[Domiciliary care of the terminal cancer patient: evaluation and proposals by physicians and nurses].

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). MEASUREMENTS AND RESULTS:Self-responded anonymous questionnaire. Dates: 10-20 December, 1990; response rate: 89%. Most participants said in the previous year they were responsible for 3 or more home terminal cancer patients. 35.6% said emergencies were handled in a hospital; professionals working in non-urban areas and in the non-reformed Primary Care system less often used hospitals. Access to consultants was deemed difficult by most interviewees, but most said consultants' reports were good or excellent; physicians valued reports higher than nurses (odds ratio [OR] = 5.43, P < 0.001). Most participants reported continuous education to be scarce or nonexistent. Also, most said care given to terminal cancer patients was inadequate; younger professionals (p = 0.001) y and those working in the reformed Primary Care system (P = 0.003) were more critical. CONCLUSIONS:Interest of primary care professionals in terminal cancer patients was higher in less populated areas, among those having a permanent contract and in the reformed system.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Busquet Durán X,Porta Serra M,Jariod M,Busquet Mas C,Sánchez Blanco AM,Duocastella Bastardes P

subject

Has Abstract

pub_date

1994-04-15 00:00:00

pages

291-9

issue

6

eissn

0212-6567

issn

1578-1275

journal_volume

13

pub_type

杂志文章
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  • [The program for the control of temporary incapacity at the Instituto Social de la Marina of the province of Cádiz].

    abstract:OBJECTIVE:To evaluate the results of a programme of intervention into the monitoring of short-term unfitness for work of members of the Special Sea Regime at Cádiz during 1997. DESIGN:Quasi-experimental intervention study with a pre- and post-intervention group, formed by the doctors from the Instituto Social de la Ma...

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    authors: Abellán Hervás MJ,Esteban López S

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  • [Prevalence and factors associated with burnout in a health area].

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    更新日期:2001-03-31 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...

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    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

  • [Use of pap smear for cervical cancer screening and factors related with its use in Spain].

    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...

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    doi:10.1016/s0212-6567(04)79407-x

    authors: Luengo Matos S,Muñoz van den Eynde A

    更新日期:2004-03-31 00:00:00

  • [A strategic family medicine model for controlling borderline and mild arterial hypertension].

    abstract:OBJECTIVE:To research on the relationship of the patient and his/her family as a non-pharmacological factor for blood hypertension. To determine whether a hyposodic, hypocaloric, hypofat, and hypocholesterolemic diet decreases the blood tension. To determine whether physical exercises in the patient and his/her family ...

    journal_title:Atencion primaria

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    doi:

    authors: Uzcátegui Contreras D,Granadillo Vera D,Salinas PJ,Alvarez N

    更新日期:1999-10-31 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...

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    更新日期:2000-03-15 00:00:00

  • [The hospital discharge report in primary care (1). An analysis of its utility].

    abstract:OBJECTIVES:To calculate the number of hospital discharge reports (HDR) received in primary care for determined kinds of patients suffering chronic pathologies who need on-going care. To evaluate whether the reports' contents are of use to the family doctor's monitoring of the patient. DESIGN:Descriptive study. SETTIN...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(00)78687-2

    authors: Buxadé Martí I,Canals Innamorati J,Montero Alcaraz JC,Pérez Galindo J,Bolíbar Ribas I

    更新日期:2000-10-15 00:00:00

  • [Control of overweight children in primary care].

    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:

    authors: Vegas Jiménez T,García Carrasco A,del Cañizo Fernández Roldán JC,Romero Santisteban R,García Pérez R,Esteva Rodríguez A

    更新日期:1989-11-01 00:00:00

  • [Adverse reactions to drugs in a health center].

    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:

    authors: de Frutos Hernansanz MJ,Lázaro Damas A,Llinares Gómez V,Azpiazu Garrido M,Serrano Vázquez A,López de Castro F

    更新日期:1994-09-30 00:00:00

  • [Monoclonal gammapathy of uncertain significance. A perspective from the primary care setting].

