Abstract:
OBJECTIVE:To assess the effectiveness of an educational intervention on antibiotic adherence and patient-reported resolution of symptoms. DESIGN:A controlled experimental study with systematic assignment to groups. SETTING:A pharmacy in Murcia. Participants were patients who came to the pharmacy with a prescription for antibiotics. Intervention provided information on treatment characteristics (duration, dose and method of use) and correct compliance. A control group received routine care. Main variables "treatment adherence" and "perceived health" were evaluated one week after dispensation by telephone interview. RESULTS:A total of 126 patients completed the study, 62 in the Control Group (CG) and 64 in the Intervention Group (IG). There were no differences between the groups in baseline characteristics, including the level of knowledge before the intervention. At the end of the study, treatment adherence in the CG was 48.4% (CI: 36.4-60.6), compared with 67.2% (CI: 55.0-77.4) in the IG. The difference of 18.8% was statistically significant (p=0.033; 95% CI=15.8-34.6). Non-compliance through missing more than one dose was 81.2% in the CG versus 38.1% in the IG, which is a statistically significant difference of 43.1% (p=0.001; 95% CI=16.4-63.1%). No significant differences were found in patient-perceived health. Logistic regression showed as predictor of adherence, the medication knowledge and the coincidence between duration of treatment indicated by physician and duration of treatment written in the prescription. CONCLUSIONS:An educational intervention during antibiotic dispensation improves treatment adherence versus routine care.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Muñoz EB,Dorado MF,Guerrero JE,Martínez FMdoi
10.1016/j.aprim.2013.12.003subject
Has Abstractpub_date
2014-08-01 00:00:00pages
367-75issue
7eissn
0212-6567issn
1578-1275pii
S0212-6567(14)00007-9journal_volume
46pub_type
杂志文章abstract:AIMS:To learn how the elderly people in our health area see their own state of health (AS) in relation with certain variables. DESIGN:Transverse. Survey of socio-economic and health characteristics. LOCATION:Community oriented primary care. PATIENTS OR OTHERS PARTICIPANTS:232 psychically capable people aged 65 or ov...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-10-01 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:To find the views and expectations of professionals working at primary care centres on team-work. DESIGN:Qualitative study. Focus group. SETTING:The study was conducted during May 1997 at the following primary care centres: Terrassa North, Sant Llatzer (Terrassa) and Antón de Borja (Rubí). These PCCs depend...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78670-7
更新日期:2000-09-30 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:OBJECTIVE:To analyse antibiotic consumption (ABC) and its trend in primary care in an area with a high rate of bacterial resistance during the periods 1993-96 and 2000-02. DESIGN:Comparative, retrospective analysis. SETTING:Costa de Ponent Health Region. Population in 1993-96 period was 1,158,098 inhabitants; in 2000...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)79482-2
更新日期:2004-07-01 00:00:00
abstract::The present study is based on the analysis of records concerning 2,123 cases of cancer registered between 1973 and 1982 in the Health Sector of Calatayud. We pretend to find out what sort of role is played by the gathered cancer information registries on the Community Health Diagnosis elaboration and, therefore, on th...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-03-01 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: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:This study aims to discover the individual, microsocial and macrosocial factors and the milieu which lead to today's pattern of adolescent alcohol consumption. DESIGN:A descriptive, crossover study without randomisation. SETTING:Primary Care. School population from the Bajo-Asón Centre 1 Health Area, Cantab...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-10-31 00:00:00
abstract:OBJECTIVE:To evaluate the Maternity Education (ME) programme: improvement of previous knowledge, changes in hygiene and dietary habits, attitudes to giving birth, satisfaction with the development of the sessions and perceived use. DESIGN:Pre-test/post-test. SETTING:Urban Health Centre. PARTICIPANTS:222 pregnant wom...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-06-30 00:00:00
abstract:OBJECTIVE: MAIN OBJECTIVE:to elaborate a Persons at Risk Index (PRI) for the abandonment of elderly handicapped. SECONDARY OBJECTIVES:to discover the profile of these invalids and their carers within our Health District. DESIGN:A case-control study. A uni- and multi-variant analysis (multiple logistic regression). ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:To determine the pap smear adequacy, and to compare the quality using cervical cytobrush with that obtain by using cotton swab in the endocervical sample. DESIGN:Transversal study. Carried out in two periods both pre and post intervention. SETTING:Primary care centre in the south of Madrid. INTERVENTION:We...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78604-5
更新日期:2000-06-15 00:00:00
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...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.12.002
