[Longitudinality, prestige, good reputation (social and professional) and general/family medicine. Clinical and public health aspects. SESPAS Report 2012].

Abstract:

:The reform of primary care in Spain in 1984 focussed mainly on skills and knowledge (physician training and working hours) and material resources (new buildings). The reform did not succeed in improving longitudinal care nor did it give primary care physicians greater power, that is, the reform did not increase coordination or strengthen the central role of the family physician in services provision. The lack of longitudinality has persisted over the years since the working methods that encourage it (and its resulting clinical and public health benefits) have not been stimulated. Longitudinality is the personal relationship established over the years between general practitioners and their patients and is defined as (a) care by the same family physician of most of the patient's problems throughout his or her life, and (b) the recognition by patients and the population of a stable source of care to be used for initial contact and for the follow-up of problems. The tendency in the medical profession and society at large is to respond to an increasing number of health problems more quickly and intensely, with increasingly powerful means and with a greater number of specialists. In turn, this tendency makes medical activities dangerous. To counteract this tendency, a motto of "less is better" should be adopted, implying greater longitudinality. Many initiatives could improve longitudinality, such as incentives for not moving, increasing the capitation component of remuneration to nearly 50%, broadening the range of general practitioners' skills, including family members in the same patient list, and transforming the role of specialists into that of consultants.

journal_name

Gac Sanit

journal_title

Gaceta sanitaria

authors

Gérvas J,Pérez Fernández M,Sánchez Sánchez RJ

doi

10.1016/j.gaceta.2011.09.024

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

52-6

eissn

0213-9111

issn

1578-1283

pii

S0213-9111(11)00336-0

journal_volume

26 Suppl 1

pub_type

杂志文章
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  • [R-ALERGO. Allergy-healthy routes in Valencia].

    abstract::R-ALERGO is a project developed by researchers from the Universitat Politècnica de València and the Hospital Universitario La Fe (Valencia, Spain). The main objective of the project is to create a mobile application identifying, within the city of Valencia, the most favorable routes for allergic individuals. The appli...

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  • [Quality in public health].

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    authors: Guix Oliver J

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  • [The impact of gender inequality on intimate partner violence in Spain].

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    authors: Vives-Cases C,Alvarez-Dardet C,Carrasco-Portiño M,Torrubiano-Domínguez J

    更新日期:2007-05-01 00:00:00

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    abstract:OBJECTIVES:Air pollution has been associated with increased mortality according to studies carried out in the US. The APHEA project (Air Pollution on Health: a European Approach) analyzes the short-term effects in 15 european cities. We evaluated the acute relation between air pollution, mortality, and hospital emergen...

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    journal_title:Gaceta sanitaria

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    doi:10.1016/j.gaceta.2015.07.008

    authors: Davó-Blanes MC,García de la Hera M,La Parra D

    更新日期:2016-01-01 00:00:00

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    journal_title:Gaceta sanitaria

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    更新日期:2021-01-01 00:00:00

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

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    journal_title:Gaceta sanitaria

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    doi:10.1016/j.gaceta.2011.05.009

    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

  • [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

    doi:10.1016/j.gaceta.2015.10.004

    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

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    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(00)71911-x

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    更新日期:2000-11-01 00:00:00

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    authors: Torrea Hernández JL,Gaurz Bellido R

    更新日期:1994-11-01 00:00:00

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    abstract::This study aims to validate a frequency questionnaire for categorically ranking people according to recent physical activity (PA) (previous two weeks), applicable to both sexes. Seven one-day PA records were collected for 30 males and 32 females during two weeks. After, the frequency questionnaire was administered cov...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:

    authors: Tormo Díaz MJ,Moreno-Sueskun I,Chirlaque López MD,Navarro Sánchez C

    更新日期:1995-05-01 00:00:00

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    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2014.01.005

    authors: Ruiz-Ramos M,Córdoba-Doña JA,Bacigalupe A,Juárez S,Escolar-Pujolar A

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  • [Advertising of drugs: risk or benefits?].

