[Measurement of relative cost weights as an effect of the retrospective application of adjusted clinical groups in primary care].


OBJECTIVE:The objective of the study is to obtain the cost's relative average weights of the assistance with the retrospective application of the Adjusted Clinical Groups (ACG's) in four teams of Primary Care with an attended population in the habitual clinical practice situation. METHODS:Descriptive study of retrospective character. It was included in the study all attended patients by four teams of Primary Care during year 2003. The main measures were: universal variables (age and gender), dependents (visits and costs) and casuistic and co morbidity. The model of cost per each patient was established differencing the fix costs and the variable ones. Was effected a multiple lineal regression analysis for the prediction of models. The relative cost of each ACG was obtained dividing the average cost of each category among the average cost of each population of reference. RESULTS:The total number of the studied patients was 62,311 (intensity of use: 76.7%), with an average 4.8 +/- 3.2 episodes and 7.8 +/- 7.5 visits/patient/year. The distribution of costs was 24,135,236.41 euro, 28.9% for fix. The total unitary cost per visit/year was 49.62 +/- 24.71 euro and the average of the total cost per patient/year 387.34 +/- 145.87 euro (relative weights of reference). The explicative power of the classification of ACG was 50.1% in visits and 54.9% for total costs. CONCLUSIONS:The ACG are an acceptable system of classification of patients in situation of habitual clinic practice. In case results were confirmed will make possible an improvement in the practice application of ACG as a possible tool for the clinical management in Primary Care centers.


Gac Sanit


Gaceta sanitaria


Sicras-Mainar A,Serrat-Tarrés J




Has Abstract


2006-03-01 00:00:00














  • The healthy migrant effect in primary care.

    abstract:OBJECTIVE:To compare the morbidity burden of immigrants and natives residing in Aragón, Spain, based on patient registries in primary care, which represents individuals' first contact with the health system. METHODS:A retrospective observational study was carried out, based on linking electronic primary care medical r...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Gimeno-Feliu LA,Calderón-Larrañaga A,Diaz E,Poblador-Plou B,Macipe-Costa R,Prados-Torres A

    更新日期:2015-01-01 00:00:00

  • [Cancer incidence estimation in Spain: period 1993-1996].

    abstract:OBJECTIVE:To estimate the number of incident cases of cancer in Spain between 1993 and 1996. METHODS:We used data on the incidence of cancer from nine Spanish population-based cancer registries published in the monograph Cancer incidence in Five Continents, vols. VI and VII (period 1983-92). The National Institute of ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Moreno V,González JR,Soler M,Bosch FX,Kogevinas M,Borràs JM,Grupo de Estudio de las Causas del Cáncer en España (GECCE).

    更新日期:2001-09-01 00:00:00

  • Validity and reliability of the Spanish sign language version of the KIDSCREEN-27 health-related quality of life questionnaire for use in deaf children and adolescents.

    abstract:OBJECTIVE:The aim of this paper was to test the validity and reliability of a Spanish sign language (SSL) adaptation of KIDSCREEN-27, a health-related quality of life (HRQoL) questionnaire for use in deaf children and adolescents. METHODS:We performed an observational cross-sectional study of 114 deaf children and ado...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Pardo-Guijarro MJ,Woll B,Moya-Martínez P,Martínez-Andrés M,Cortés-Ramírez EE,Martínez-Vizcaíno V

    更新日期:2013-07-01 00:00:00

  • [Perinatal variables and health inequalities in a health-care district in Cáceres, Spain].

    abstract:OBJECTIVES:To analyze the relation between perinatal variables (gestational, neonatal, demographic, and social) at time of delivery. To evaluate differences between rural and urban areas --and differences between social status within these areas-- as an approach to studying health inequality. To identify variables asso...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Rebollo AG,Montero CM

    更新日期:2000-01-01 00:00:00

  • [Pesticides in the diet: adding pieces to the puzzle].

    abstract:OBJECTIVES:To improve information on exposure to pesticides through diet in Spain by reporting the results on 88 pesticide parameters in 1,109 food samples obtained between 1998 and 2003 as part of the Barcelona program for research on the health quality of foods. MATERIAL AND METHOD:The results are presented by food ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Vicente A,Arqués JF,Villalbí JR,Centrich F,Serrahima E,Llebaria X,Casas C

