Abstract:
OBJECTIVE:To carry out a budget impact analysis (BIA) of olmesartan/amlodipine (20/5, 40/5 and 40/10mg) marketed as a fixed combination (FC) in its approved indication for the National Health System (NHS). DESIG:We developed a decision tree model in order to estimate usual hypertension treatment algorithm in Spanish clinical practice. SETTINGS:The BIA has been developed from the perspective of the NHS for a period of 3 years (years 2010-2012). PARTICIPANTS:Spanish hypertensive population ≥ 35 years old. INTERVENTIONS:Introduction into the market of a fixed combination (FC) olmesartan/amlodipine in Spain. PRIMARY MEASURES:Expected costs to be assumed by the Spanish NHS (RRP-VAT) for hypertensive population able to be treated with the FC versus currently assumed costs by the NHS with free combination olmesartan and amlodipine. RESULTS:Estimated pharmaceutical costs in hypertensive population treated with olmesartan and amlodipine (2 pills) would be €25.2M (1(st) year), €26.4M (2011), €27.6M (2012), with a total 3-year period of €79.2M. According to patient tree model, the population able to be treated with FC would be 71,283 patients (2010), with a growth rate of 4.8% in the successive years, which supposes an annual cost of €21.2M (2010), €21.8M (2011) and €22.4M (2012), with a total 3-year period of €65.4M. The BIA shows savings of €13.8M in a total 3-year period. CONCLUSION:The BIA of FC olmesartan/amlodipine could generate net savings of €13.8M for the NHS in the period ranging from years 2010 to 2012.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Belén Ferro-Rey M,Roca-Cusachs A,Sicras-Mainar A,Alvarez-Martín C,de Salas-Cansado Mdoi
10.1016/j.aprim.2010.04.017subject
Has Abstractpub_date
2011-07-01 00:00:00pages
345-55issue
7eissn
0212-6567issn
1578-1275pii
S0212-6567(10)00405-1journal_volume
43pub_type
杂志文章abstract:OBJECTIVE:To evaluate the clinical competence of first-year residents on the course specialising in family medicine, by applying a structured objective clinical test (SOCT) for simultaneous assessment of cognitive, affective and psychomotor areas. DESIGN:Observational and descriptive. SETTING:Family medicine clinics ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)79068-9
更新日期:2002-10-31 00:00:00
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
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)70526-x
更新日期:2002-02-28 00:00:00
abstract:OBJECTIVES:To assess the usefulness of measuring in primary care the intraocular pressure (IOP) of diabetics as a glaucoma screening test, validating the Schiörtz tonometer for this end. To analyse the prevalence of glaucoma and associated risk factors in our diabetic population. DESIGN:An observational crossover stud...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the knowledge about medical treatment on people with more than 70 years old, specifically, the understanding, reason for prescription and dosage. To describe the use of natural remedies in the rural environment. To correlate the medication and the natural remedies consumption with health's self-p...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-05-15 00:00:00
abstract::We have evaluated the fulfillment of the aims of an integrated influenza vaccination program for a basic urban health area. We have focused the analysis on the vaccine coverage for age and sex groups, groups of risk modifiers and risk gradient. We have evaluated the most adequate method of call. Overall coverage was 6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-10-01 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 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:OBJECTIVE:To prepare and validate a tool to measure Basic Life Support (BLS) and semi-automatic defibrillator (SAD) skills adapted for use by health professionals in Primary Care Teams (PCT). To propose an updated version and demonstrate self-sufficiency of the team to use it in a training evaluation. DESIGN:Validatio...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2009.03.006
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To find whether the systematic investigation of the contacts of Pulmonary Tuberculosis patients is carried out. DESIGN:Crossover and descriptive. SETTING:Asturias Health Area VIII. PATIENTS AND OTHER PARTICIPANTS:We examined whether contacts of the cases of Pulmonary Tuberculosis diagnosed in our area duri...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-09-15 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: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
abstract:OBJECTIVE:To evaluate the validity of a rapid serology test for diagnosing Helicobacter pylori infection in our area. DESIGN:Longitudinal, prospective study. SETTING:Urban primary care centre. MEASUREMENTS:As reference tests for defining the presence/absence of Helicobacter pylori, histology and the urease gastric m...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章
