Abstract:
BACKGROUND:The implementation of an information system on prescription drug plan that includes the pharmacological classification and the composition of the drugs. In addition to economic data, makes it possible to analyze prescriptions from a pharmacotherapeutic and economic perspective and, accordingly, carry out administrative and information interventions that improve the quality and reduce the cost of prescriptions. METHODS:The study will be conducted at the National Institute of Social Services for Retirees and Pensioners of Argentine (INSSJP), which basically covers the population aged 60 and over. The data source was the computerized billing of the prescriptions, used up to that time only as a mechanism to monitor billing; this was cross-referenced with a database in which the drugs were broken down into therapeutic groups and subgroups with the composition of the active ingredients. Beginning in 1987, a series of periodic monthly reports was issued on container consumption and expenditures, by therapeutic groups and subgroups and by the active ingredients; this was done at the national level and regionally, according to the INSSJP divisions. These reports gave rise to a series of interventions, such as the establishment of a drug formulary and two changes in the system of coverage that attempted to promote the use of single-ingredient drugs of proven efficacy. RESULTS:The 1987 analysis of consumption revealed that the therapeutic group that accounted for the highest container consumption and expenditures was cardiovascular drugs (21% in number of containers and 32% in expenditures) and within this, cerebral and peripheral vasodilators represented 42% of the container consumption and 52% of the expenditures; antihypertensive drugs, 21% and 19%, and coronary drugs, 19% and 22%. The establishment of the drug formulary and the changes in the system of coverage caused a decline in the use of cardiovascular drugs in 1990 in terms of expenditures (19% and 26%); within this category, vasodilators came to represent 27% of the container consumption and 18% of expenditures, while antihypertensive drugs rose to 28% and 35%, and coronary drugs to 27% and 32%. CONCLUSIONS:Implementation of an Information System makes it possible: a) to periodically evaluate the profile of prescriptions at the country and regional levels; b) to appropriately introduce a drug formulary and modifications in the system of coverage; c) to assess the consequences of the interventions carried out.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
Iñesta García A,Navarro I,Anzola Pérez E,Fefer Esubject
Has Abstractpub_date
1995-05-01 00:00:00pages
315-27issue
3-4eissn
1135-5727issn
2173-9110journal_volume
69pub_type
杂志文章abstract:BACKGROUND:To ascertain the degree to which AIDS is officially reported in Catalunya. METHOD:The request for T CD4+ white blood cell counts and the prescribing of antiretroviral drugs in seven university hospitals in Catalunya from January 1, 1994 to June 31, 1994 were used as data-comparison sources. A case was consi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract:BACKGROUND:the C-section rate has been criticized as a performance indicator for not considering that different hospitals manage deliveries with diverse risks. In this work we explore the characteristics of a new indicator restricted to low C-section risk deliveries. METHODS:retrospective cohort of all births (n=214,6...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272014000300002
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:To Study the incidence of coronary heart disease (CHD) and all-cause mortality in a cohort of men followed during 28 years, and their association with serum cholesterol, systolic blood pressure, glycemia, cigarette smoking and body mass index measured at baseline. METHODS:A cohort of 1,059 men aged 30 to 59...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272004000200009
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:There are recommendations to prevent falls. Our goal is to determine, in older people, the knowledge and adherence to these recommendations, and to analyze the demographic characteristics and associated morbidity. METHODS:Observational study of prevalence and crossed association. The target population are o...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:Informal care affects the quality of life and emotional health. Objective: To analyze the relationship between burden and depression in caregivers measured by Zarit's Scale and GHQ-28 and the global functional deterioration of the elderly measured by OARS-MFAQ. METHODS:Descriptive observational cross-section...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2019-08-06 00:00:00
abstract:BACKGROUND:Physical inactivity remains a public health problem worldwide. The purpose of this study was to determine compliance with physical activity (PA) recommendations developed by the World Health Organization (WHO) and to analyze the association with different cardiovascular risk factors (CVRF) and sociodemograph...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272015000500003
更新日期:2015-10-01 00:00:00
abstract::The paper analyzes the situation of the psychiatric reform 25 years of the General Health Law. The author wonders what has been done and what has been left undone, on the degree of implementation of the Community model that adopts the law and its future sustainability. It highlights, among the strengths, the loss of h...
