Abstract:
BACKGROUND:The study consisted of two phases. The first phase involved analysis of the variability in the rates of changing doctor recorded in the Areas of Insalud in the first two years after Royal Decree 1575/93 came into effect, pinpointing some of the factors that might explain this variability. The second phase describes the profile of the citizens who voluntarily changed their General Practitioner in a Health Area, and the possible reasons for doing so. METHODS:A simple correlation is made between the accumulated rates of G.P. change in the Areas (voluntarily and owing to a change of address) and certain variables that were presumably associated with this, together with a systematic sampling of the voluntary changes recorded in Area 5 Madrid, for the first three-monthly period in 1994, and a description of the characteristics of both the patients involved and their former doctors. RESULTS:The two-yearly rates of voluntary change in Areas (1.73-18.87 changes for every 100 cards) are correlated with the following variables: lower ageing of the population, number of inhabitants/doctor, frequency of visits, proportion of evening surgeries and population concentration on the Area. These last three variables are also correlated with the rates of change of address in the Areas (0.62-7.35 changes for every 100 cards). By contrast, no correlation was to be found between the two rates of change, neither was there any correlation between them and the extension of the cover through Primary Aid Teams. Those who requested to change doctors in the Area studied, were differentiated from the rest of the population in the Area because of their age (there was a larger number of elderly people and less adults than were expected) and zone of residence (more urban and less rural). Most of the patients did not change the model but did change their surgery visiting hours (the tended to change to the evening surgery), but these latter differences where not statistically significant. CONCLUSIONS:The rate for changing one's G.P. in the Areas, bears no relationship to the setting up of Health Centres, but rather with factors that are present in the urban Areas (population concentration and an increase in the offers of assistance), which were conducive to the use of the new legislation by citizens, especially those who are users of the services.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
García Marco Csubject
Has Abstractpub_date
1996-05-01 00:00:00pages
271-81issue
3eissn
1135-5727issn
2173-9110journal_volume
70pub_type
杂志文章abstract:BACKGROUND:To determine the short-term impact of air pollution on mortality in the city of Valencia throughout the 1994-1996 period by employing the analysis method of the Spanish multicenter study with regard to the relationship between air pollution and the mortality (EMECAM Project). METHODS:The daily levels of bla...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,多中心研究
doi:
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are widely used but they increase the risk of gastrointestinal haemorrage among other adverse effects. The objective of this study was to compare potentially inappropriate medications (PIM) by NSAIDs using the original Beers Criteria, a global reference for evalu...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2018-05-28 00:00:00
abstract:BACKGROUND:Olive oil, as fundamental fat in the Mediterranean diet, has contributed to a decrease in obesity in several epidemiological studies. It is unknown whether olive oil itself can decrease the weight independently of the diet used. The objective of this work was to determine the efficacy of olive oil in reducin...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,meta分析
doi:
更新日期:2018-11-21 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::Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) initiative developed recommendations on what s...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272008000300002
更新日期:2008-05-01 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:BACKGROUND:The effect of the weather temperature on mortality has been studied more in depth than its effect on morbidity. In Murcia, the number of daily emergencies and the cases of heat stroke for which care is provided at the hospitals in this Region have been studied. OBJECTIVE:to evaluate the effect that the weat...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272008000200002
更新日期:2008-03-01 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:BACKGROUND:the prevalence of chronic viral hepatitis in Spain could vary because of the immigrants coming from countries having an elevated with a higher endemicity of hepatitis B and C virus. Hepatitis B and hepatitis C virus infections are an important health problem worldwide taking into account their chronic conseq...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272014000600012
更新日期:2014-11-01 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::In the midst of the SARS-CoV-2 public-health pandemic emergency, it is important to understand its zoonotic origin and how an animal virus finally infects humans. Identifying the circumstances in which a virus jumps species boundaries to infect humans so productively is objective of this work and will help us to deter...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-09-30 00:00:00
abstract:BACKGROUND:Human immuno-deficiency virus (HIV) infection is one of the leading public health problems in our country. Preventive education has shown itself to be a useful tool for curtailing this disease. The objective of this study is that of assessing the effectiveness of a preventive intervention at the Secondary Sc...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2003-05-01 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:The European Commission recommends ensuring equity in cancer screening. The aim of this study was to find out if there were inequalities in access to cancer screening programmes in Spain. METHODS:A transversal study was carried out by means of a survey addressed to the people responsible for breast, colorect...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2021-01-26 00:00:00
