[Consultations with third parties in general medicine].

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 Primaria

journal_title

Atencion primaria

authors

López-Miras A,Pastor Sánchez R,Pérez Fernández M,Gérvas J

subject

Has Abstract

pub_date

1994-05-31 00:00:00

pages

475-9

issue

9

eissn

0212-6567

issn

1578-1275

journal_volume

13

pub_type

杂志文章
  • [Emotional map in Andalusian primary care teams].

    abstract:OBJECTIVE:To evaluate the dynamics and establish the emotional map of 8 primary care teams. DESIGN:Descriptive, cross-sectional and multi-site study. SETTING:Primary care centers in Granada, Cádiz and Málaga, Spain. PARTICIPANTS:Simple random sampling of 8 health centers and 272 primary care professionals. MAIN MEA...

    journal_title:Atencion primaria

    pub_type: 评论,杂志文章,多中心研究

    doi:10.1016/j.aprim.2008.09.007

    authors: March Cerdá JC,Oviedo-Joekes E,Romero Vallecillos M,Prieto Rodríguez MA,Danet A

    更新日期:2009-02-01 00:00:00

  • [The consumption of alcohol, tobacco and drugs in adolescents].

    abstract:OBJECTIVES:To find how much alcohol, tobacco and drugs adolescents consume and identify some linked socio-family variables. DESIGN:A crossover and descriptive study, with randomised sampling stratified by classrooms. SETTING:Secondary schools in the town of Lugo. PATIENTS AND OTHER PARTICIPANTS:805 students of both ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Martínez Alvarez J,García González J,Domingo Gutiérrez M,Machín Fernández AJ

    更新日期:1996-10-31 00:00:00

  • [The attitudes to and needs for education on HIV infection among primary care health professionals].

    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:

    authors: Casabella Abrill B,Llobera Serentill A,Pérez Sánchez J,Sala Alvarez C,García Ortega D

    更新日期:1997-05-15 00:00:00

  • [Emergency contraception: evaluation of women's understanding of it, a requisite for the effectiveness of the treatment].

    abstract:OBJECTIVE:To evaluate how much women who attend primary care consultations understand about the correct use of emergency ("morning after") contraception (EC), their information requirements and their views about free EC prescription. DESIGN:Cross-sectional study, using a questionnaire. SETTING:Les Corts Primary Care ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13098676

    authors: Serra-Torres A,Montaner-Amorós M,Sitjar-Martínez de Sas S,Sisó-Almirall A,Espanyol-Navarro M,Devant-Altimir M

    更新日期:2007-02-01 00:00:00

  • [Family doctors and psychiatrists and the patient with depression: the need to re-adjust health care approaches and organisational dynamics].

    abstract:OBJECTIVES:To find out the perceptions of family doctors (FD) and psychiatrists (PS) on their inter-relationships in the health care of patients with depression. DESIGN:Qualitative methodology. Exploratory design based on FD and PS discussion groups (DG). SETTING:Primary health care centres (PHCC) and mental health c...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2008.04.003

    authors: Calderón Gómez C,Retolaza Balsategui A,Bacigalupe De La Hera A,Payo Gordón J,Grandes Odriozola G

    更新日期:2009-01-01 00:00:00

  • [An analysis of the level of accuracy of the official diagnosis of temporary work incapacity].

    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:

    authors: Abraín Aznar A,Lafuente MP,Urraca J,Olasagasti C,Gil JM,Ruiz Téllez A

    更新日期:1993-05-31 00:00:00

  • [Rural medical practice at the beginning of the 20th century. Martínez Saldise (1855-1937), honorary member of Paediatric Society of Madrid in 1927].

    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

    authors: Zafra Anta MÁ,Flores Martín C,Ponte Hernando FJ,Gil García A,Gómez López A,Fernández Durán C

    更新日期:2016-01-01 00:00:00

  • [Pre-malignant and malignant lesions in minor surgery at a health centre. Appearances can't be trusted].

    abstract:OBJECTIVE:To describe the characteristics of the malignant and pre-malignant lesions found in the minor surgical interventions performed at a health centre. DESIGN:Retrospective, descriptive study. PARTICIPANTS:682 lesions: all the lesions extirpated and referred to pathology except for epidermal and trichilemmal cys...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(03)79334-2

    authors: González Anguren C,Osés Primo R,Molinero Pinilla R,Parra Osés A,de la Red Arroyo S

    更新日期:2003-12-01 00:00:00

  • [Thyroid pathology in a health center].

    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:

    authors: Serra M,Méndez MA,Davins J,Borrell M,Baxarias J,Ríos L

    更新日期:1995-04-30 00:00:00

  • [Intervention to improve the quality of continuing drug prescription at a primary care center].