    更新日期:2004-11-01 00:00:00

  • [Determinants of the adherence to therapeutic plan in elderly Spaniards, over 60 years of age].

    abstract:OBJECTIVE:To identify factors associated with the adherence to a therapeutic plan of awareness of hypertension. MATERIAL AND METHODS:The data of the study "Arterial hypertension and other factors of risk in the elderly (> or = 60 years) Spanish population". This was a population-based survey of 4.009 older Spaniards. ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Tuesca-Molina R,Guallar-Castillón P,Banegas-Banegas JR,Graciani-Pérez Regadera A

    更新日期:2006-05-01 00:00:00

  • [Comprehensive care program for sexual violence victims in Escuintla, Guatemala].

    abstract::We implemented a comprehensive care program for sexual violence victims in six municipalities of Escuintla. Sexual violence victims received both medical and psychological care. Clinical and epidemiological information relevant to the sexual violence event was collected. Samples were taken for sexually transmitted inf...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Agustí C,Sabidó M,Guzmán K,Pedroza MI,Casabona J

    更新日期:2012-07-01 00:00:00

  • The combined used of quantitative and qualitative longitudinal methods in the study of obesity.

    abstract:OBJECTIVE:To explore the combined use of quantitative and qualitative methods with a longitudinal perspective in the field of obesity diet and physical activity. METHOD:A systematic scoping review following PRISMA guidelines. The databases searched were Web of Science, PubMed, and ASSIA. RESULTS:1592 records were ret...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审


    authors: Díaz-Méndez C,Adams J

    更新日期:2020-07-22 00:00:00

  • [Indicators for the management of public health services].

    abstract:OBJECTIVES:To define a set of indicators for the management of the various services of an agency responsible for comprehensive public health in a defined area and population. METHODS:We analyzed the agency's activity and held discussions with those responsible for the distinct services to define indicators whose estim...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Villalbí JR,Casas C,Bartoll X,Artazcoz L,Ballestín M,Borrell C,Camprubí E,Durán J,García R,Rodríguez P,Salamero M

    更新日期:2010-09-01 00:00:00

  • [Health-related quality of life of working-age immigrant population].

    abstract:INTRODUCTION:The intense wave of immigration to Spain since the mid-1990s has posed a major challenge to the organization of the Spanish health system. Consequently, knowledge of the health status of the new immigrant population is highly important. The aim of this study is to analyze health-related quality of life in ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: García-Gómez P,Oliva J

    更新日期:2009-12-01 00:00:00

  • [Internet and sexual risk in men who have sex with men].

    abstract:OBJECTIVE:1) To compare sociodemographic characteristics, Internet use to seek sexual partners, and sexual behavior in two samples of men who have sex with men: one sample that was surveyed on-line and another that was interviewed in gay venues. 2) To determine the variables associated with unprotected anal intercourse...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Fernández-Dávila P,Zaragoza Lorca K

    更新日期:2009-09-01 00:00:00

  • Incidence and temporal trends of childhood type 1 diabetes between 1975 and 2012 in Navarre (Spain).

    abstract:OBJECTIVE:To determine trends in the incidence of type 1 diabetes in Navarre (Spain) between 1975 and 2012 by age and sex. PATIENTS AND METHODS:The study population comprised residents of Navarre under 15 years of age. A Poisson regression model was fitted to analyze changes in the incidence over time, adjusted by yea...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Forga Llenas L,Goñi Iriarte MJ,Cambra Contin K,Ibáñez Beroiz B,Chueca Guendulain M,Berrade Zubiri S

    更新日期:2015-01-01 00:00:00

  • [Informed choice in breast cancer screening: the role of education].

    abstract:OBJECTIVE:To evaluate the effect of receiving information about the benefits and harms of breast cancer screening in informed choice, according to educational level. METHOD:Secondary analysis of a randomized, controlled study, in four screening programs, in Catalonia and the Canary Islands (Spain). We analyzed 400 wom...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Pons-Rodríguez A,Martínez-Alonso M,Perestelo-Pérez L,Garcia M,Sala M,Rué M,en nombre del grupo InforMa.,El grupo InforMa está formado por.

