Abstract:
OBJECTIVE:To assess the views of primary care physicians (PCPs) in Spain regarding the purpose of inspection validation of prescriptions (IVP) and its impact on prescription and patients, as well as doctors' acceptance of this measure. DESIGN:Cross-sectional study through a telephone survey. SETTING:Primary care centres. PARTICIPANTS:PCPs prescribing oral diabetes drugs requiring IVP, or who were familiar with IVP. METHODS:Telephone survey conducted in October-November, 2003, of 1471 PCPs. Sample size was calculated to ensure accuracy to 10% in each autonomous region. RESULTS:91.9% of the 1600 PCPs contacted who agreed to participate in the study met the inclusion criteria. On average, they prescribed 30.6 drugs requiring IVP per month (95% CI, 28.0-33.2), requiring an additional 4.6 minutes per prescription (95% CI, 4.4-4.8). 64.7% of PCPs increased their clinical work-time for this reason. 71.3% of PCPs (95% CI, 69.0-73.6) considered IVP an obstacle when prescribing a drug that requires it and 44.5% (95% CI, 42.0-47.0) believed that the IVP puts patients' right to receive the appropriate treatment at risk. PCPs considered that inspectors refuse authorization of their prescriptions requiring IVP for administrative (43.3%), economic (36.5%), or clinical (13.2%) reasons. 87.1% of PCPs stated that medical prescription is a sufficient control system and that IVP is not necessary for medicines for diseases managed in primary care such as Type-2 DM. 76.2% believed that the health authorities imposed the IVP requirement for some oral diabetes drugs in order to control expenditure on drugs, and 75.4% supported its withdrawal. CONCLUSION:According to PCPs, the objective of the IVP is mainly economic and may affect negatively their clinical practice and patients. Therefore, in general, they do not support it, at least for drugs for diseases mainly managed in primary care.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Gutiérrez-Nicuesa L,Magaz-Marqués S,Badia-Llach Xdoi
10.1157/13086315subject
Has Abstractpub_date
2006-03-31 00:00:00pages
278-86issue
5eissn
0212-6567issn
1578-1275pii
13086315journal_volume
37pub_type
杂志文章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:INTRODUCTION:On the centenary of the foundation of the Paediatrics Society of Madrid, a tribute is presented to rural medical practice of that time, although there are few documents on the history of rural medicine. The main objective is to describe the context of the rural medical practice in the late 19th and beginni...
journal_title:Atencion primaria
pub_type: 历史文章,杂志文章
doi:10.1016/j.aprim.2015.05.008
更新日期:2016-01-01 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 know the health problems or diseases that patients of 2 basic health areas (BHA) assess as the most important for Spanish population and for themselves; to know if any relation exists between these problems and their existence in the family or social patients' environment. DESIGN:An observational cross-se...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78945-7
更新日期:2001-09-15 00:00:00
abstract::A sample of 360 people was analyzed. They had received the protocol of preventive activities of the "Unitat Docent de Medicina Familiar i Comunitària de Barcelona" during 1989. The results of those activities directed to the prevention of cardiovascular risk and to the detection of excessive alcohol intake are reporte...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract:AIMS:Describing the clinical and epidemiological characteristics of the suspicions of measles notified in the CV during the year 2003 and evaluating the system of surveillance. DESIGN:Cross-sectional, descriptive study. SETTING:Community of Valencia (CV), Spain. PARTICIPANTS:Cases of suspected measles notified in 20...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13079864
更新日期:2005-10-15 00:00:00
abstract:OBJECTIVE:Preparation of a map of medication errors reported by health professionals outside hospitals within the framework of Medication Errors Reporting for the Community of Madrid during the period 2008-2009. DESIGN:Retrospective observational study. LOCATION:Notification database of medication errors in the Commu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.10.003
更新日期:2011-12-01 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 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 research on the relationship of the patient and his/her family as a non-pharmacological factor for blood hypertension. To determine whether a hyposodic, hypocaloric, hypofat, and hypocholesterolemic diet decreases the blood tension. To determine whether physical exercises in the patient and his/her family ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-10-31 00:00:00
abstract:OBJECTIVES:To analyse the degree of professional burnout in primary care doctors from our province and the effect of various factors.Design. Descriptive and analytic cross-sectional study. SETTING:Primary care (PC) in the province. PARTICIPANTS:All the PC doctors in the province of Cáceres (n=255). MAIN MEASUREMENTS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)70567-2
更新日期:2002-03-31 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::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::The pandemic of the disease known as COVID-19 (acronym for coronavirus disease-2019), which was first detected in the Chinese city of Wuhan in December 2019, has led to an international public health emergency. This due to several reasons (threat to the lives of many people, unprecedented health and socioeconomic cris...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2020.09.004
更新日期:2020-11-01 00:00:00
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 bo...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/s0212-6567(03)70674-x
更新日期:2003-02-28 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...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2019.11.002
更新日期:2021-01-01 00:00:00
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 determine the epidemiological and clinical characteristics of children with Cryptorchidism in our milieu. DESIGN:Crossover study. SETTING:Specialist care. PATIENTS:159 children referred from Primary Care for a Cryptorchidism study. MEASUREMENTS AND RESULTS:Average age of detection: 1.5-3 years. Lateral...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-11-15 00:00:00
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 gro...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(03)70725-2
更新日期:2003-05-15 00:00:00
abstract:OBJECTIVES:To describe the type of relationship between primary care family doctors (PCDs) and the pharmaceutical industry (PI) and its representatives in Aragon, to describe doctors' attitudes to this relationship and to find out how doctors behave towards offers from the industry. DESIGN:Descriptive cross-sectional ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)70840-9
更新日期:2004-09-30 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::The aim of the present study was to analyze the content in health education of the patient-physician interview. The study was observational and descriptive. The target population were the patients attending the general practices of the Social Security clinics. With permission of patients and physicians, 53 visits of t...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-03-01 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
pub_type: 杂志文章
doi:
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVE:To discover the prevalence and most relevant epidemiological characteristics of the victims of traffic accidents which occur in our health area. SETTING:Hospital Casualty department (HC), Health area 19, Alcoy. PATIENTS:This was an observational, crossover study, based on the collection of data from all tho...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-09-15 00:00:00
abstract:INTRODUCTION:The lack of patient knowledge about their medication is considered to be one of the main reasons for an inappropriate use. OBJECTIVE:This study the level of knowledge in patients about their prescribed antibiotic, and describes some of the factors related to this. DESIGN:A cross-sectional, descriptive an...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2014.04.014
更新日期:2015-04-01 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: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:OBJECTIVES:The main objective was to evaluate the use of two diagnostic instruments for mental disorders in primary care (PC): the PRIME-MD and the Goldberg anxiety and depression scales. Second, to determine the concordance between the two tests and evaluate the quality of psychiatric diagnosis records in the clinical...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-03-31 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 percentage of women aged 40 to 70 years who had had at least one preventive Pap test (cytological examination) during the preceding 5 years, and the factors associated with use of the test. DESIGN:Population survey.Setting. Home interviews during October 2000. PARTICIPANTS:2409 women aged 4...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)79407-x
更新日期:2004-03-31 00:00:00