Abstract：
OBJECTIVE:To determine what family doctors think about various aspects of patient involvement in clinical decision making in Primary Care. DESIGN:Qualitative study using focus groups. LOCATION:Primary Care. PARTICIPANTS:Family physicians with and without expertise in clinical communication. METHODS:Three focus groups were developed, involving 6-8 professionals per group, and took part in two meetings. The conversations were recorded and transcribed verbatim. The discussion was analysed using literature-based categories and other emerging from the text, encoding the information and making an inductive interpretation. RESULTS:Family physicians refer mainly to involving the patient in decisions by proposing a plan tailored to the knowledge of patient problems and then verifying their approval or rejection. However, some professionals ponder whether this could be classified as patient involvement, questioning the real role that both players would take at the time of deciding. CONCLUSIONS:The explanation of how family physicians would involve the patient in decisions clashes with the most widespread theories on the subject and, also opposes the view of patients who would like to be involved more actively. Taking into account discordant reflections on the relevance of considering this process as real patient involvement, it is necessary to describe a realistic theoretical model that allows further development of strategies to improve the attitude and training of professionals to patient involvement in clinical decisions.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Jiménez-De Gracia L,Ruiz-Moral R,Gavilán-Moral E,Hueso-Montoro C,Cano-Caballero Gálvez D,Alba-Dios MAdoi
10.1016/j.aprim.2011.07.007subject
Has Abstractpub_date
2012-07-01 00:00:00pages
379-84issue
7eissn
0212-6567issn
1578-1275pii
S0212-6567(11)00421-5journal_volume
44pub_type
杂志文章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：OBJECTIVES:Main: to describe the health situation of the urban non-institutionalised population of 75 or over in Castro Urdiales. Secondary. To analyse the differences in the over-user group. DESIGN:Descriptive, crossover. SETTING:Primary Care Health Centre. PATIENTS:People in the urban area aged 75 or over and with...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-06-15 00:00:00
abstract：OBJECTIVE:To identify and analyse the "theory" expressed by family doctors on the essential features of an effective and functional doctor-patient relationship and on how to achieve one ("stated theory" of Argyris and Schon). DESIGN:Qualitative, based on discourse analysis. SETTING:Primary care. METHOD:Interviews re...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13106284
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVE:To analyse the opinion and satisfaction shown by a sample of primary care (PC) doctors about the patient discharge form (PDF) and to assess proposals for improvement. Design. Descriptive study of the result of a questionnaire. SETTING:All the health districts in the city of Mataró (Barcelona).Participants. 3...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)79106-3
更新日期：2002-11-30 00:00:00
abstract：OBJECTIVE:To evaluate how much women who attend primary care consultations understand about the correct use of emergency ("morning after") contraception (EC), their information requirements and their views about free EC prescription. DESIGN:Cross-sectional study, using a questionnaire. SETTING:Les Corts Primary Care ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13098676
更新日期：2007-02-01 00:00:00
abstract：OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-09-30 00:00:00
abstract：AIM:To analyze if breast-feeding (BF) is a protective factor against infectious diseases. DESIGN:Case-control study. Retrospective study during 1998. SETTING:Primary care. Teaching health center. Population of 22,500 inhabitants. PATIENTS:We consider an alpha risk of .05 and a beta risk of .20, unilateral hypothesis...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13071939
更新日期：2005-02-28 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：OBJECTIVE:To describe the prevalence of iron deficiency anaemia in the Basque Country by age group and sex and to identify the main groups at risk. DESIGN:Cross-sectional study. SETTING:Basque Country. PARTICIPANTS:School-aged population of Bilbao (n = 762); further education students of San Sebastian (n = 372); adu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-10-15 00:00:00
abstract：OBJECTIVE:An analysis of the impact of the commercialisation of intranasal administration on calcitonin consumption. DESIGN:Descriptive study. SETTING:Non-hospital ambit within the national health system. PATIENTS AND OTHER PARTICIPANTS:A protected population group within the national health system, with occupationa...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-03-15 00:00:00
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：OBJECTIVE:To assess the frequency of migraines attributable to continuous consumption of analgesics. DESIGN:A longitudinal prospective study of a descriptive type. SETTING:A specialised Neurology Clinic within a County hospital, which provides the Primary Care coverage for ibiza and Formentera. PATIENTS:All those pa...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-06-15 00:00:00