    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:

    authors: Mata Cases M,Casas Rodríguez J,Amat Rico J,Avila Ribera F,López Muñoz MA,Rovira Fontanals A

    更新日期:1991-12-01 00:00:00

  • [Correlation between subjective and objective health measurements in patients with chronic obstructive pulmonary disease (COPD)].

    abstract:AIMS:Analyze the relation between objective health assessment (OHA) -Forced spirometry- and subjective health assessment (SHA) -quality of life- in patients with chronic obstructive pulmonary disease (COPD). Analyze the correlation between two different questionnaires to assess quality of life. DESIGN:Cross-sectional ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(01)70457-x

    authors: Fernández Vargas AM,Bujalance Zafra MJ,Leiva Fernández F,Martos Crespo F,García Ruiz A,Pradós Torres D

    更新日期:2001-11-30 00:00:00

  • [Enteropathic arthritis].

    abstract:AIM:Description of a clinical case of enteropathic arthritis. DESIGN:Descriptive study. SITE. Health Centre. PATIENTS AND OTHER PARTICIPANTS:A clinical case is described, starting with back pain where X-rays perceive no irregularity. Later a diagnosis of Crohn's disease is made. Finally lesions characteristic of anch...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Navarro Martínez A,Calderó Bea MD,León Martínez LP,Gómez Jara P,Martínez-González Moro MN,Guillén Montiel C

    更新日期:1992-01-01 00:00:00

  • [Spanish COPD Guidelines (GesEPOC): Pharmacological treatment of stable COPD].

    abstract::Recognizing the clinical heterogeneity of COPD suggests a specific therapeutic approach directed by the so-called clinical phenotypes of the disease. The Spanish COPD Guidelines (GesEPOC) is an initiative of SEPAR, which, together with the scientific societies involved in COPD patient care, and the Spanish Patient For...

    journal_title:Atencion primaria

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.aprim.2012.04.005

    authors: Miravitlles M,Soler-Cataluña JJ,Calle M,Molina J,Almagro P,Quintano JA,Riesco JA,Trigueros JA,Piñera P,Simón A,López-Campos JL,Soriano JB,Ancochea J

    更新日期:2012-07-01 00:00:00

  • [Analysis of indications and diagnosis of the gastroscopies requested by primary care physicians].

    abstract:OBJECTIVES:To analyse the pathology diagnosed on the basis of the gastroscopies requested from a primary care centre (PCC). Assessment and treatment of Helicobacter pylori (HP) infection. DESIGN:Retrospective and descriptive. SETTING:Urban PCC. PATIENTS:Those over 14 who had a gastroscopy for a diagnostic purpose, r...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(00)78496-4

    authors: Vernet Vernet M,Roca Figueras G,Jovell Fernández E,Iglesias Rodríguez M,Ureña Tapia MM,Roca Fusalba A

    更新日期:2000-03-15 00:00:00

  • [Long-term effects of intensive intervention on changes in lifestyle in patients with hyperfibrinogenaemia and moderate-high cardiovascular risk].

    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

    authors: Illamola Martin L,Rodríguez Cristobal JJ,Alonso-Villaverde C,Salvador-González B,Moral Pelaez I

    更新日期:2018-01-01 00:00:00

  • [The results of the introduction of a protocol of preventive activities in a primary care center].

    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:

    authors: Tamayo Marco B,Deniel Rosanas J,López Plana A,Trallero Fort JC,Lafuente Navarro A,Lafuente Navarro C

    更新日期:1991-04-01 00:00:00

  • [The role of cancer registries in the planning of primary care. A special reference to the Calatayud health area].

    abstract::The present study is based on the analysis of records concerning 2,123 cases of cancer registered between 1973 and 1982 in the Health Sector of Calatayud. We pretend to find out what sort of role is played by the gathered cancer information registries on the Community Health Diagnosis elaboration and, therefore, on th...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Navarro Gracia JF,Muniesa Cuenca MP,Hernández Navarrete MJ,Sarriá Amigot J,Arribas Llorente JL,Sarasa Concellon J

    更新日期:1989-03-01 00:00:00

  • [Consumption of antibiotics and their possible relationship with bacterial resistance in the "Costa de Ponent" health region: analysis of evolution through the initial and end periods of the last decade].

    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

    authors: Solé López J,Rodríguez Palomar G,Grahit Vidosa V,Juncadella García E

    更新日期:2004-07-01 00:00:00

  • [Physician-patient communication and health education].

