Abstract：
OBJECTIVE:To find the origin of primary care pharmaceutical prescription and where expenditure is attributed. DESIGN:A descriptive study of a prospective character. SETTING:Medical clinics of a primary care team at the Torre del Mar Health Centre, Málaga. MAIN RESULTS:A total of 2,580 prescriptions, whose average price was 1,415.4 pesetas, with a range from 135 to 35,889 pesetas, were issued. An average of 143.3 prescriptions a day were issued during the days analysed. The number of prescriptions issued by PC itself made up more than half the prescriptions, similar to the number of prescriptions originating elsewhere. The average price is greater for outside prescriptions than for prescriptions from within PC. Total accumulated cost was 3,651,912 pesetas. Expenditure on outside prescriptions was 1,774,783 pesetas, 48.59% of total cost. Total cost of prescriptions from within PC was 1,733,701 pesetas, 47.47% of the total. CONCLUSIONS:PC has been assigned the role of issuing most prescriptions in the health-care system. This causes various problems within PHC: 1) a major administrative overload; 2) a great imaginative effort to try to avoid bureaucratic burdens; and 3) a real ability to rationalise the offer of medicines using quality criteria of only about 50%, as the other 50% of medicines originates outside PHC. We believe an extension of the programmes to guarantee quality in specialist care is needed, particularly of those programmes relating to pharmaceutical prescription.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Lomeña Villalobos JA,Ceballos Vacas M,Medina Arteaga MT,Mediavilla Cordero E,Sarmiento Jiménez F,Hernández Grande JLsubject
Has Abstractpub_date
1996-06-15 00:00:00pages
35-8issue
1eissn
0212-6567issn
1578-1275journal_volume
18pub_type
杂志文章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
更新日期：2016-01-01 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 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 evaluate healthcare resource use and productivity in patients with gastro-esophageal reflux disease (GERD) and the influence of disease severity on these two factors. DESIGN:Sub-analysis of the Spanish population of a multinational study with a 4-month retrospective period for the identification and selec...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.09.009
更新日期：2011-09-01 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：AIMS:To describe the evolution of mortality due to gastric cancer in Andalusia and the current geographic distribution of mortality. DESIGN:Descriptive, population-based study. SETTING:Andalusia (Southern Spain) during the period from 1975 to 1999. PARTICIPANTS:Residents of the region of Andalusia. MEASUREMENTS:Cru...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70475-1
更新日期：2001-12-01 00:00:00
abstract：OBJECTIVES:To assess the validity of small questionnaires of 4,5 and 1 questions, based on the 15-question Spanish version of the Yesavage geriatric depression scale (GDS-VE), for diagnosing depression in the over-65s. DESIGN:Study to validate questionnaires. SETTING:Health centre consultations. PARTICIPANTS:258 pat...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13071040
更新日期：2005-01-01 00:00:00
abstract：AIM:To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction. DESIGN:Descriptive and retrospective study. SETTING:Primary Care, urban health care centre, Almería, Spain. PARTICIPANTS:The population were the patien...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2016.05.002
更新日期：2017-02-01 00:00:00
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...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79407-x
更新日期：2004-03-31 00:00:00
abstract：INTRODUCTION:The lack of patient knowledge about their medication is considered to be one of the main reasons for an inappropriate use. OBJECTIVE:This study the level of knowledge in patients about their prescribed antibiotic, and describes some of the factors related to this. DESIGN:A cross-sectional, descriptive an...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2014.04.014
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVE:To find the views and expectations of professionals working at primary care centres on team-work. DESIGN:Qualitative study. Focus group. SETTING:The study was conducted during May 1997 at the following primary care centres: Terrassa North, Sant Llatzer (Terrassa) and Antón de Borja (Rubí). These PCCs depend...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78670-7
更新日期：2000-09-30 00:00:00
abstract：OBJECTIVE:To test the validity of Ottawa ankle rules (OAR) in our field. To test the agreement physician/nurse in the assessment of the patient with acute ankle injuries. DESIGN:Observational, with application of rules and prospective outcome measurement. SETTING:Hospital emergency departments. PARTICIPANTS:Adults w...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-09-15 00:00:00
abstract：:We have evaluated the patients that were referred to the referencie hospital from the emergency service of our health center between July 1, 1988, and June 31, 1989, and we have followed them up after their arrival to the hospital. We had cared for 20,546 emergencies, particularly from internal medicine, pediatrics an...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：:To assess the prevalence of the hepatitis B virus carrier status in pregnant women from the population of Alicante and to evaluate the need of screening studies in future programs of attention to pregnant women, 550 women at the final stage of their pregnancies who were admitted to the Alicante Hospital were evaluated...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-04-01 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：: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：OBJECTIVES:To calculate the prevalence of eating attitudes which determine eating disorders and their relationship to social, personal and cultural variables. DESIGN:Prevalence study. PARTICIPANTS:Centres of secondary education. Gijón Health Area (Asturias). Secondary school students (n = 17,000) selected by multi-st...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78511-8
更新日期：2000-03-31 00:00:00
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：
更新日期：1989-03-01 00:00:00
abstract：OBJECTIVE:To discover how osteoporosis is tackled in Spanish primary care before the publication of the semFYC osteoporosis guide. DESIGN:Self-filled questionnaire for primary care doctors sent out by commercial mail (in blocks per province). SETTING:Five thousand family medicine clinics in Spain.Participants. Doctor...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)79046-x
更新日期：2002-10-15 00:00:00
abstract：OBJECTIVES:To discover the view of primary care doctors on aspects of the safety of medicines, their knowledge of the programme of automatic notification of negative side-effects of medicines (NSEM), their opinion of the programme and factors affecting low notification. DESIGN:A survey of views. SETTING:Madrid's Heal...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-04-15 00:00:00
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：
更新日期：1997-05-31 00:00:00
abstract：OBJECTIVE:To prepare and validate a tool to measure Basic Life Support (BLS) and semi-automatic defibrillator (SAD) skills adapted for use by health professionals in Primary Care Teams (PCT). To propose an updated version and demonstrate self-sufficiency of the team to use it in a training evaluation. DESIGN:Validatio...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2009.03.006
更新日期：2010-01-01 00:00:00
abstract：:Acute pharyngitis in adults is one of the most common infectious diseases seen in general practitioners' consultations. Viral aetiology is the most common. Among bacterial causes, the main agent is Streptococcus pyogenes or group A β-haemolytic streptococcus (GABHS), which causes 5%-30% of the episodes. In the diagnos...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.02.002
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVE:To analyse the repercussions that caring for chronically sick patients at home can have on the health of the main carers. DESIGN:A descriptive crossover study. SETTING:"Raval Nord" Health District, Barcelona. PATIENTS AND OTHER PARTICIPANTS:All the 336 chronically sick at home recorded in the home-care pro...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-04-30 00:00:00
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：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
pub_type： 杂志文章
doi：10.1157/13071939
更新日期：2005-02-28 00:00:00
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). MEASUR...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-04-15 00:00:00
abstract：OBJECTIVE:To evaluate the prescription of generic medicines by the primary care doctors in a health district after an intervention programme conducted by the area pharmacist. DESIGN:Intervention study. Two indicators were selected as indicators of pharmaceutical prescription of generics. SETTING:Primary care. Distric...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13087380
更新日期：2006-04-30 00:00:00
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
更新日期：2005-12-01 00:00:00
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
更新日期：2011-12-01 00:00:00