doi:10.1016/s0212-6567(01)78912-3
更新日期:2001-06-30 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 determine the ease of access by telephone when making medical appointments. DESIGN:Cross-sectional, observational, random sample. SETTING:Primary care, Murcia Region. PATIENTS AND OTHER PARTICIPANTS:Centres with a previous appointments system (n = 25) and a random sample of the 276 practitioners involve...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-04-30 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
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journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract:AIMS:To assess the level of immunity in a healthy population to the hepatitis A virus (HAV), according to age groups and in an urban health area. DESIGN:Transversal random prospective study of a sample of the population found by letters. SITE. Primary Care Centre covering the population of an urban health area in Vall...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVE:To describe the evolution of the number of potential years of life lost (PYLL) because of AIDS in La Rioja between 1986 and 1993. DESIGN:Descriptive study. SETTING:Autonomous Community of La Rioja. PATIENTS AND OTHER PARTICIPANTS:Secondary data from the regional Register of AIDS cases in La Rioja, from the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-05-15 00:00:00
abstract:OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-09-15 00:00:00
abstract:OBJECTIVE:To analyse the appropriateness of specific immunotherapy treatment (IT) to indications based on scientific evidence. DESIGN:Cross-sectional, descriptive study. SETTING:Primary care in a health district of about 12,000 inhabitants. PATIENTS:166 patients for whom IT was prescribed in the period between Janua...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78635-5
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVE:To analyse the nutritional status of patients older than 65 years included in the home care program (PAD). DESIGN:Croos-sectional study. EMPLACEMENT:3 urban health centers. PARTICIPANTS:218 patients in the PAD. METHOD:Mini Nutritional Assessment questionnaire (MNA) was applied. Sociodemographic, anthropom...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2017.02.006
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:To find how many diabetics should receive anti-aggregant treatment according to the recommendations made since 2001 by the American Diabetes Association (ADA), how many cardiovascular events could be avoided by 100 mg daily of acetylsalicylic acid (ASA), and the cost per event avoided by this measure. DESIG...
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更新日期:2003-01-01 00:00:00
abstract::In 2010, the American Diabetes Association included glycosylated hemoglobin (HbA1c) as a criterion for the diagnosis of diabetes with a cut-off point of ≥ 6.5%. However, there may be a substantial percentage of false negative results. Other scientific societies have accepted this approach but with slight differences. ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/S0212-6567(10)70002-0
更新日期:2010-09-01 00:00:00
abstract:AIMS:Analyze the relation between objective health assessment (OHA) -Forced spirometry- and subjective health assessment (SHA) -quality of life- in patients with chronic obstructive pulmonary disease (COPD). Analyze the correlation between two different questionnaires to assess quality of life. DESIGN:Cross-sectional ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)70457-x
更新日期:2001-11-30 00:00:00
abstract:OBJECTIVE:To evaluate, using a scheme to monitor arterial pressure in out-patients (MAPOP), how well patients were able to control their light arterial hypertension after hygienic-dietary measures had been found insufficient. DESIGN:Observational study. SITE. Urban health centre. PATIENTS:18 people suffering from lig...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-02-01 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 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 determine the comorbidity, the therapeutic objectives, and economic impact in subjects with cardiovascular risk in primary care (PC). DESIGN:Multicentre, cross-sectional study. SETTING:Five urban PC centres, Spain. PARTICIPANTS:Patients over 55 years seen during the year 2006. Compared according to the ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13126421
更新日期:2008-09-01 00:00:00
abstract::The general situation of pediatric care in Asturias is characterized by the imbalance between the two levels of care, with a high number of hospital beds and staff members, requiring a redistribution in number and functions, and a deficit in staff and material resources at the primary care level, with massified practi...
journal_title:Atencion primaria
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doi:
更新日期:1989-01-01 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