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, prospective and observational study. SETTING:Health Centre in an urban area in Vitoria. PATIENTS AND OTHERS PARTICIPANTS:All the sickness occasioning time off work between May and July, 1991, recorded at the above Health Centre: a sample of 224 TUW. MEASUREMENTS AND MAIN RESULTS:In 11.6% of the TUW the diagnoses did not coincide. The main reasons for the lack of correspondence were: initial ignorance of the diagnosis (34.6%); confidentiality before a third party (25.9%); pretense (14.8%). There was a notable difference between the psychological diagnoses (12) and those found in the official certificate 3 for TUW (p = 0.032). The most common diagnostic group was the locomotive one (29%). CONCLUSIONS:There is considerable inexactness in the diagnoses on the official TUW certificate. A lot of time off for psychological reasons is covered up by organic complaints. The locomotive group of complaints is the most commonly found one. We propose that the CIAP classification should be adopted to standardise diagnoses in this area.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Abraín Aznar A,Lafuente MP,Urraca J,Olasagasti C,Gil JM,Ruiz Téllez Asubject
Has Abstractpub_date
1993-05-31 00:00:00pages
453-8issue
9eissn
0212-6567issn
1578-1275journal_volume
11pub_type
杂志文章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:
更新日期:1998-10-15 00:00:00
abstract:OBJECTIVE:To determine whether hypercholesterolaemia treatment with pravastatin causes modifications in plasma fibrinogen. DESIGN:Descriptive, prospective pharmacological intervention study, with two transversal cuts, one at the start and one after 6 months pravastatin treatment. SETTING:Health area located in the su...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78824-5
更新日期:2001-04-15 00:00:00
abstract:OBJECTIVES:To find whether the variables age, gender, speciality, training and type of contract of primary care doctors, as well as the size of their patient lists and the sort of centre where they work, affect their absenteeism, as measured by time off work sick. DESIGN:An observational, crossover study. SETTING:Nou...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-03-15 00:00:00
abstract:OBJECTIVES:Evaluate the effectiveness of the implementation of independently or combined dietary and physical activity programs on the blood glucose values and lipid profile in patients with type 2 diabetes, including participants aged 60 years and over. DESIGN:Systematic review. DATA SOURCE:PubMed/Medline database, ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.06.012
更新日期:2018-12-01 00:00:00
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
更新日期:2007-02-01 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 measure doctors' attitudes to the opening of Health Centres. DESIGN:Descriptive study. SITE. Primary Care services on the island of Gran Canaria. PARTICIPANTS:Doctors with tenure. MAIN MEASUREMENTS AND RESULTS:From a self-administered Likert type questionnaire, it could be observed that the proportion o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-04-15 00:00:00
abstract:OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-09-30 00:00:00
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
pub_type: 杂志文章
doi:
更新日期:1999-10-31 00:00:00
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 ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-05-31 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:An analysis of the impact of the commercialisation of intranasal administration on calcitonin consumption. DESIGN:Descriptive study. SETTING:Non-hospital ambit within the national health system. PATIENTS AND OTHER PARTICIPANTS:A protected population group within the national health system, with occupationa...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-03-15 00:00:00
abstract::An evaluation study of the quality of care was carried out in diabetic patients aged 20 years or more diagnosed since the primary health care center had been opened. 20 criteria accepted by consensus were evaluated in all be clinical records of the diabetic population. A remarkable result was the high rate of incorrec...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
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...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/S0212-6567(14)70090-3
更新日期:2014-11-01 00:00:00
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
doi:10.1157/13078602
更新日期:2005-09-15 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:OBJECTIVE:To analyse the nutritional status of patients older than 65 years included in the home care program (PAD). DESIGN:Croos-sectional study. EMPLACEMENT:3 urban health centers. PARTICIPANTS:218 patients in the PAD. METHOD:Mini Nutritional Assessment questionnaire (MNA) was applied. Sociodemographic, anthropom...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2017.02.006
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:To determine the differences in the diagnosis of light arterial hypertension between using three tension measurements (over 2 or 3 weeks) or five (6 or 7 weeks). DESIGN:A descriptive, longitudinal study. SETTING:Santomera Health Centre, Murcia. PARTICIPANTS:In 245 patients initially diagnosed as suffering ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-03-31 00:00:00
abstract:OBJECTIVE:The objective of this study is to assess the usefulness of a programme of attention to pharmaceutical prescriptions (APP) so as to detect medicine-related problems. DESIGN:A descriptive study of the findings after six months operation of this programme. SETTING:Five primary care centres in the Bahía-Cádiz A...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78877-4
更新日期:2001-05-31 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::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:OBJECTIVE:To measure with primary data the kinds of family doctor consultations, the reasons for them and the interruptions. DESIGN:Observational, transversal, and multi-centred study. SETTING:All the health centres in Area 17 of the Community of Valencia. PARTICIPANTS:Representative sample of 2051 patients belongin...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13071914
更新日期:2005-02-15 00:00:00
abstract::Oxyuriasis is one of the commonest infestations in our area, with rates ranging from 5% to 75% in several studies. The present study was carried out in 100% of schoolchildren in a rural town with a population of 1,000 in the Lerida province. The study had two parts. On the one side, the prevalence of oxyuriasis was ev...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVE:To discover the prevalence and most relevant epidemiological characteristics of the victims of traffic accidents which occur in our health area. SETTING:Hospital Casualty department (HC), Health area 19, Alcoy. PATIENTS:This was an observational, crossover study, based on the collection of data from all tho...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-09-15 00:00:00
abstract::The general situation of pediatric care in Asturias is characterized by the imbalance between the two levels of care, with a high number of hospital beds and staff members, requiring a redistribution in number and functions, and a deficit in staff and material resources at the primary care level, with massified practi...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:To describe the health situation of the target population (women between 15 and 45 and children from 0 to 3), living in the towns on the West Bank in which the 12 dispensaries of the Palestine NGO Health Services Council were located, in order to plan a programme of support activities for that NGO. DESIGN:Cr...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-11-15 00:00:00
abstract:AIM:To determine the effectiveness of medical counseling for alcohol abuse, when it is provided in primary care centers. DESIGN:Quasi-experimental, open, multicenter before-after study.Setting. 14 primary care physician's practices (7 rural, 7 urban) in the province of Córdoba (Spain). PARTICIPANTS:306 patients of bo...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/s0212-6567(03)70674-x
更新日期:2003-02-28 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:OBJECTIVE:To know the usefulness and applicability of an information system for basic health areas put into operation 16 years ago. DESIGN:Descriptive study of selected indicators registered in 1994 and 2004. SETTING:Basic health areas of Barcelona, Spain. PARTICIPANTS:Population living in Barcelona, Spain, during 1...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13118058
更新日期:2008-04-01 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