    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:

    authors: Bordas Julve JM,Solé Villa J,García Pont X,Guarga Rojas A

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  • [Working out a questionnaire to study the relationship between doctors and the drug industry].

    abstract:OBJECTIVE:To work out and validate a questionnaire that can be self-filled and has closed answers to describe: 1) the kind of relationship between family doctors and the pharmaceutical industry; 2) the attitude of family doctors towards this relationship, and 3) the conduct of family doctors when faced with concrete of...

    journal_title:Atencion primaria

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    authors: Galán Herrera S,Delgado Marroquín MT,Altisent Trota R

    更新日期:2004-06-30 00:00:00

  • [Prevalence of mental diseases in women of an urban area].

    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

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    doi:

    authors: Arillo Crespo A,Aguinaga Ontoso I,Guillén Grima F

    更新日期:1998-03-31 00:00:00

  • [The attitudes and behavior of the general primary-care physician towards the neurological patient].

    abstract:OBJECTIVE:1) To find the opinion of general practitioners working in primary care (GP in PC) regarding how they deal with neurological patients. 2) To find the effect on this question of intern training in family and community medicine (FCM). DESIGN AND SETTING:A survey filled out by a representative sample of GP in P...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Casabella Abril B,Pérez Sánchez J

    更新日期:1995-04-15 00:00:00

  • Sleep patterns and insomnia among portuguese adolescents: a cross-sectional study.

    abstract:INTRODUCTION:Inadequate sleep patterns and insomnia are frequently linked and represent common sleep disorders among adolescents. The present study provides data on sleep patterns and insomnia among Portuguese adolescents. MATERIAL E METHODS:In a cross-sectional study we evaluated 6,919 students from the 7th to the 12...

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    pub_type: 杂志文章,多中心研究

    doi:10.1016/S0212-6567(14)70090-3

    authors: Amaral O,Garrido A,Pereira C,Veiga N,Serpa C,Sakellarides C

    更新日期:2014-11-01 00:00:00

  • [Multimorbidity patterns in young adults in Catalonia: an analysis of clusters].

    abstract:OBJECTIVE:The aim of this study was to identify multimorbidity patterns in patients from 19 to 44 years attended in primary care in Catalonia in 2010. DESIGN:Cross-sectional study. SETTING:251 primary care centres. PARTICIPANTS:530,798 people with multimorbidity, aged 19 to 44 years. MAIN OUTCOME MEASURES:Multimorb...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2015.10.006

    authors: Violán C,Foguet-Boreu Q,Roso-Llorach A,Rodriguez-Blanco T,Pons-Vigués M,Pujol-Ribera E,Valderas JM

    更新日期:2016-08-01 00:00:00

  • [An analysis of the information in the Medicom International Vade Mecum with respect to drugs with vitamin A].

    abstract:OBJECTIVE:Determination of whether rational drug use is facilitated by the quality of the information provided by the Medicom International Vademecum on drugs containing vitamin A as active component. DESIGN:Descriptive study. SETTING:Primary, specialized and hospital health care within the national context. SUBJECT...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Palop Larrea V,López-Martín JM,Catalán Oliver C,Pastor Navarro MC,Moreno Ballesteros R,Rubio Gomis E,Martínez Mir I

    更新日期:1997-05-31 00:00:00

  • [Spanish medical students and Family Medicine. Data from the two phases of a national questionnaire].

    abstract:OBJECTIVE:To examine the perceptions and expectations about Family Practice (FP) and Primary Care (PC) in 1st, 3rd and 5th year students in medical schools. DESIGN:An observational study in two cross sections with intervals of two years. LOCATION:Spanish Medical Schools. PARTICIPANTS:1st, 3rd and 5th year students o...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2012.07.007

    authors: Martín Zurro A,Jiménez Villa J,Monreal Hijar A,Mundet Tuduri X,Otero Puime A,Alonso Coello P,Investigación Universidad y Medicina de Familia (UNIMEDFAM).