    更新日期:2020-03-12 00:00:00

  • [Study of a population outbreak of hepatitis A. Effectiveness of vaccination as a control measure].

    abstract:OBJECTIVE:To describe an outbreak of hepatitis A in the city of Albacete (Spain) and to assess the effectiveness of the control measures implemented. METHODS:When the outbreak was noted, definitions of a case were established. Clinical and epidemiological data were collected through a survey. The temporal-spatial dist...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Díaz Villaescusa MJ,Almar Marqués E,Gómez Martínez A,Mateos Ramos A,Segura Cebollada P,de la Cruz de Julián I,Navarro Honrubia C,Ramírez Córcoles C

    更新日期:2010-07-01 00:00:00

  • [The work climate among primary care workers].

    abstract::The social organizational climate is a psychological variable which influences the behaviour of the people at work. With the aim of knowing and measuring the work environment in primary health care (Sector 11, Madrid), a transversal descriptive study has been performed on a sample of 350 people. We have used the surve...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Arce Arnaez MA,Martínez Aguayo C,Sánchez Ludeña ML

    更新日期:1994-03-01 00:00:00

  • [Promoting citizen participation in healthcare through PyDEsalud.com].

    abstract::This project supports the initiative promoted by the Spanish National Health System to provide informational materials, in printed or interactive format, to encourage public participation in decision making and healthcare. We present the newly created PyDEsalud.com, a web platform aimed at people with chronic diseases...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Perestelo-Pérez L,Pérez-Ramos J,Abt-Sacks A,Rivero-Santana A,Serrano-Aguilar P

    更新日期:2013-09-01 00:00:00

  • [Effectiveness of a programme based on a virtual reality game for cognitive enhancement in schizophrenia].

    abstract:OBJECTIVE:To evaluate the effectiveness of a programme based on a virtual reality game to improve cognitive domains in patients with schizophrenia. METHOD:A randomized controlled trial was conducted in 40 patients with schizophrenia, 20 in the experimental group and 20 in the control group. The experimental group rece...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,随机对照试验


    authors: López-Martín O,Segura Fragoso A,Rodríguez Hernández M,Dimbwadyo Terrer I,Polonio-López B

    更新日期:2016-03-01 00:00:00

  • [Health services supply and the economic crisis: either we fund goods and services according to their value or we become bankrupt. SESPAS report 2014].

    abstract::Health policy has reacted to the financial crisis by overemphasising measures targeted at reducing unit costs, increasing barriers to access (waiting lists) or closing premises. It is too soon for scientific assessment of the impact of this reshaping of supply on equity, quality and safety, and on individual and popul...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Bernal-Delgado E,Campillo-Artero C,García-Armesto S

    更新日期:2014-06-01 00:00:00

  • [Characterization of tuberculosis cases in the foreign- and native-born population in Guipúzcoa (Spain) from 2003-2007].

    abstract:OBJECTIVE:To describe the sociodemographic and clinical characteristics of tuberculosis cases registered in Guipúzcoa and their management and to investigate possible differences depending on the country of origin of affected individuals. MATERIAL AND METHODS:We performed a population-based descriptive analysis of cas...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Basterrechea M,Sancho R,Idígoras P,Temprano YM,por el Grupo de seguimiento del programa de prevención y control de la tuberculosis en Guipúzcoa.

    更新日期:2009-12-01 00:00:00

  • Disability related to road traffic crashes among adults in Spain.

    abstract:BACKGROUND:Road traffic accidents cause substantial morbidity and disease burden; few studies have examined their impact on disability. OBJECTIVE:To estimate the magnitude and distribution of disability due to road traffic accidents according to socio-demographic variables, and its main socioeconomic and health determ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Palmera-Suárez R,López-Cuadrado T,Almazán-Isla J,Fernández-Cuenca R,Alcalde-Cabero E,Galán I

    更新日期:2015-09-01 00:00:00

  • [Epidemiology and risk factors associated with religious pilgrimage to Saudi Arabia. Results of a prospective cohort 2008-2009].

    abstract:INTRODUCTION:Religious pilgrimage to Saudi Arabia, or Hajj, is a basic tenet of the Islamic doctrine and, after Ramadan, annually represents the largest human concentration (with up to 5% of from the EU) around the world. Such a gathering entails health risks. METHODS:A prospective observational study was conducted of...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Valerio L,Arranz Y,Hurtado B,Roure S,Reina MD,Martínez-Cuevas O,Sabrià M

    更新日期:2012-05-01 00:00:00

  • [Inequality in access to health care services. Policy recommendations aimed at achieving equity].