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:Empathy is one of the basic skills in medicine that promotes better doctor-patient relationship, best professional competition and less professional stress. We don't found studies in our area. This study aims to measure the degree of empathy in medical students in our area and associated factors. DESIGN:Cros...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2014.12.012
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:A description of early diagnosis of cervical cancer in the Barbastro Hospital area. DESIGN:Descriptive and retrospective study on all the CIN III cases collected in the Tumor Hospital Registry from 1989 to 1998. To correlate the data to the population covered by the hospital. PARTICIPANTS AND METHODS:59 CIN...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)70421-0
更新日期:2001-10-31 00:00:00
abstract::Western societies have displaced problems from the subjective and social fields over to medicine, and the search for the perfect health has become an obsession and a pathogenic predominant factor. Paradoxically, the number of ilnesses and sick people arises proportionally with health levels. We now tend to add «diseas...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2013.04.014
更新日期:2013-10-01 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 determine the distribution of the public health spending (PHS) among health sectors from 2002 to 2008, and the eventual regional inequalities related to the regional income level and the ageing population. DESIGN:A longitudinal and retrospective study. SETTING:Spain. PARTICIPANTS:The 17 Autonomous Commu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2011.01.005
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To discover the prevalence and most relevant epidemiological characteristics of the victims of traffic accidents which occur in our health area. SETTING:Hospital Casualty department (HC), Health area 19, Alcoy. PATIENTS:This was an observational, crossover study, based on the collection of data from all tho...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-09-15 00:00:00
abstract:OBJECTIVES:To analyse the pathology diagnosed on the basis of the gastroscopies requested from a primary care centre (PCC). Assessment and treatment of Helicobacter pylori (HP) infection. DESIGN:Retrospective and descriptive. SETTING:Urban PCC. PATIENTS:Those over 14 who had a gastroscopy for a diagnostic purpose, r...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78496-4
更新日期:2000-03-15 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::To assess the prevalence of the hepatitis B virus carrier status in pregnant women from the population of Alicante and to evaluate the need of screening studies in future programs of attention to pregnant women, 550 women at the final stage of their pregnancies who were admitted to the Alicante Hospital were evaluated...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-04-01 00:00:00
abstract:OBJECTIVE:To describe the evolution of mortality due to ischaemic heart diseases in Andalucia between 1975 and 1992 and predict rates up to the year 2000. DESIGN:Descriptive study. SETTING:The Autonomous Community of Andalucia. Patients and other participants. Deaths because of ischaemic heart diseases between 1975 a...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-10-15 00:00:00
abstract::A descriptive study of virtually all patients with leprosy in the Córdoba province was carried out. The socioeconomic and hygienic features of the patients' homes, some clinical variables, the therapeutic habits and the features of the foci were evaluated. The major findings were as follows: More than 50% of patients ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of an educational intervention to minimise the prescription of those new medicines whose therapeutic effects are of little benefit. DESIGN:Controlled and randomised experimental study. SETTING:27 health centres in the province of Sevilla, Spain. PARTICIPANTS:376 general practitione...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1157/13080299
更新日期:2005-10-31 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:INTRODUCTION:Chronic diseases have become more central to Primary Care due to their greater prevalence and the difficulties of monitoring them. This complex problem requires a many-sided solution that affects patients' behaviour, health workers' approach and changes in how the health service is organised. OBJECTIVES:T...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)78910-6
更新日期:2004-09-15 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:OBJECTIVE:To analyse the modifications in cardiovascular risk in patients seen over two years in adult services for dyslipaemia, diabetes mellitus or hypertension. DESIGN:Observational, retrospective study with repeated measurement tests. SETTING:Two health centres. PATIENTS:265 patients attended by the above servic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78857-9
更新日期:2001-05-15 00:00:00
abstract:OBJECTIVE:We undertook this study to assess the validity of cytologic diagnosis of sexually transmitted infections like: bacterial vaginosis (BV), tricomoniasis and candidiasis using the Papanicolaou (Pap) smear. DESIGN:Prospective, descriptive transverse study. SETTING:The present study was carried out in the Health...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:2001-03-15 00:00:00