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 neurological visits analyzed represented 6.1% of the total (non-bureaucratic-related) number of requests for medical care. The groups cephalea/facial pain, dizziness and partial or complex seizures accounted for 60% of total. One of every three visits was referred to a neuropsychiatrist and/or hospital service. The main cause for the referral was considered clinical in only 28.3% of cases. The referral was judged inappropriate by the specialist in 13.4% of cases. The evidence that neurological disorders are not unusual, in addition to the high rate of referrals and an analysis of the reason and justification for referral, reflect the need to focus on the neurological training of non-neurologists, as well as to evaluate the appropriateness of present specialized outpatient care.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Casabella B,Aguilar Msubject
Has Abstractpub_date
1990-09-01 00:00:00pages
538-44issue
8eissn
0212-6567issn
1578-1275journal_volume
7pub_type
杂志文章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
abstract:AIM:Description of a clinical case of enteropathic arthritis. DESIGN:Descriptive study. SITE. Health Centre. PATIENTS AND OTHER PARTICIPANTS:A clinical case is described, starting with back pain where X-rays perceive no irregularity. Later a diagnosis of Crohn's disease is made. Finally lesions characteristic of anch...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-01-01 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: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
doi:10.1016/j.aprim.2012.02.010
更新日期:2012-10-01 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:OBJECTIVES:To determine the relationship between some characteristics (cost, intensity, quality) of prescriptions issued by general practitioners in a health district and their patient loads, controlling for possible confounders. To analyze the intensity of prescription of certain groups of therapeutic drugs according ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.02.010
更新日期:2011-02-01 00:00:00
abstract::The aim of the present study was to evaluate the prevalence of certain cardiovascular risk factors in the population of Asepeyo-Elche. The study sample was a working population of 697 persons (71.8% males and 28.2% females) with ages ranging from 15 to 65 years (mean age 34.7 +/- 13.2 years), seen during the first 6 m...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVE:To assess the prevalence of goiter in five areas of the Pyrineans and in the region of Segrià in Lleida. DESIGN:Transversal descriptive study. SETTING:Five Pyrinean's regions and Segrià. PATIENTS:Randomised selection of a sample of 601 subjects from the population over 6 years old. MEASUREMENTS:The field ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVE:Determination of whether rational drug use is facilitated by the quality of the information provided by the Medicom International Vademecum on drugs containing vitamin A as active component. DESIGN:Descriptive study. SETTING:Primary, specialized and hospital health care within the national context. SUBJECT...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-05-31 00:00:00
abstract:OBJECTIVES:To assess requests for microbiological analysis made by Primary Care doctors and to evaluate the quality of the procedure by the indicator: proportion of contaminated urine samples. DESIGN:A retrospective crossover study of requests to the Microbiology Laboratory in the University Hospital of Salamanca duri...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-03-15 00:00:00
abstract:OBJECTIVES:Estimate the differences in the time of arrival at the Intensive Care Unite (ICU) among patients with previous++ infarction versus first infarction ones. DESIGN:Transversal retrospective study. SETTING:General Hospital of Elche. PATIENTS AND OTHER PARTICIPANTS:622 diagnosed of infarction between 1984-1990...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-10-15 00:00:00
abstract:OBJECTIVE:To quantify and describe the self-treatment existing among users requesting a consultation about an illness which had commenced in the previous 15 days. DESIGN:Observational prospective study. SETTING:Primary care in a semi-rural environment. Family Medicine Unit in Valls (Tarragona). PATIENTS AND OTHERS P...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-03-15 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:OBJECTIVE:To analyse the length of sick leave (SL) and its associated factors in Andalusia. DESIGN:Descriptive observational study. SETTING:Andalusia. PARTICIPANTS:A total of 1,633,405 sick leave forms issued from the 1st January 2002 to the 31st of December 2006 for any reason by Primary Health Care doctors in the ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2008.10.020
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:The objective of this work was to value the relationship between cardiovascular disease and presence of hidden renal failure in patients between 35 and 74 years followed up for 10 years. DESIGN:Observational, longitudinal, retrospective study of a cohort of patients. SETTING:Primary care health centre. PAR...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(08)75696-8
更新日期:2008-12-01 00:00:00
abstract:AIM:Describe gender-based violence by intimate partners against female nurses in a sample of nurses in Andalucia, Spain. DESIGN:Descriptive transversal study. SETTING:Hospitals and primary health care districts in Andalucia. PARTICIPANTS:Six hundred and twenty-two female nurses that work as nurses in the eight provi...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.07.009
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:With a system of qualitative indicators, to analyse the pharmaceutical prescription of general practitioners (GPs), and to evaluate the relationship of these indicators to the overall pharmaceutical prescription expenditure per inhabitant. DESIGN:Retrospective descriptive study. SETTING:Primary care. MEAS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78545-3
更新日期:2000-04-30 00:00:00
abstract::We retrospectively evaluated the 134 pregnancies which were controlled in our health center in a 4-year period, so as to evaluate anemia in pregnancy and the factors influencing its development. In the study sample, 18.65% of the women had anemia. The age did not have any influence on the hemoglobin and packed red cel...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract:OBJECTIVE:To describe the health situation of the target population (women between 15 and 45 and children from 0 to 3), living in the towns on the West Bank in which the 12 dispensaries of the Palestine NGO Health Services Council were located, in order to plan a programme of support activities for that NGO. DESIGN:Cr...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-11-15 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 patients that were referred to the referencie hospital from the emergency service of our health center between July 1, 1988, and June 31, 1989, and we have followed them up after their arrival to the hospital. We had cared for 20,546 emergencies, particularly from internal medicine, pediatrics an...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To test the validity of Ottawa ankle rules (OAR) in our field. To test the agreement physician/nurse in the assessment of the patient with acute ankle injuries. DESIGN:Observational, with application of rules and prospective outcome measurement. SETTING:Hospital emergency departments. PARTICIPANTS:Adults w...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-09-15 00:00:00
abstract::High blood pressure (HBP) is the main modifiable cardiovascular risk factor. HBP can be related to high salt intake. To measure intake, not all feeding surveys are comparable and valid. The reference procedure for assessing salt intake consists of measuring the urinary excretion of sodium in urine collected during 24h...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2019.05.012
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:To assess the frequency of Candida species others than Candida albicans isolation, in patients with chronic as well as relapsing vaginitis. To analyze the clinical pictures and the treatments routinely employed in patients with Candida albicans infection, compared to those with other Candida species infection...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-04-15 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 determine if the ETAP smoking scale, which measures accumulated exposure to tobacco, both actively and passively, is applicable and effective in the clinical practice of Primary Care for the prevention of acute myocardial infarction (AMI). Location Barranco Grande Health Centre in Tenerife, Spain. DESIGN:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.05.010
更新日期:2018-01-01 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:OBJECTIVES:To study internal communication between primary care health professionals DESIGN:Cross-sectional, descriptive. SETTING:Catalan Health Institute Costa de Ponent Primary Care Area, Spain. PARTICIPANTS:All workers in the area (n=3565). MEASUREMENTS:Three part questionnaire: a) sociodemographic questions; b)...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13125405
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To examine the perceptions and expectations about Family Practice (FP) and Primary Care (PC) in 1st, 3rd and 5th year students in medical schools. DESIGN:An observational study in two cross sections with intervals of two years. LOCATION:Spanish Medical Schools. PARTICIPANTS:1st, 3rd and 5th year students o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2012.07.007
更新日期:2013-01-01 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