    abstract::This article reveals the presence of inequalities in access to health care that may be considered unfair and avoidable. These inequalities are related to coverage of clinical needs, to the financial problems faced by families in completing medical treatments, or to disparities in waiting times and the use of services ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Urbanos-Garrido R

    更新日期:2016-11-01 00:00:00

  • [Prevalence of metabolic syndrome estimated with the new World Health Organization recommendations. The HERMEX study].

    abstract:OBJECTIVES:The unification of criteria for the diagnosis of metabolic syndrome, together with the subsequent World Health Organization (WHO) proposal to eliminate diabetes and cardiovascular diseases from the diagnostic criteria, will change estimates of the known prevalence of this syndrome. The aim of this study was ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Fernández-Bergés D,Félix-Redondo FJ,Lozano L,Pérez-Castán JF,Sanz H,Cabrera De León A,Hidalgo AB,Morcillo Y,Tejero V,Alvarez-Palacios P

    更新日期:2011-11-01 00:00:00

  • [Review of the effectiveness of cognitive interventions in preventing cognitive deterioration in healthy elderly individuals].

    abstract:BACKGROUND:In the last few years, several non-pharmacological interventions have been developed to prevent age-associated cognitive deterioration, specifically memory deterioration. The effectiveness of these interventions has not been sufficiently evaluated. OBJECTIVE:To determine the effectiveness of cognitive inter...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审


    authors: Novoa AM,Juárez O,Nebot M

    更新日期:2008-09-01 00:00:00

  • [Diagnosis of allergic asthma in allergy and pneumology outpatient clinics].

    abstract:OBJECTIVES:To estimate the prevalence of diagnosis of allergic asthma in patients with persistent asthma attending allergy or pneumology outpatient clinics and to describe the clinical management of asthma in these patients. METHODS:Systematic random sampling was used to retrospectively include 382 patients aged betwe...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Borderías L,García-Ortega P,Badia X,Casafont J,Gambús G,Roset M,Grupo Prevalair.

    更新日期:2006-11-01 00:00:00

  • [Economic evaluation and budget impact analysis of the Endeavor drug-eluting stent in Spain].

    abstract:OBJECTIVES:Endeavor is a drug-eluting stent (DES) with superior results to the bare metal stent (BMS) and similar efficacy to other DES in terms of revascularization. The aim of this study was to assess the costs and benefits of Endeavor, other DES, BMS and coronary artery bypass grafts (CABG) in Spain. METHODS:A Mark...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Moreu J,Cequier A,Brosa M,Rodríguez JM,Crespo C,Hernández JM,Vázquez N,Fernández F,Ruiz-Nodar JM,Brasseur P

    更新日期:2009-11-01 00:00:00

  • [Intimate partner violence: social and health determinants and responses].

    abstract::The present study aims to review the problem of intimate partner violence, as well as its causes and consequences. It will also specifically analyze the role of health professionals. In opposition to the classical epidemiological view of risk factors, Heise proposes an ecological framework to study violence against wo...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审


    authors: Ruiz-Pérez I,Blanco-Prieto P,Vives-Cases C

    更新日期:2004-01-01 00:00:00

  • [Screening induced by health services: impact and consequences. Ethical issues].

    abstract::The main aim of screening is to identify people with an increased probability to benefit from preventive interventions, generally from secondary prevention but also from primary prevention activities. The goal is to facilitate early diagnosis and treatment in order to modify positively the prognosis (the former case),...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审


    authors: Segura-Benedicto A

    更新日期:2006-03-01 00:00:00

  • [Organization, functioning and expectations of organizations representing patients. Survey of key informants].

    abstract:OBJECTIVES:To explore patient organizations and their scope in terms of patient and user participation in decisions affecting their health. METHODS:Semi-structured questionnaire survey of key informants from 21 patient organizations. RESULTS:Most of the patient organizations were regional or national private organiza...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: García-Sempere A,Artells JJ

    更新日期:2005-03-01 00:00:00

  • [Health promotion and prevention in the economic crisis: the role of the health sector. SESPAS report 2014].

    abstract::This article reviews trends in lifestyle factors and identifies priorities in the fields of prevention and health promotion in the current economic recession. Several information sources were used, including a survey of 30 public health and primary care experts. Between 2006 and 2012, no significant changes in lifesty...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Márquez-Calderón S,Villegas-Portero R,Gosalbes Soler V,Martínez-Pecino F

    更新日期:2014-06-01 00:00:00