Abstract：
OBJECTIVE:To quantify and to evaluate the reliability of Primary Care (PC) computerised medication records of as an information source of patient chronic medications, and to identify associated factors with the presence of discrepancies. DESIGN:A descriptive cross-sectional study. LOCATION:General Referral Hospital in Murcia. PARTICIPANTS:Patients admitted to the cardiology-chest diseases unit, during the months of February to April 2013, on home treatment, who agreed to participate in the study. MAIN MEASUREMENTS:Evaluation of the reliability of Primary Care computerised medication records by analysing the concordance, by identifying discrepancies, between the active medication in these records and that recorded in pharmacist interview with the patient/caregiver. Identification of associated factors with the presence of discrepancies was analysed using a multivariate logistic regression. RESULTS:The study included a total of 308 patients with a mean of 70.9 years (13.0 SD). The concordance of active ingredients was 83.7%, and this decreased to 34.7% when taking the dosage into account. Discrepancies were found in 97.1% of patients. The most frequent discrepancy was omission of frequency (35.6%), commission (drug added unjustifiably) (14.6%), and drug omission (12.7%). Age older than 65 years (1.98 [1.08 to 3.64]), multiple chronic diseases (1.89 [1.04 to 3.42]), and have a narcotic or psychotropic drug prescribed (2.22 [1.16 to 4.24]), were the factors associated with the presence of discrepancies. CONCLUSIONS:Primary Care computerised medication records, although of undoubted interest, are not be reliable enough to be used as the sole source of information on patient chronic medications when admitted to hospital.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
García-Molina Sáez C,Urbieta Sanz E,Madrigal de Torres M,Piñera Salmerón P,Pérez Cárceles MDdoi
10.1016/j.aprim.2015.05.003subject
Has Abstractpub_date
2016-03-01 00:00:00pages
183-91issue
3eissn
0212-6567issn
1578-1275pii
S0212-6567(15)00183-3journal_volume
48pub_type
杂志文章abstract：OBJECTIVE:To describe the thyroid pathology seen at our health centre (HC) and its evolution. DESIGN:A longitudinal, retrospective study. SETTING:La Mina HC, Sant Adrià de Besòs, Barcelona. PATIENTS:Patients older than 14 who, between January 1985 and June 1993, had presented functional or morphological thyroid func...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-04-30 00:00:00
abstract：OBJECTIVES:To determine whether the benefit on cardiovascular risk factors (CVRF) persists 5 years after an intensive intervention in lifestyle (LS) that lasted 2 years, in patients with hyperfibrinogenaemia and moderate or high cardiovascular risk. DESIGN:multicentre prospective observational study. LOCATION:13 Prim...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.aprim.2017.04.004
更新日期：2018-01-01 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: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
abstract：OBJECTIVE:To detect problems that terminal cancer patients pose to primary health care (PHC) professionals. DESIGN:Cross-sectional study. SETTING:PHC professionals of the Manresa (province of Barcelona) health Sector of the National Health System. PARTICIPANTS:151 professionals (87 physicians and 64 nurses). MEASUR...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-04-15 00:00:00
abstract：OBJECTIVE:To analyse the nutritional status of patients older than 65 years included in the home care program (PAD). DESIGN:Croos-sectional study. EMPLACEMENT:3 urban health centers. PARTICIPANTS:218 patients in the PAD. METHOD:Mini Nutritional Assessment questionnaire (MNA) was applied. Sociodemographic, anthropom...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2017.02.006
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE:To critically analyse the concept of nursing prescription through the study of its background and a review of the scientific literature, in order to develop an accurate conception of this nursing activity and to identify the essential elements surrounding this concept. METHOD:Application of the concept analy...