journal_title:Revista espanola de salud publica
pub_type: 历史文章,杂志文章
doi:10.1590/S1135-57272011000500002
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:Despite knowing that the practice of physical activity can positively influence the health of older people, there are variables such as the risk of dependency and the level of self-esteem that can mediate people´s quality of life. The objective of this study was to know the relationship between the risk of de...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-08-27 00:00:00
abstract:OBJECTIVE:One in four pregnant women has at least one fall during their pregnancy. The objective of this research was to develop a written educational material on fall prevention for pregnant women, promoting self-efficacy and the expectations of results based on the social cognitive theory. It was also intended to eva...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-01-21 00:00:00
abstract::This article provides an account of the qualitative research experiment conducted by the Public Health Administration of the Autonomous Community of Madrid from 1991 to date. This research was divided into two working areas, that is, the "Sociocultural Health Information System" and the "Research Program". The former ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:Social inequality in health is an increasing phenomenon in the world. The aim was to compare in 2002 and 2012, the magnitude of inequalities in leisure-time physical inactivity by educational level in Spain, but also the trends in health perception, in physically inactive people. METHODS:A cross-sectional s...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272015000300004
更新日期:2015-05-01 00:00:00
abstract:BACKGROUNDS:Meningococcal disease remains a serious public health problem worldwide. In Catalonia, after implementing the vaccination program, there has been a significant decrease in cases caused by meningococcus C. METHODS:Reported cases of meningococcal disease between 1997 and 2008 were analyzed to determine the e...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272009000500013
更新日期:2009-09-01 00:00:00
abstract::The spread of Aedes albopictus by Eastern Spain has been constant since its first finding in 2004. Currently the species has been collected in the coastal provinces of Girona, Barcelona, Tarragona, Castellón, Alicante and Murcia. The high synanthropism of the species, together with its anthropophilic behaviour and vec...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272012000400002
更新日期:2012-07-01 00:00:00
abstract::The search of new health management formulas focused to give wide services is one of the priorities of our present health policies. Those formulas examine the optimization of the links between the main actors involved in public health, ie, users, professionals, local socio-political and corporate agents. This paper is...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272013000400002
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Given the increasing flux of immigrant population from high-risk areas to our country, the need of screening for loasis arises, despite systematic screening being a debated and poorly evaluated practice to which there is no protocol. This study is aimed at identifying the population to which loasis screening...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272004000500007
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:The purpose of this work is to analyze the fertility of the hydatid cysts from ovine, animal species of great epidemiological interest in the hydatid disease, and the ability of the gerbil (Meriones unguiculatus) as model experimental for the study "in vivo" of this hidatyd disease as preliminary phase of th...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVE:Hand hygiene (HH) is essential for the prevention of health care-associated infections (HAIs). Compliance rates documented in Spain and internationally are low, although improvement is possible using some strategies and training. The aim of this study was to know the evolution of the adherence to the 5 moment...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-07-22 00:00:00
abstract::The eradication of polio in Spain is one of the most important health milestones of the twentieth century, not only for public health but also for the effect it had on scientific knowledge in our country, in the medical field. Knowledge of international literature by our epidemiologists and virologists, was important,...
journal_title:Revista espanola de salud publica
pub_type: 历史文章,杂志文章
doi:10.4321/S1135-57272013000500002
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:The high number of computer workers wearing contact lenses raises the question whether the sum of these two risk factors for eye health may cause a worsening of Computer Vision Syndrome. The aim of this review is to synthesize the knowledge about ocular and visual alterations related with computer use in con...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272014000200004
更新日期:2014-03-01 00:00:00
abstract::Although various measures have been implemented in Spain with the aim to modifying the behavior of motor vehicle users, it has not been observed a descending trend in traffic accident and injuries from traffic accident. This article considers the question of whether the measures taken to reduce motor vehicle crash-rel...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:The phenomenon of reverse drug trafficking in the legal supply chain is an unlawful practice to serious risks to public health. The aims was to identify proactively pharmacies that carry out these illegal activities. METHODS:An analysis was performed through the crossing billing data to SAS of 52 million pac...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2016-04-04 00:00:00
abstract:OBJECTIVE:The evaluation of vaccination programmes using cost estimation is an essential tool for immunization policy. The aim of this study was to describe the cost of vaccination through-out life in Spain, both in healthy and risk groups persons. METHODS:Description of cost of vaccination following the national immu...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-02-11 00:00:00
abstract:BACKGROUND:This study assesses the effectiveness of the palliative home care for the purpose of ascertaining whether terminal cancer patients treated by Homecare Support Teams have a better quality of life than those treated by Primary Care Teams. METHODS:A quasi-experimental prospective study conducted in Madrid Heal...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract::Performance measurement, in their different meanings--either balance scorecard or outputs measurement--have become an essential tool in today's organizations (World-Class organizations) to improve service quality and reduce costs. This paper presents a performance measurement system for the hospital supply chain. The ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Given that there are different ways of setting out clinical test results, this study is aimed at ascertaining whether the way in which these results are set out has any bearing on the intention to prescribed on the part of Primary Care physicians. METHODS:Randomized, multi-center cross-study. Following a ra...
journal_title:Revista espanola de salud publica
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1590/s1135-57272004000100004
更新日期:2004-01-01 00:00:00
abstract::We present the adaptation for Spain of the updated European Cardiovascular Prevention Guidelines. In this update, greater stress is laid on the population approach, and especially on the promotion of physical activity and healthy diet through dietary, leisure and active transport policies in Spain. To estimate vascula...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-09-11 00:00:00
abstract::Falls in the elderly are a serious problem that results in large health care expenditures. To prevent them, it has been shown that the key is an epidemiologic knowledge of the target population. The purpose of this systematic review was to identify the incidence, risk factors and consequences of falls in the Spanish p...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272008000100004
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:It is described an acute gastroenteritis outbreak of probable hydric transmission in Ontinyent (Valencia). It was declared on the 31st of January, 1992 and affected 3541 people according to the declaration done by the sanitary services who attended the patients. The clinical situation was characterized by th...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract:OBJECTIVE:Nowadays, after licensure of the second generation new pneumococcal conjugate vaccines (PCV10/PCV13). The epidemiology of the pneumococcal disease must be re-evaluated. The present study described incidence, lethality and serotype distribution of invasive pneumococcal disease (IPD) in the general population o...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2018-10-02 00:00:00
abstract:OBJECTIVE:One of the fist lines of action of the National Plan against Antibiotic Resistance (PRAN) is to monitor the use of antibiotics as a fundamental basis for the fight against resistance. In order to know the antibiotic prescription habits, we pretended to describe the outpatient prescription of systemic antibiot...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-09-25 00:00:00