新日期：2005-01-01 00:00:00
abstract：OBJECTIVE:To describe the prevalence of iron deficiency anaemia in the Basque Country by age group and sex and to identify the main groups at risk. DESIGN:Cross-sectional study. SETTING:Basque Country. PARTICIPANTS:School-aged population of Bilbao (n = 762); further education students of San Sebastian (n = 372); adu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-10-15 00:00:00
abstract：OBJECTIVE:To evaluate the impact of the pilot experience of direct purchase and distribution of incontinence diapers in primary health care centres of the Balearic Islands after 10 months of implementation. DESIGN:Comparison of diapers's public expenditures and use during 10 months of pilot experience (9/1/1994-6/30/1...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-02-29 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：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：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：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：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：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 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 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 describe sociodemographic and clinical characteristics of a diabetic population. To relate sociodemographic and clinical evolutionaries variables. DESIGN:Descriptive transversal study. SETTING:Three urban Primary Health Centers (PHC). Participants. Diabetic patients attended in these PHC.Measurements. ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)70616-1
更新日期：2002-05-15 00:00:00
abstract：OBJECTIVE:To find the prevalence of orthostatic hypotension (OH) and associated factors in elderly hypertensive patients in a primary care setting. DESIGN:Descriptive cross-sectional study. SETTING:La Marina Health Centre (an urban centre in Santander). PATIENTS:A random sample of 295 patients aged 65 years or older...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78924-x
更新日期：2001-07-01 00:00:00
abstract：BACKGROUND:The Spanish Family Medicine National Commission is proposing a new portfolio-type Specialist Training Book (STB). OBJECTIVE:To pilot its contents, structure, and implementation strategies. DESIGN:Cross-sectional, descriptive study. SETTING:A Provincial Family Medicine Teaching Unit. PARTICIPANTS:Twenty-e...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13109498
更新日期：2007-09-01 00:00:00