    更新日期:2013-01-01 00:00:00

  • [Is breast-feeding a protective factor for infectious diseases? A case-control study].

    abstract:AIM:To analyze if breast-feeding (BF) is a protective factor against infectious diseases. DESIGN:Case-control study. Retrospective study during 1998. SETTING:Primary care. Teaching health center. Population of 22,500 inhabitants. PATIENTS:We consider an alpha risk of .05 and a beta risk of .20, unilateral hypothesis...

    journal_title:Atencion primaria

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    doi:10.1157/13071939

    authors: Carratalá Munuera MC,Gascón Pérez E,Raga Ortega M

    更新日期:2005-02-28 00:00:00

  • [Work-related anxiety among nursing personnel].

    abstract:OBJECTIVE:To assess if work-related activities represented a threatening situation for nursing personnel through the correlation between the level of usual anxiety (trait-anxiety) and the level of anxiety present during working hours (state-anxiety). As well as, to determine state-anxiety risk factors. MATERIAL AND ME...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Garza Elizondo ME,de León Ledezma MA,Estada Ramírez MT,López Núñez MG,Urbano Velázquez ME,Salinas Martínez AM,Villarreal Ríos E

    更新日期:1999-02-28 00:00:00

  • [Metformin for type-2 diabetes mellitus. Systematic review and meta-analysis].

    abstract:OBJECTIVE:To evaluate the efficacy of metformin against placebo, diet, oral anti-diabetics, or insulin in type 2 diabetes mellitus. DESIGN:Systematic review. DATA SOURCES:MEDLINE (1966-2003), EMBASE (1974-2003), LILACS (1986-2003), Cochrane library (Issue 3, 2003). SELECTION OF STUDIES:29 randomized clinical trials ...

    journal_title:Atencion primaria

    pub_type: 杂志文章,meta分析,评审

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    更新日期:2005-09-15 00:00:00

  • [Profile of health professionals from Lleida regarding health education].

    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:

    authors: Sáez Cárdenas S,Marqués Molías F,Pallarés Gómez J,Serrano Segura J,Nuín Orrio C,Martínez Fernández V

    更新日期:1999-07-01 00:00:00

  • [Burnout in primary care doctors of the province of cáceres].

    abstract:OBJECTIVES:To analyse the degree of professional burnout in primary care doctors from our province and the effect of various factors.Design. Descriptive and analytic cross-sectional study. SETTING:Primary care (PC) in the province. PARTICIPANTS:All the PC doctors in the province of Cáceres (n=255). MAIN MEASUREMENTS...

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    更新日期:2002-03-31 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

  • [Prevalence of tobacco dependence in 6 counties of Lleida].

    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:

    authors: Serna Arnaiz MC,Serra i Majem L,Miret Montané M,Gascó Eguiluz E,Perera Enjuanes A,Mitjavila López J

    更新日期:1997-03-31 00:00:00

  • [Erectile dysfunction in primary care as possible marker of health status: associated factors and response to sildenafil].

    abstract:OBJECTIVES:To find the factors linked to erectile dysfunction, to evaluate this as a possible marker of health status, to analyse the evolution of clinical parameters of associated illnesses and the response to Viagra.Design. Intervention study without a control. SETTING:Alguazas Health Centre (Murcia). PARTICIPANTS:...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(02)79030-6

    authors: Guirao Sánchez L,García-Giralda Ruiz L,Sandoval Martínez C,Mocciaro Loveccio A

    更新日期:2002-09-30 00:00:00

  • [Efficacy of educational sessions to modify the prescription of new drugs].

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    journal_title:Atencion primaria

    pub_type: 杂志文章,多中心研究,随机对照试验

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    更新日期:2005-10-31 00:00:00

  • [Short-term time off work: its characteristics at a health centre from 2000-2002 inclusive].

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    journal_title:Atencion primaria

    pub_type: 杂志文章

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    authors: García-Díaz AM,Pértega-Díaz S,Pita-Fernández S,Santos-García C,Vázquez-Vázquez J

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  • [Pharmaceutical expenditure in primary care according to the prescription source].

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    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Lomeña Villalobos JA,Ceballos Vacas M,Medina Arteaga MT,Mediavilla Cordero E,Sarmiento Jiménez F,Hernández Grande JL

    更新日期:1996-06-15 00:00:00

  • [Elimination of measles plan in the Valencia community: epidemiological surveillance in 2003].

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    journal_title:Atencion primaria

    pub_type: 杂志文章

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    更新日期:2005-10-15 00:00:00