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 practices and overburdened care activities. The reform of the primary care generates an imbalance between health centers and outpatients clinics owing to the strategic situation of the former and the fact that care is given up to age 14. This problem should be carefully considered. These imbalances between the levels of care are not homogeneous, and they are more or less marked depending on the different health areas; there are wide geographical differences. Therefore, an increase in resources as well as redistribution depending on the attention levels and health areas are required.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Oterino de la Fuente D,Amador Tejón V,Alvarez García JLsubject
Has Abstractpub_date
1989-01-01 00:00:00pages
34-8issue
1eissn
0212-6567issn
1578-1275journal_volume
6pub_type
杂志文章abstract:OBJECTIVE:A clinical epidemiological study at a health centre of carriers of hepatitis C virus (HCV) antibodies. The prevalence of HCV antibodies in immediate family members. DESIGN:Crossover and descriptive. SETTING:Chopera I Primary Care team. PATIENTS AND FAMILY MEMBERS: 37 carriers of HCV antibodies in the Centre...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:For purposes of the present study of people over 65 attending a particular Health Centre, we aimed to discover and inter-relate their morbidity due to chronic illnesses, their frequency of attendance, and the total average outlay of drugs on them. DESIGN:Descriptive crossover study. Information on the clinic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:OBJECTIVE:Epidemiological studies and interventions to reduce inequalities in community health require the assignation of exhaustive and easy-to-obtain social indicators. Occupation and education are two of the most often used. In this study we attempt to evaluate the association between education and occupation among ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78733-6
更新日期:2000-11-30 00:00:00
abstract:OBJECTIVE:To analyse association between the development of type 2 diabetes and the health-related quality of life (HRQL). DESIGN:Descriptive cross-sectional study. SETTING:Primary care centre in Ayamonte (Huelva). PARTICIPANTS:Selection by simple random sampling between the patients registered with type 2 diabetes:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.03.014
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:1) To find the opinion of general practitioners working in primary care (GP in PC) regarding how they deal with neurological patients. 2) To find the effect on this question of intern training in family and community medicine (FCM). DESIGN AND SETTING:A survey filled out by a representative sample of GP in P...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-04-15 00:00:00
abstract:AIM:The main aim is to describe the cases of mechanical lumbalgia in relation to clinical and demographic variables, in the period between February and June 1989. The collateral purpose is to analyse the relationship between analgesic/NAI treatment as regards the time needed to resolve the problem. DESIGN:This is an o...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章
doi:
更新日期:1992-03-15 00:00:00
abstract:OBJECTIVE:To assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN:A descriptive, prospecti...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-05-31 00:00:00
abstract:UNLABELLED:Successful aging as a process of adaptation to the optimal state is little known in older people. OBJECTIVE:To describe successful aging and to analyze the factors associated with frailty in people aged 86 years. DESIGN:A cross-sectional study of a clinical trial at the second year of follow-up (Octabaix S...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2014.01.004
更新日期:2014-11-01 00:00:00
abstract::Research is one of the fundamental functions that have to be carried out in Primary Care. The clinical information stored in different records arising from medical care is a basic tool for this activity. The use of personal data for the purposes of research is legitimate according to our laws; however, this informatio...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2011.02.009
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:To ascertain the diagnosis associated with specific treatment for dementia in the Primary Care Electronic Clinical Record (PC-ECR) and to analyse the factors associated with the quality of registration. METHODS:Descriptive study of patients taking cholinesterase inhibitors or memantine registered in Database...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.03.002
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the attitudes, knowledge and training needs for primary care health professionals (PCP) dealing with HIV/AIDS infection. DESIGN:An observational, crossover study. SETTING:primary care: health districts in the Ciutat Vella health area of the city of Barcelona. PARTICIPANTS:34 nursing professiona...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-05-15 00:00:00
abstract:OBJECTIVES:To demonstrate the effects of including mutual aid associations into a continuing care programme for patients with alcohol dependence carried out by Primary Care teams. SITE: Primary Care Teams belonging to the attendance area of the University Hospital 12 de Octubre at Madrid. PARTICIPANTS:207 participants...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2020.04.010
更新日期:2020-10-01 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 analyze the diagnostic agreement rate between primary care, an asynchronous teledermatology consultation, and a conventional dermatology consultation. DESIGN:Prospective non-randomized concordance study. SETTING:Dermatology Service in Hospital Son Llàtzer (Palma de Mallorca) and primary care centers of S...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2008.11.012
更新日期:2009-10-01 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::Nurse demand management (NDM) is an emerging concept that requires some useful clarification, not only for professionals and users but also for managers. The NDM was born in 2009 after the need to reorganize the flow of demand, but it has become more than this. NDM is understood as a program led by the primary care nu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.10.011
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To describe a method of carrying out an early detection programme (EDP) for breast cancer in a health area, as a coordinated activity between the primary care teams (PCTs) and specialist care. DESIGN:A descriptive, longitudinal study. SETTING:Area II of the Principality of Asturias. This is a predominantly ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-10-31 00:00:00
abstract:OBJECTIVE:To determine if the ETAP smoking scale, which measures accumulated exposure to tobacco, both actively and passively, is applicable and effective in the clinical practice of Primary Care for the prevention of acute myocardial infarction (AMI). Location Barranco Grande Health Centre in Tenerife, Spain. DESIGN:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.05.010
更新日期:2018-01-01 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:OBJECTIVES:To evaluate the relationship between Health-Related Quality of Life (HRQL) and stress at work among Primary Care workers, as evidence of the construct validity of the Spanish version (PECVEC) of the profile of quality of life in the chronically ill (PLC) questionnaire. In addition, to check its other psychom...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13108617
更新日期:2007-08-01 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:OBJECTIVE:To validate a self-administrable version of the SMAST questionnaire for diagnosing alcoholism at the primary care level. DESIGN:A descriptive study of a crossover type. SETTING:An urban health centre. PATIENTS AND OTHER PARTICIPANTS:497 patients over 15, selected at random from the log-book of daily demand...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-06-30 00:00:00
abstract:OBJECTIVE:The objectives of the present study are to describe to the social particularizations, reasons for consultation and diagnoses conducted in the adult immigrants without regularizing that they went to this doctor's office in the district of Villaverde-Usera (Madrid), excluding the data from obstetrics-gynecology...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:To describe the qualitative-quantitative features of Primary Care prescriptions originated by specialists. DESIGN:A crossover descriptive study. SETTING:Txantrea Health Centre (Pamplona). PATIENTS AND OTHER PARTICIPANTS:All the prescriptions originated by out-clinic or hospital specialists over a two-mont...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-11-30 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::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: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 find the efficacy of two methods of detecting previously unknown hypertension--systematic taking of blood pressure (ST) and the Mobile Unit (MU)--and to evaluate the over-diagnosis of arterial hypertension (AHT) in crossover studies which only use epidemiological criteria (EC). DESIGN:A descriptive study ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-11-15 00:00:00
abstract:OBJECTIVE:To estimate the importance of the working environment in sickness absence, as well as to show possible relationships with clinical-work variables. DESIGN:A descriptive observational study. SITE: Medical Inspection of an Andalusian province. PARTICIPANTS:A total of 1016 workers on certified sick leave due to...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.03.011
更新日期:2018-04-01 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