abstract：OBJECTIVE:To describe the functional ability of elderly people and analyse its relationship to the use of services. DESIGN:A crossover study. SETTING:An urban population within the metropolitan area of the Community of Madrid. PARTICIPANTS:A random sample of 300 people over 70, taken from the municipal census. MEAS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-03-31 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：:Eight cases of monoclonal gammapathy of uncertain significance are reported. They were detected from routine analysis in patients from the general population who consulted for several diseases to a primary care center. One patient developed multiple myeloma and the rest remained stable. As there is no effective method...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the coverage of the programme of control and coverage of Hepatitis B among children doing their 7th year of EGB (basic) in Navarra. DESIGN:Descriptive study. SETTING:School centres in Navarra. PARTICIPANTS:7th-year EGB students in the 1992-3 school year. INTERVENTION:Vaccination of the suscept...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-02-28 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：AIMS:To determine the attitudes of community-dwelling elderly patients about the possibilities for cure of urinary incontinence. DESIGN:Cross-sectional study. INTERVENTIONS:A specific questionnaire on urinary incontinence and the Barthel Index Modified by Shah. LOCATION:Basic Health Zone of Cabra (Córdoba, Spain). ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78708-7
更新日期：2000-10-31 00:00:00
abstract：OBJECTIVE:The purpose of this study was the quantitative and qualitative analysis of the water in the reservoir and supply system to 27 villages of over 100 inhabitants or those which had a village council, within the Cistierna Health Area. DESIGN:It was a descriptive, longitudinal, prospective and observational study...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-06-30 00:00:00
abstract：OBJECTIVE:To analyze adherence to treatment of tuberculosis infection and to identify risk factors for its compliance. DESIGN:An observational historical cohort study. SETTING:Hospital Universitari Sant Joan d'Alacant (Alicante). PARTICIPANTS:All patients with a tuberculin skin test (TST) done during tuberculosis co...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.05.009
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:To describe, analyse and discuss the activities in the Network of Community Activities of the Programme of Community Activities in Primary Care of the Spanish Society of Family and Community Medicine. DESIGN:Description of the activities within this Network.Setting. Network of Community Activities of the Spa...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)70495-2
更新日期：2002-01-01 00:00:00
abstract：AIM:To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction. DESIGN:Descriptive and retrospective study. SETTING:Primary Care, urban health care centre, Almería, Spain. PARTICIPANTS:The population were the patien...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2016.05.002
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To analyse the impact of a formative / informative intervention on the treatment of non-oncological chronic pain in Primary Care. DESIGN:Quasi-experimental study before-after, and follow-up of the patient cohort. LOCATION:64 Primary Care teams/centres (770 physicians). PARTICIPANTS:Patients≥14 years withou...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2019.09.001
更新日期：2020-01-01 00:00:00
abstract：AIM:To determine the relevance level of non-technical skills of those professionals dedicated to the healthcare of patients with chronic diseases, from an analysis of home care professionals. DESIGN:Quantitative and qualitative research conducted in 2 phases: 1.st from November 2010 to March 2011 and 2.nd from Decembe...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2014.02.009
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVES:To find the amount of non-compliance with medical treatment for Hypertension and its causes, and to describe the profile of non-compliant patients. DESIGN:A crossover study performed on two home visits. SETTING:A rural Health Centre at Calpe, Alicante. PATIENTS:The sample was obtained from the census of m...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-09-15 00:00:00
abstract：OBJECTIVE:To determine the validity and usefulness of brain natriuretic peptide (BNP) for diagnosing left ventricular dysfunction (LVD). DESIGN:Prospective, descriptive, multi-centred study to validate the diagnostic test. SETTING:Primary care centres in the Community of Madrid, Spain. PARTICIPANTS:Consecutive sampl...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(05)70554-0
更新日期：2005-11-30 00:00:00
abstract：OBJECTIVE:To evaluate and compare the use of the different primary care (PC) services between immigrants and the indigenous population. DESIGN:Cross-sectional observation study of a population seen in (PC). SETTING:Patients seen by 15 PC doctors, in 5 basic health areas (BHA) in the city of Lleida, Spain, from March ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13120588
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE:To determinate the relationship between the age of smoking initiation and the success of the smoking cessation program. DESIGN:Prospective cohort. SETTING:Smoking Cessation Unit, in the University Hospital of Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain. PARTICIPANTS:2801 smokers of 10 or more ci...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13075481
更新日期：2005-05-31 00:00:00
abstract：OBJECTIVE:To describe short-term time off work procedures, its duration and the determining factors in an active population covered by health insurance at a health centre. DESIGN:Descriptive and observational study of prevalence. SETTING:Ribadeo Health Centre, Lugo, Spain. PARTICIPANTS:All sickness certificates issu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13083937
更新日期：2006-01-01 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