    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:

    authors: Gérvas JJ,Hernández LM,Martí A,García-Sagredo P,Elvira P,Estévez A,Salcedo JA,Pérez Fernández MM

    更新日期:1991-03-01 00:00:00

  • [Evaluation of the school health program for the detection of vertebral deformities].

    abstract:OBJECTIVE:To evaluate the prevalence of deformities of the vertebral column in the child population of a rural area; the index of false positives that diagnoses in the School Health programme generate; and the percentage of children where the diagnosis is confirmed and the treatment is then followed. DESIGN:Descriptiv...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Merchante T,Rey M

    更新日期:1992-04-01 00:00:00

  • [Outbreak of hepatitis A in day nursery: diagnosis and follow-up in a pediatric clinic].

    abstract::We describe one of four epidemic known outbreaks of type "A" hepatitis during the year 1987 in Jaén, and whose focal point was a day nursery placed in our sanitary area. We identify 75 cases; we followed 48 from a pediatric surgery (PS), 33 of them were from a day nursery (attack rate, 31.73%). To the 48 children from...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: García Puga JM,Toledano Cantero E,Ballesta Rodríguez M

    更新日期:1989-08-01 00:00:00

  • [Continuity of care: role of the link nurse].

    abstract:OBJECTIVE:To evaluate the link nurse programme after 2 years of operation. DESIGN:Descriptive study. SETTING:Primary vare in the towns of Sant Boi de Llobregat and Sant Vicenç dels Horts (Barcelona) and the County Hospital of Sant Boi, Spain. PATIENTS:Patients discharged from the hospital (October 2000-October 2002)...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(05)70566-7

    authors: Jódar-Solà G,Cadena-Andreu A,Parellada-Esquius N,Martínez-Roldán J

    更新日期:2005-12-01 00:00:00

  • [Chronic pathologies and pharmaceutical expenditure in persons over the age of 65].

    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:

    authors: Segade Buceta XM,Garcia Figueiras A,Cinos Ramos L,Casais Gude XL,Nieto Pol E,González Conde A,Gerpe Caamaño C

    更新日期:1992-07-01 00:00:00

  • [Carotid intima-media thickness and its current usefulness].

    abstract::Cardiovascular risk stratification is currently part of routine clinical practice to establish cardiovascular prevention strategies. A complementary approach to the assessment scales of cardiovascular risk stratification is the non-invasive evaluation of the atherosclerotic lesion to identify patients at high risk for...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2009.11.005

    authors: Aguilar-Shea AL,Gallardo-Mayo C,Calvo Manuel E,Zamorano Gómez JL

    更新日期:2010-09-01 00:00:00

  • [Bibliometric analysis of female authorship in original articles in the journal ATENCIÓN PRIMARIA].

    abstract:OBJECTIVES:To determine the percentage of female authors in original articles published during 2periods, in the journal of Atención Primaria (Primary Care), and to examine the differences between the categories of authorship (first, last author, and co-author) between both periods. DESIGN:Cross-sectional study. SETTI...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2019.11.002

    authors: Giner-Soriano M,López-Pereiro O,Zabaleta-Del-Olmo E,Pons-Vigués M,Morros R,Gómez-Lumbreras A

    更新日期:2021-01-01 00:00:00

  • [Tracing the map of medication errors outside the hospital environment in the Madrid Community].

    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

    authors: Taravilla-Cerdán B,Larrubia-Muñoz O,de la Corte-García M,Cruz-Martos E

    更新日期:2011-12-01 00:00:00

  • [The perception of health, social support and family function in HIV seropositivity].

    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:

    authors: de la Revilla L,Marcos Ortega B,Castro Gómez JA,Aybar Zurita R,Marín Sánchez I,Mingorance Pérez I

    更新日期:1994-03-15 00:00:00

  • [Population-based study of exercise habits in the counties of Alt Camp and Conca de Barvera (Tarragona)].

    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:

    authors: Vila Córcoles A,Pardo Fonfría C,Llor Vilà C,Espinosa Mata E,Gisbert Selles C,Martín Vallés H

    更新日期:1995-05-31 00:00:00

  • [The variability in the care for diabetic and hypertensive patients as a function of the styles of a physician's practice].

    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:

    authors: Mira JJ,Llinás G,Gil V,Lorenzo S,Palazón I,Orozco D

    更新日期:1999-02-15 00:00:00

  • [Prevalence of iron-deficiency anemia in the Basque Country].

    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:

    authors: Aranceta Bartrina J,Pérez Rodrigo C,Marzana Sanz I,Egileor Gurtubai I,Gondra Rezola J,González de Galdeano L,Sáenz de Buruaga Renobales J

    更新日期:1998-10-15 00:00:00