Abstract:
OBJECTIVE:To estimate the effectiveness of a Medication Discrepancy Detection Service (MDDS), a collaborative service between the community pharmacy and Primary Care. DESIGN:Non-controlled before-and-after study. SETTING:Bidasoa Integrated Healthcare Organisation, Gipuzkoa, Spain. PARTICIPANTS:The service was provided by a multidisciplinary group of community pharmacists (CPs), general practitioners (GPs), and primary care pharmacists, to patients with discrepancies between their active medical charts and medicines that they were actually taking. OUTCOMES:The primary outcomes were the number of medicines, the type of discrepancy, and GPs' decisions. Secondary outcomes were time spent by CPs, emergency department (ED) visits, hospital admissions, and costs. RESULTS:The MDDS was provided to 143 patients, and GPs resolved discrepancies for 126 patients. CPs identified 259 discrepancies, among which the main one was patients not taking medicines listed on their active medical charts (66.7%, n=152). The main GPs' decision was to withdraw the treatment (54.8%, n=125), which meant that the number of medicines per patient was reduced by 0.92 (9.12±3.82 vs. 8.20±3.81; p<.0001). The number of ED visits and hospital admissions per patient were reduced by 0.10 (0.61±.13 vs 0.52±0.91; p=.405 and 0.17 (0.33±0.66 vs. 0.16±0.42; p=.007), respectively. The cost per patient was reduced by €444.9 (€1003.3±2165.3 vs. €558.4±1273.0; p=.018). CONCLUSION:The MDDS resulted in a reduction in the number of medicines per patients and number of hospital admissions, and the service was associated with affordable, cost-effective ratios.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Oñatibia-Astibia A,Malet-Larrea A,Mendizabal A,Valverde E,Larrañaga B,Gastelurrutia MÁ,Ezcurra M,Arbillaga L,Calvo B,Goyenechea Edoi
10.1016/j.aprim.2020.04.008subject
Has Abstractpub_date
2021-01-01 00:00:00pages
43-50issue
1eissn
0212-6567issn
1578-1275pii
S0212-6567(20)30137-2journal_volume
53pub_type
杂志文章abstract:OBJECTIVE:To check whether the information in the written publicity that the pharmaceutical industry gives to family doctors really is based on the scientific studies that support it. DESIGN:Cross-sectional study. SETTING:Health centre on the outskirts of a big city. PARTICIPANTS:Over a year, all the scientific stud...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13075926
更新日期:2005-06-15 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:Preparation of a map of medication errors reported by health professionals outside hospitals within the framework of Medication Errors Reporting for the Community of Madrid during the period 2008-2009. DESIGN:Retrospective observational study. LOCATION:Notification database of medication errors in the Commu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.10.003
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:To find how suitable a semFYC guide is for the indication of bone densitometry in menopausal women; and how appropriate their Osteoporosis treatment is. DESIGN:Cross-sectional study.Setting. Girona-3 Health District. PARTICIPANTS:Women between 50 and 80 allocated to the Girona-3 Health District. Suffering ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)79391-9
更新日期:2004-03-15 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:The objective of this work was to value the relationship between cardiovascular disease and presence of hidden renal failure in patients between 35 and 74 years followed up for 10 years. DESIGN:Observational, longitudinal, retrospective study of a cohort of patients. SETTING:Primary care health centre. PAR...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(08)75696-8
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To describe the parental knowledge and care of fever in children under 2years. Relate this data with socio-demographic with characteristics. DESIGN:Cross-sectional and correlation multicenter study. LOCATION:Five teams of Primary Care in Barcelona. PARTICIPANTS:Parents of children under 2years attended to ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2016.11.011
更新日期:2017-10-01 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 determine the comorbidity, the therapeutic objectives, and economic impact in subjects with cardiovascular risk in primary care (PC). DESIGN:Multicentre, cross-sectional study. SETTING:Five urban PC centres, Spain. PARTICIPANTS:Patients over 55 years seen during the year 2006. Compared according to the ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13126421
更新日期:2008-09-01 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::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::We have evaluated the fulfillment of the aims of an integrated influenza vaccination program for a basic urban health area. We have focused the analysis on the vaccine coverage for age and sex groups, groups of risk modifiers and risk gradient. We have evaluated the most adequate method of call. Overall coverage was 6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::An evaluation study has been done on the quality of long-term drugs prescription. The aim was to check the effectiveness of certain corrective measures agreed by the professionals working in a primary care centre. Using the results of a first evaluation made in 1989, a series of recommendations were made to reduce the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to analyze the oral contraceptive use and smoking habits among Spanish women. DESIGN:Descriptive observation study of a crossover design. SETTING:General population, using to this purpose the 1993 National Household Health Survey. PATIENTS AND OTHER PARTICIPANTS:5229 Spanish women ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-11-15 00:00:00
