Abstract：
OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included and distributed at random among the doctors, from May 1992 to April 1993 (11 months). 28 were excluded for analysis. MEASUREMENTS AND MAIN RESULTS:The proportion of agreement observed (Po) and the Kappa (K) index were obtained. Po was > 90% in all diagnostic categories, except normality (76.5%). Overall K was 0.52 (C.I. 95%: 0.50-0.54); K = 0.79 in disturbances in frequency; K = 0.52 in diagnosis of normality; K = 0.46 in disturbances of rhythm; K = 0.38 in ventricular conduction disorders; K = 0.36 in repolarisation disturbances; K = 0.32 for disorders of the auricular-ventricular union; K = 0.17 for unspecific disorders and K = 0.07 for auricular disturbances. CONCLUSIONS:Overall concordance is acceptable, as it is for normality and rhythm and frequency disturbances; for the remaining diagnostic categories it was light or ordinary. The Primary Care team (PCT) in comparison with the cardiologist underdiagnosed the frequency and a-v union disorders and overdiagnosed the unspecific disorders. The PCT must improve in their diagnoses of greater prevalence and low K value.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Moreno Castillo A,Iglesias Gómez P,Arbesu Fernández Esubject
Has Abstractpub_date
1995-09-15 00:00:00pages
187-91issue
4eissn
0212-6567issn
1578-1275journal_volume
16pub_type
杂志文章abstract：OBJECTIVE:To find the satisfaction level of health users attended by Bizkaia primary care teams (PCT) with 5 or more permanent doctors and to determine whether there is any relationship between satisfaction and doctors being trained in doctor-patient relationships (DPR). SETTING:Primary Care. Towns in the 2 health are...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-11-15 00:00:00
abstract：AIM:To evaluate the level of cardiovascular risk in smokers seenin Primary Care clinics. DESIGN:Epidemiologic, cross-sectional and multicentre study. SETTING:Primary Care. PATIENTS:Every investigator included 4 consecutive patients (3 smokers, 1 non-smoker) aged 35-50 years, who came to the clinic for any reason. A ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.10.005
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To study the adverse side-effects to medication and define their principle characteristics. DESIGN:A descriptive, crossover, observation study with no random distribution. SETTING:The population cared for at a Health Centre in Toledo. PATIENTS:Those over 15 years old during a 6-month period. MEASUREMENTS ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-09-30 00:00:00
abstract：INTRODUCTION:On the centenary of the foundation of the Paediatrics Society of Madrid, a tribute is presented to rural medical practice of that time, although there are few documents on the history of rural medicine. The main objective is to describe the context of the rural medical practice in the late 19th and beginni...
journal_title：Atencion primaria
pub_type： 历史文章,杂志文章
doi：10.1016/j.aprim.2015.05.008
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVES:To analyze the degree of utilization of generic drugs in Spain and Catalonia. To determine real savings and scope for further savings due to the use of generic drugs. DESIGN:Descriptive, crossover study. SETTING:Public health prescription in Spain and Catalonia in June of 1999 and in Catalonia from January...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78649-5
更新日期：2000-09-15 00:00:00
abstract：OBJECTIVE:To describe the adverse drug events (ADEs) reported by doctors of a primary health care centre in the patient's medical record. DESIGN:A retrospective, descriptive study. SETTING:Burriana Health Centre (Castellón), Spain. PARTICIPANTS:All patients over 75 with a clinical history held on paper at the health...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13116153
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:To find the sociodemographic and family characteristics of our Health Centre's over-user, along with the connection between psychological malaise, family dysfunction and greater or lesser attendance. DESIGN:We carried out a descriptive crossover study, after a prior simple random sampling. SETTING:La Felgue...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-02-15 00:00:00
abstract：OBJECTIVE:To carry out a budget impact analysis (BIA) of olmesartan/amlodipine (20/5, 40/5 and 40/10mg) marketed as a fixed combination (FC) in its approved indication for the National Health System (NHS). DESIG:We developed a decision tree model in order to estimate usual hypertension treatment algorithm in Spanish c...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.04.017
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:To discover the perception of health, social support and family function for asymptomatic HIV carriers. DESIGN:This was an observation crossover study, using validated questionnaires. SETTING:Almanjayar and Cartuja Health Centres in Granada. PATIENTS AND OTHER PARTICIPANTS:58 HIV+ patients belonging to the...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-03-15 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：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：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：OBJECTIVES:To analyse the risk of pneumonia and/or exacerbations in patients with chronic obstructive pulmonary disease (COPD) who receive treatment with inhaled corticosteroids (CI), in comparison with those who are not treated with inhaled corticosteroids (NCI). To estimate the risk of pneumonia according to CI dose....
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2018.02.007
更新日期：2019-01-01 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：OBJECTIVES:To analyse the qualitative composition of medication prescribed to paediatric patients, in function of the intrinsic value of the medication and active principles used, and to evaluate risks run by children through being exposed to medication. DESIGN:An observational, descriptive, crossover study. SETTING:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVES:To analyse the variability of certain indicators of the procedure and outcome of medical care in the clinical records of diabetic and hypertense patients, and their relationship with the doctor's style of practice. DESIGN:An observational, descriptive study. SETTING:Seven health centres in the public netwo...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-02-15 00:00:00
abstract：OBJECTIVE:To prepare and validate a tool to measure Basic Life Support (BLS) and semi-automatic defibrillator (SAD) skills adapted for use by health professionals in Primary Care Teams (PCT). To propose an updated version and demonstrate self-sufficiency of the team to use it in a training evaluation. DESIGN:Validatio...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2009.03.006
更新日期：2010-01-01 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 review the mechanisms of the mental operation to identify the disease in family medicine, using five cases where the diagnosis process began in "the trace that should not be there" or "Robinson sign" as happened to Robinson Crusoe when he saw a human footprint on the beach of the "desert island". How could it be th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.02.008
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:To determine the validity of the Centor score (cervical adenopathy, tonsillar exudate, fever, and absence of catarrh symptoms) in diagnosing streptococcal pharyngitis (gold standard: throat swab). DESIGN:Descriptive study. SETTING:San Fernando 2 Health Centre, Madrid (outer urban area), Spain. PARTICIPANTS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13107724
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVE:To establish the effectiveness of a broad offer for tetanus vaccination (ATT), to any person visiting his general practitioner, by evaluating its coverage, acceptance by patients and final vaccination figures. DESIGN:Intervention study of nonrandom type. SETTING:Primary care. PATIENTS:1349 people aged > or...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-09-30 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 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: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：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：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 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：OBJECTIVES:To determine the relationship between some characteristics (cost, intensity, quality) of prescriptions issued by general practitioners in a health district and their patient loads, controlling for possible confounders. To analyze the intensity of prescription of certain groups of therapeutic drugs according ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.02.010
更新日期：2011-02-01 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：: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