abstract:OBJECTIVE:Hospital costs associated with Chronic Hepatitis C (HCC) arise in the final stages of the disease. Its quantification is very helpful in order to estimate and check the burden of the disease and to make financial decisions for new antivirals. The highest costs are due to the decompensation of cirrosis. METHO...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2018-04-23 00:00:00
abstract:BACKGROUND:Following the detection of two cases of members of 6 Chinese families having tested positive for the hepatitis B virus, a study of those living in these families was begun for the purpose of knowing the spread of the infection within the family environment of the cases detected. METHODS:Descriptive study. P...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272004000600005
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Dance is essentially an artistic discipline, with the dancer being exposed, as in any other occupation, to occupational risk factors. This document aims at identifying the characteristics about Professional Dance and its impact on the dancer's health. METHODS:Bibliographical review of all the material index...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272009000400004
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:The main justification of this study was to describe our experience in neonatal screening and to define the prevalence of the diseases included in the neonatal screening program in Andalusia, among which are congenital hypothyroidism, expanded screening (aminoacidopathies, mitochondrial beta-oxidation defects...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-12-16 00:00:00
abstract:OBJECTIVE:Immune-mediated inflammatory diseases (IMID) are chronic and highly disabling diseases that share inflammatory sequences and immunological dysregulations. Considered as a disease in itself, the prevalence of IMID is virtually unknown. The aim of this study was to assess the prevalence of 10 selected UDI, incl...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2019-03-25 00:00:00
abstract:OBJECTIVE:Terminal patients and their relatives must know their real situation, and be treated according to the principle of autonomy, to establish therapeutic objectives adapted each one, according to their needs and decisions. The objective of this study is to identify the sufficient existence of records in the Medic...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-05-05 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:BACKGROUND:Non-lineal temperature-mortality relationship varies depending on the characteristics of the designated study geographic zone. In given places, a growing level of economic development has led to lesser influence of environmental variables on mortality. This paper analyzes trends in the association between ma...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272007000400005
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:In the world scientific literature, analytical research on tuberculosis has not been meta-analyzed. The objective of this study was to identify risk factors for tuberculosis infection with drug resistance and meta-analyze the causal relationship of prior antibiotic use. METHODS:Systematic review with meta-a...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2018-09-07 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:BACKGROUND:The aim of this study was to analyze the impact on tobacco consumption among working population of the Law 42/2010, which amends smoking regulations in Spain. METHODS:Data were obtained from 413,473 Occupational Health check-ups, conducted between July of 2009 and June of 2011, in the Society for Prevention...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272012000200006
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Taking into account that one of the Spanish National Epidemological Surveillance Network's missions is that of providing information for taking action, it is then absolutely essential that its information be disseminated in a timely manner. This study is aimed at ascertaining what information is being publis...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000600011
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Pneumococcal vaccine is an effective preventive measure against pneumococcal infections. Cost-effectiveness of pneumococcal vaccination of 5 or more years aged population of Catalonia has been evaluated in this study. METHODS:Cost-effectiveness has been estimated in terms of net cost per life-year gained (L...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:Nutritional evaluation during pre-menopause and menopause plays an important role in assessing the changes taking place in a woman's body, a comparison being drawn in this study between the parameters body fat and body fat-muscle ratio (BFMR) estimated by impedancemetry and the body mass index (BMI) for defi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:The Spanish registry of Covid-19 in Spanish pregnant women, made up of 100 centers, is created in response to the need to know the morbidity that Covid-19 generates in pregnant women and their newborns, to know the real incidence of the disease in this population group and to establish and monitor the package...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-09-18 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