abstract::The results obtained in the program "Control of overweight in children" in the programmed nurse clinic were evaluated in 25 children distributed for age and degree of overweight. The activities carried out were: control of the number of calories based on carbohydrate and fat reduction, health education using the audio...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVES:1) To identify the causes of the outbreak. 2) To adopt the appropriate measures to control it. DESIGN:Observational crossover study. SETTING:San Benito Health District in Jerez de la Frontera (Cádiz). PATIENTS AND OTHER PARTICIPANTS:Diners who attended a family celebration. MEASUREMENTS AND MAIN RESULTS:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-04-30 00:00:00
abstract:AIMS:to validate the PROFUND index in PP in Primary Health Care (PHC). DESIGN:two-year prospective multicenter study. LOCATION:three health care centers in Seville Province (Spain). SUBJECTS OF THE ASSESSMENT:PP with signed informed consent. SAMPLE:n=446 (p=20%; α=5%; β=99%); consecutive sampling. MEASUREMENT:Depe...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/S0212-6567(14)70064-2
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:To determine the proportion of benzodiazepines consumers who present a mayor depressive disorder and to observe the clinical evolution after restoring an antidepressive treatment. DESIGN:An observational design with a transversal character to determine the prevalence of the depression and a pre and after int...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-06-30 00:00:00
abstract:OBJECTIVES:To assess the usefulness of measuring in primary care the intraocular pressure (IOP) of diabetics as a glaucoma screening test, validating the Schiörtz tonometer for this end. To analyse the prevalence of glaucoma and associated risk factors in our diabetic population. DESIGN:An observational crossover stud...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-01-01 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::The program of help to the smoker (PHS) consists of a systematic intervention upon the whole of the demanding population, identifying the smokers and acting on them with a short, concise advise in all visits. The results after 2 months of operation of the PHS in a primary care center are reported. Among 483 persons 10...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-05-01 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: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:OBJECTIVE:To find the prevalence of DM in the population of Albacete, and their relationship with other risk factors. DESIGN:A descriptive cross-sectional population study. SETTING:Community setting in the province of Albacete. PARTICIPANTS:A sample of 2121 people+ over 18 (843 from the capital and 1278 from the res...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78481-2
更新日期:2000-02-28 00:00:00
abstract:OBJECTIVE:To get to know the profile of use of antidepressants (AD) and tranquilizers-hypnotics (T-H) in primary care in Catalonia. DESIGN:Transversal, observational, epidemiological study of prescription-indication. LOCATION:Health centres in Catalonia, Spain. PARTICIPANTS:Included, using consecutive sampling, pati...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13079144
更新日期:2005-09-30 00:00:00
abstract:OBJECTIVE:To determine the usefulness of ultrasound examination in Primary Care (PC) for the detection of abdominal aortic aneurysm (AAA) in male patients from 65-75 years old, as well as the consistency between observers on the diagnosis between general practitioners and the reference specialty in this area, Vascular ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.10.005
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To measure the correctness of decisions concerning counter-indications to vaccination (CV), taken by Primary Care professionals involved with the vaccination programme; to identify their associations with personal or organisational variables; and to sound out professionals' views on the source of false counte...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-07-01 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:OBJECTIVES:To assess requests for microbiological analysis made by Primary Care doctors and to evaluate the quality of the procedure by the indicator: proportion of contaminated urine samples. DESIGN:A retrospective crossover study of requests to the Microbiology Laboratory in the University Hospital of Salamanca duri...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-03-15 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