journal_title：Atencion primaria
pub_type： 杂志文章,评审
doi：10.1016/j.aprim.2018.06.006
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:To know the health problems or diseases that patients of 2 basic health areas (BHA) assess as the most important for Spanish population and for themselves; to know if any relation exists between these problems and their existence in the family or social patients' environment. DESIGN:An observational cross-se...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78945-7
更新日期：2001-09-15 00:00:00
abstract：OBJECTIVE:To describe the evolution of the number of potential years of life lost (PYLL) because of AIDS in La Rioja between 1986 and 1993. DESIGN:Descriptive study. SETTING:Autonomous Community of La Rioja. PATIENTS AND OTHER PARTICIPANTS:Secondary data from the regional Register of AIDS cases in La Rioja, from the...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-05-15 00:00:00
abstract：AIM:To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC). DESIGN:Multicentre cross-sectional study. SETTING:Primary Care Health Care Centres (Madrid). PARTICIPANTS:Women aged 16-50 years old, users of reversible contraception, who spe...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2018.05.005
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:To determine the ease of access by telephone when making medical appointments. DESIGN:Cross-sectional, observational, random sample. SETTING:Primary care, Murcia Region. PATIENTS AND OTHER PARTICIPANTS:Centres with a previous appointments system (n = 25) and a random sample of the 276 practitioners involve...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-04-30 00:00:00
abstract：OBJECTIVE:To discover the evolvement of Primary Care doctors' tobacco consumption in Guipuzcoa and their attitudes to tobacco dependency. DESIGN:A descriptive study of a crossover type. October 1992. SETTING:Primary Health care. PARTICIPANTS:381 general physicians and paediatricians from Guipuzcoa province. MEASURE...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-11-30 00:00:00
abstract：OBJECTIVE:To measure the impact of the peer-led training for chronic patients on their health status and behaviors. DESIGN:Descriptive, transversal pretest and posttest quantitative approach. PLACEMENT:Andalusia. PARTICIPANTS:Nine hundred sixty-four patients with Diabetes, fibromyalgia and heart failure, trained at ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2018.09.020
更新日期：2020-02-01 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 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：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 detect in young people requesting Primary Care treatment the presence of hidden health problems common to this age-group and to evaluate the factors which may affect their being rarely mentioned. DESIGN:Descriptive study. PARTICIPANTS:Young people between 14 and 19 who attended two clinics at the Pola d...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-12-01 00:00:00
abstract：OBJECTIVE:To determine the percentage of women aged 40 to 70 years who had had at least one preventive Pap test (cytological examination) during the preceding 5 years, and the factors associated with use of the test. DESIGN:Population survey.Setting. Home interviews during October 2000. PARTICIPANTS:2409 women aged 4...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79407-x
更新日期：2004-03-31 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:To analyse the frequency of attendance and the time elapsed between the diagnosis of Arterial Hypertension (AHT) and the control of Arterial Pressure (AP); and to analyse the different ways of presenting the level of control of AHT. DESIGN:Retrospective study. SETTING:Teaching Health Centre. PATIENTS:103 h...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-10-15 00:00:00
abstract：OBJECTIVE:Principally, to establish the prevalence of xerostomia in the general population and, second, to find the association of xerostomia with the consumption of tranquillizers and anti-depression, anti-allergy, anti-Hypertension and hypnotic drugs. DESIGN:A crossover study of prevalence. SETTING:The urban area o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-03-15 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：:A sample of 360 people was analyzed. They had received the protocol of preventive activities of the "Unitat Docent de Medicina Familiar i Comunitària de Barcelona" during 1989. The results of those activities directed to the prevention of cardiovascular risk and to the detection of excessive alcohol intake are reporte...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
abstract：OBJECTIVE:To describe the health situation of the target population (women between 15 and 45 and children from 0 to 3), living in the towns on the West Bank in which the 12 dispensaries of the Palestine NGO Health Services Council were located, in order to plan a programme of support activities for that NGO. DESIGN:Cr...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-11-15 00:00:00
abstract：OBJECTIVE:To compare the family functioning profile (FFP) in adolescents addicted to drugs and those not addicted to drugs. DESIGN:Cross-sectional study comparative. SETTING:A high school in Querétaro State, Mexico. PARTICIPANTS:Study of 63 adolescents with and without addiction, of both sexes between the ages of 13...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.04.009
更新日期：2011-02-01 00:00:00
abstract：OBJETIVE:To assess the prevalence and risk factors associated with diabetic retinopathy (DR) in Cantabria. DESIGN:ross-sectional population based study. LOCATION:Health center of Cantabria. PARTICIANTS:A random sample of 442 patients with type 2 diabetes. MAIN MEASUREMENTS:Non-mydiatric retinography, classifying th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2018.10.001
更新日期：2020-01-01 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：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 ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.09.030
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:To evaluate the impact of joining a home care program on primary caregivers of dependent elderly people. DESIGN:Non-randomised "before-after" intervention study. SETTING:Primary Care. PARTICIPANTS:Primary carers of elderly dependent people included in a home care program (n=156; 7.8% loss to follow up). I...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.09.011
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:To describe trends and geographical distribution of breast cancer mortality in Andalusian women between 1976 and 1995. DESIGN:Descriptive study. SETTING:Andalusia. PATIENTS AND OTHER PARTICIPANTS:Deaths from breast cancer during the period 1976 to 1995 were obtained. MEASUREMENTS AND MAIN RESULTS:The foll...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-10-15 00:00:00