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    pub_type: 杂志文章

    doi:10.1016/s0213-9111(96)71880-0

    authors: Barros JA

    更新日期:1996-03-01 00:00:00

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    authors: Calderón J,Capell C,Centrich F,Artazcoz L,González-Cabré M,Villalbí JR

    更新日期:2002-05-01 00:00:00

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    journal_title:Gaceta sanitaria

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    doi:10.1016/j.gaceta.2014.09.006

    authors: Villalonga-Olives E,Kawachi I

    更新日期:2015-01-01 00:00:00

  • [The work climate among primary care workers].

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    更新日期:1994-03-01 00:00:00

  • [Review: hybrid designs of cohort studies and case control studies].

    abstract::Hybrid epidemiologic designs combining elements from case-control studies and cohort studies are reviewed. Firstly, the characteristics of selection of both index group and reference group are commented on. The selection of cases required a population-based disease registry. The type of selection of reference group pe...

    journal_title:Gaceta sanitaria

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    doi:10.1016/s0213-9111(95)71216-x

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    更新日期:1995-01-01 00:00:00

  • [Costs analysis of ambulatory blood pressure monitoring in mild hypertension].

    abstract:BACKGROUND:To contrast the costs of conventional and ambulatory blood pressure monitoring (ABPM) methods in the diagnosis, treatment and follow-up of mild hypertensive patients. METHODS:Among patients with conventional diagnosis of mild hypertension, the ABPM would discriminate patients with sustained hypertension, wh...

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    doi:10.1016/s0213-9111(99)71389-0

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    更新日期:1999-09-01 00:00:00

  • [Effect of distinct sociodemographic variables on progression of HIV infection in a cohort of drug users].

    abstract:OBJECTIVE:To analyze whether the effectiveness of combined antiretroviral therapy in delaying progression to AIDS and death is affected by social inequities in a cohort of HIV-positive injecting drug users (IDUs). METHODS:A cohort of 3,122 HIV-positive IDUs identified in the AIDS Information and Prevention Centers of ...

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    authors: Hurtado I,Hernández-Aguado I,Ferreros I,Lumbreras B,Pérez-Hoyos S

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  • [Socioeconomic inequalities in the provision and uptake of prenatal care].

    abstract:OBJECTIVE:To describe socioeconomic inequalities in the provision and uptake of prenatal care among women in Barcelona (Spain) between 1994 and 2003. METHODS:Cross-sectional study of women in Barcelona who delivered a child without birth defects. Information was obtained from hospital medical records and a personal in...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1157/13084124

    authors: Cano-Serral G,Rodríguez-Sanz M,Borrell C,Pérez Mdel M,Salvador J

    更新日期:2006-01-01 00:00:00

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    journal_title:Gaceta sanitaria

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    更新日期:2008-09-01 00:00:00

  • [Adaptation and validation of a questionnaire on susceptibility, benefits and barriers in breast cancer screening with mammography].

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    更新日期:2007-07-01 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...

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    更新日期:2010-07-01 00:00:00

  • [Fear of falling in elderly community-dwelling individuals].

    abstract:OBJECTIVE:To determine the association between fear of falling and health status, a history of previous falls and personal characteristics in a representative sample of elderly people. METHOD:We conducted an observational, cross-sectional prevalence study in the community setting in Albacete (Spain) of 921 people olde...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2010.09.009

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    更新日期:2010-11-01 00:00:00

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    journal_title:Gaceta sanitaria

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    doi:10.1016/j.gaceta.2018.05.002

    authors: García-de-Diego JM,Serrano-Del-Rosal R

    更新日期:2019-01-01 00:00:00

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

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    更新日期:2009-11-01 00:00:00

  • [Representation of women in health-related scientific societies in Spain in 2014].

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    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2014.09.010

    authors: Casado-Mejía R,Botello-Hermosa A

    更新日期:2015-05-01 00:00:00

  • [Health among the elderly].

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    pub_type: 杂志文章

    doi:10.1157/13062253

    authors: Gonzalo E,Pasarín MI

    更新日期:2004-05-01 00:00:00

  • [The advertising message of drugs advertisements in Spanish medical journals].

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    pub_type: 杂志文章

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    更新日期:2007-09-01 00:00:00