Abstract：
OBJECTIVES:To determine the level of therapeutic inertia (TI), and the factors associated to the patient, doctor and the health organisation, in hypertensive patients treated in Primary Care (PC). DESIGN:Cross-sectional, multicentre study. SETTING:A sample of PC Teams from all over Spain. PARTICIPANTS:The study was conducted among PC doctors using a questionnaire and clinical records of 4 patients. MAIN MEASUREMENTS:The TI was calculated for each patient (TIp) as the proportion of visits in which there was no change in medication when this was indicated. RESULTS:A total of 543 PC doctors provided data on 2,032 patients, who fulfilled the indication of a change in requirement. There was TI In 77.8% of cases. The TIp observed was non-existent or low for 17.1% of the patients, intermediate for 42% and high for 40.8%. For the patients, the factors most associated with TIp were, age (P<.001), diabetes (P<.001), stroke (P<.01), obesity (P<.01) and a low education level (P<.001). To be female, be less than 40 years or more than 55 years, to be a family doctor with a training program other than MIR and to work in the public sector increased the probability of TIp (P<.001 for all the assumptions). CONCLUSIONS:The results of the study indicate that there is TI in 7 out every 10 visits made by hypertensive patients in Primary care. There are significant differences as regards the clinical characteristics of the patients and of the doctors.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Doménech CS,Caro JL,Sanz VP,Moreno FJ,Rodríguez IL,Loro AN,Zamorano MÁ,García NG,Conesa MD,Lázaro Y de Mercado Pdoi
10.1016/j.aprim.2010.09.030subject
Has Abstractpub_date
2011-12-01 00:00:00pages
638-47issue
12eissn
0212-6567issn
1578-1275pii
S0212-6567(11)00094-1journal_volume
43pub_type
杂志文章,多中心研究abstract：OBJECTIVE:To analyse information on adolescent use of tobacco in Spain from different school surveys. DESIGN:Data on daily smoking prevalence by sex at the end of compulsory education is extracted and figures are compared, analysing trends. SETTING:The five representative studies on adolescents in Spain are reviewed:...
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abstract：OBJECTIVES:The main objective was to determine the prevalence of the burnout syndrome among health workers and its distribution by social, demographic and work variables. The secondary aim was to detect potentially modifiable causes. DESIGN:Descriptive cross-sectional study. SETTING:Primary care. PARTICIPANTS:All th...
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abstract：OBJECTIVE:To determine the perception of nurses, doctors, patients and family or relatives being present during cardiopulmonary resuscitation (CPR) in adult patients. DESIGN:A qualitative exploratory study and thematic analysis were developed. SITE: Primary Care, Hospital Care and Emergency Service of the Basque Healt...
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journal_title：Atencion primaria
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journal_title：Atencion primaria
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