Abstract：
OBJECTIVE:To quantify and describe consultations carried out with third parties in General Medicine. DESIGN:Prospective and descriptive study. SETTING:Three General Medical consulting rooms in INSALUD's Health Area IV, Madrid. PARTICIPANTS:All those consultations carried out with third parties from 15 February 1993 until 200 cases per doctor had been reached. INTERVENTION AND MAIN RESULTS: The data of the patient, the third party and the meeting were recorded for a total of 603 consultations using a third party. These consultations made up 18% of the total number at the three consulting rooms. According to the criterion of the doctor involved, more than half of these consultations were not clinically justified. People attended fundamentally to obtain prescriptions (76%), notes for short periods of time off work (9.6%) and referral to specialists (8.9%). The third party was usually a woman (62%) and spouse or mother of the patient (45 and 28%, respectively). CONCLUSIONS:In the three General Medical consulting rooms studied, which were organized on the traditional model, third-party consultations are common and clinically unjustified in more than half the instances. These consultations are due fundamentally to difficulties of access to Primary Care services. Increasing the General Practitioner's availability for on-demand consultations could lessen this high incidence of third-party consultations.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
López-Miras A,Pastor Sánchez R,Pérez Fernández M,Gérvas Jsubject
Has Abstractpub_date
1994-05-31 00:00:00pages
475-9issue
9eissn
0212-6567issn
1578-1275journal_volume
13pub_type
杂志文章abstract：OBJECTIVE:To evaluate the clinical competence of first-year residents on the course specialising in family medicine, by applying a structured objective clinical test (SOCT) for simultaneous assessment of cognitive, affective and psychomotor areas. DESIGN:Observational and descriptive. SETTING:Family medicine clinics ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)79068-9
更新日期：2002-10-31 00:00:00
abstract：OBJECTIVES:The main aim was to calculate the prevalence of mental pathology in women between 18 and 70 in a Health District of Pamplona; second, to describe comorbidity and to analyse how mental pathology was recorded in the clinical histories. DESIGN:An observational crossover study with randomised selection. SETTIN...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-03-31 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:To find the proportion of the adult population that practice physical exercise habitually. DESIGN:An observational study of a crossover nature. SETTING:The counties of Alt Camp and Conca de Barberà (Tarragona). PATIENTS AND OTHER PARTICIPANTS:A two-stage random sampling (stratified by age, gender and type ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-05-31 00:00:00
abstract：OBJECTIVE:Given the possibility of adverse side-effects, interactions with medicines and poisoning by contaminants among herbal medicine consumers (HM), we aimed to describe the consumption of HM by health centre users being treated with medicines. DESIGN:Cross-sectional, observational study.Setting. Thirteen health c...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70381-2
更新日期：2001-09-30 00:00:00
abstract：OBJECTIVE:To determine what family doctors think about various aspects of patient involvement in clinical decision making in Primary Care. DESIGN:Qualitative study using focus groups. LOCATION:Primary Care. PARTICIPANTS:Family physicians with and without expertise in clinical communication. METHODS:Three focus grou...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.07.007
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVES:To find how many diabetics should receive anti-aggregant treatment according to the recommendations made since 2001 by the American Diabetes Association (ADA), how many cardiovascular events could be avoided by 100 mg daily of acetylsalicylic acid (ASA), and the cost per event avoided by this measure. DESIG...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(03)70699-4
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:To find asthma mortality in the city of Barcelona. DESIGN:Descriptive study of mortality. SETTING:City of Barcelona. MAIN MEASUREMENTS:Deaths due to asthma in the city of Barcelona in the period 1983-1993 were studied through the register of mortality at Barcelona's Municipal Institute of Health, which in ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)78872-1
更新日期：2004-01-01 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：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 assess the prevalence of thyroidal disorders in our area using a representative sample of the population in terms of age and distribution by sex. DESIGN:Descriptive observational transversal study. SETTING:Six areas from the province of Lleida including its capital. PARTICIPANTS:All the inhabitants olde...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-11-15 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：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：OBJECTIVE:To find the prevalence of tobacco dependency in the population of six counties in Lleida and in patients with chronic diseases or vascular risk factors. DESIGN:Cross-sectional study. A descriptive analysis of the data. SETTING:Six counties in Lleida: 5 Pyrenean counties with a rural population and the Segri...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-03-31 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：:High blood pressure (HBP) is the main modifiable cardiovascular risk factor. HBP can be related to high salt intake. To measure intake, not all feeding surveys are comparable and valid. The reference procedure for assessing salt intake consists of measuring the urinary excretion of sodium in urine collected during 24h...
journal_title：Atencion primaria
pub_type： 杂志文章,评审
doi：10.1016/j.aprim.2019.05.012
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:To investigate whether there is a relationship between the quality of the clinical history (CH) in primary care and metabolic control of patients with diabetes (DM). DESIGN:Retrospective and observational. SETTING:15 health centres in the Segovia Area. PATIENTS:315 diabetic patients, selected at random fro...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78749-x
更新日期：2000-12-01 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：: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 analyse the appropriateness of specific immunotherapy treatment (IT) to indications based on scientific evidence. DESIGN:Cross-sectional, descriptive study. SETTING:Primary care in a health district of about 12,000 inhabitants. PATIENTS:166 patients for whom IT was prescribed in the period between Janua...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78635-5
更新日期：2000-07-01 00:00:00
abstract：OBJECTIVE:To know the opinion of the primary health care (PHC) physicians on the assistance demand in mental health (MH), their training necessities and their attitudes about this disorders. DESIGN:Observational and transversal study. SETTING:Primary care. PARTICIPANTS:The subjects of the study were PHC physicians. ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13076608
更新日期：2005-06-30 00:00:00
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 f...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.12.003
更新日期：2014-08-01 00:00:00
abstract：OBJECTIVES:To obtain a first Spanish version of the KINDL questionnaire idiomatic and culturally equivalent to the German original version, and then to evaluate its psychometric properties in a sample of healthy children/adolescents 8-16 years old, and their parents. DESIGN:Cross-sectional study. SETTING:2 public sch...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79429-9
更新日期：2004-05-15 00:00:00
abstract：OBJECTIVE:To know the health professional profile in the province of Lleida with regard to health education. DESIGN:Observational transversal study. SETTING:All the medicine, nursery and social work colleges in the province of Lleida (3060). PARTICIPANTS:Bachelors in medicine (208), graduates in nursery (252), gradu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：OBJECTIVES:Estimate the differences in the time of arrival at the Intensive Care Unite (ICU) among patients with previous++ infarction versus first infarction ones. DESIGN:Transversal retrospective study. SETTING:General Hospital of Elche. PATIENTS AND OTHER PARTICIPANTS:622 diagnosed of infarction between 1984-1990...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-10-15 00:00:00
abstract：OBJECTIVE:To assess the current state of knowledge and attitudes on the advance directives (living wills) document of professionals working in primary. DESIGN:Descriptive, cross-sectional study. PARTICIPANTS:Primary care professionals. SETTING:Catalonia Health Institute, Maresme Province, Barcelona. METHODS:An anon...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.02.011
更新日期：2010-09-01 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 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：: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：OBJECTIVES:To explore intentions, motivations and country preferences related with professional emigration in a sample of advanced medical students. DESIGN:Cross sectional and descriptive study. SETTING:11 Universities in Spain. PARTICIPANTS:A total of 740 students in their two final courses. PRIMARY MEASUREMENTS:T...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.01.017
更新日期：2011-05-01 00:00:00
