Abstract:
OBJECTIVES:To find the views of family doctors (FD) on care demand, its conditioning factors, its repercussions and possible rationalizing measures, and to relate these to personal and professional characteristics. DESIGN:A descriptive crossover study. SETTING:Primary care. PARTICIPANTS:140 of 262 FD from Health Centres in Navarra who responded to a self-filled questionnaire. MEASUREMENTS AND RESULTS:The doctors stated they averaged 31.3 patients per day (SD = 14.3) and thought that the ideal was 21.2 (SD = 9.6). 69.2% attendances were unjustified. 57.7% considered the volume of demand obstructed other health activities: teaching (50%) and research (52.9%) were the activities most obstructed, and professional satisfaction (41.4%) the personal aspect most affected. CONCLUSIONS:A high percentage of those surveyed think that there is excessive care pressure with affects other activities and the welfare and relationships of the FDs. Among measures aimed at rationalizing health-care demand, the development of nursing activity and coordination of care levels must be considered.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Loayssa Lara JR,Indurain Orduña S,Extremera Urabayen V,Agreda Peiró J,Extramiana Cameno E,Vilches Plaza Csubject
Has Abstractpub_date
1997-06-15 00:00:00pages
34-40issue
1eissn
0212-6567issn
1578-1275journal_volume
20pub_type
杂志文章abstract:AIM:To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC). DESIGN:Multicentre cross-sectional study. SETTING:Primary Care Health Care Centres (Madrid). PARTICIPANTS:Women aged 16-50 years old, users of reversible contraception, who spe...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2018.05.005
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVES:To describe referrals from primary care (PC) to mental health (MH) and to study the diagnostic and therapeutic concordance between the two. DESIGN:Retrospective, descriptive study. SETTING:Gavà II Primary Care Centre, Barcelona.Participants. All patients referred to MH in 1998, 1999 and 2000 (n=380). MAIN...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(03)70782-3
更新日期:2003-11-30 00:00:00
abstract::Western societies have displaced problems from the subjective and social fields over to medicine, and the search for the perfect health has become an obsession and a pathogenic predominant factor. Paradoxically, the number of ilnesses and sick people arises proportionally with health levels. We now tend to add «diseas...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2013.04.014
更新日期:2013-10-01 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:OBJECTIVE:To analyse the length of sick leave (SL) and its associated factors in Andalusia. DESIGN:Descriptive observational study. SETTING:Andalusia. PARTICIPANTS:A total of 1,633,405 sick leave forms issued from the 1st January 2002 to the 31st of December 2006 for any reason by Primary Health Care doctors in the ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2008.10.020
更新日期:2009-07-01 00:00:00
abstract::The program of help to the smoker (PHS) consists of a systematic intervention upon the whole of the demanding population, identifying the smokers and acting on them with a short, concise advise in all visits. The results after 2 months of operation of the PHS in a primary care center are reported. Among 483 persons 10...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVES:Despite the growing body of legal and normative regulations regarding promotion, sales and consumption of cigarettes, a few studies have already pointed to a low enforcement and commitment of these restrictions. This study explores the degree of awareness and compliance of these norms in the secondary school...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVE:To discover the prevalence of serological markers of the Hepatitis B virus in the out-patient population of the city of Vigo. DESIGN:A year-long retrospective study (from January to December, 1990) of a total of 4,581 serums belonging to patients. These came to our laboratory from patients who attended the o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract:OBJECTIVE:This study aims to discover the individual, microsocial and macrosocial factors and the milieu which lead to today's pattern of adolescent alcohol consumption. DESIGN:A descriptive, crossover study without randomisation. SETTING:Primary Care. School population from the Bajo-Asón Centre 1 Health Area, Cantab...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-10-31 00:00:00
abstract:OBJECTIVES:To find the amount of non-compliance with medical treatment for Hypertension and its causes, and to describe the profile of non-compliant patients. DESIGN:A crossover study performed on two home visits. SETTING:A rural Health Centre at Calpe, Alicante. PATIENTS:The sample was obtained from the census of m...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-09-15 00:00:00
abstract:OBJECTIVES:To examine the attitudes of family doctors to patients' rights and to ascertain the social and professional variables that influence these views. DESIGN:Descriptive, cross-sectional study based on a questionnaire. SETTING:Primary care, Murcia, Spain. PARTICIPANTS:Two-hundred and twenty-seven family physic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13098275
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:To find the evolution of consumption of self-analysis material used to control Diabetes (reactive strips of glucose) and the costs involved, in the metropolitan area of Málaga from July 1994 to the first quarter of 1996. DESIGN:Descriptive retrospective study. SETTING:Metropolitan area of Málaga (580, 586 ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-02-15 00:00:00
abstract:OBJECTIVES:To describe sociodemographic and clinical characteristics of a diabetic population. To relate sociodemographic and clinical evolutionaries variables. DESIGN:Descriptive transversal study. SETTING:Three urban Primary Health Centers (PHC). Participants. Diabetic patients attended in these PHC.Measurements. ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)70616-1
更新日期:2002-05-15 00:00:00
abstract:OBJECTIVE:To appraise the level of school-children's dental health after five years in operation of the buccal-dental health programme, in which children received fortnightly rinses of sodium fluoride at 0.2%. DESIGN:A crossover study. School survey of the 1993-4 academic year. PARTICIPANTS:A total of 1,674 school-ch...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-10-31 00:00:00
abstract:OBJECTIVE:To investigate the habits and risk factors of adolescents from two Health Centres in two semi-urban populations using a structured clinical interview with open questions. DESIGN:Cross-sectional descriptive study. SETTING:Two semi-urban populations from the Malaga area. PARTICIPANTS:Adolescents aged between...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.02.008
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:To analyse the risk of pneumonia and/or exacerbations in patients with chronic obstructive pulmonary disease (COPD) who receive treatment with inhaled corticosteroids (CI), in comparison with those who are not treated with inhaled corticosteroids (NCI). To estimate the risk of pneumonia according to CI dose....
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2018.02.007
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To determine the percentage of female authors in original articles published during 2periods, in the journal of Atención Primaria (Primary Care), and to examine the differences between the categories of authorship (first, last author, and co-author) between both periods. DESIGN:Cross-sectional study. SETTI...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2019.11.002
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:With a system of qualitative indicators, to analyse the pharmaceutical prescription of general practitioners (GPs), and to evaluate the relationship of these indicators to the overall pharmaceutical prescription expenditure per inhabitant. DESIGN:Retrospective descriptive study. SETTING:Primary care. MEAS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78545-3
更新日期:2000-04-30 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 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:
更新日期:1997-03-31 00:00:00
abstract:OBJECTIVE:To estimate the effectiveness of a Medication Discrepancy Detection Service (MDDS), a collaborative service between the community pharmacy and Primary Care. DESIGN:Non-controlled before-and-after study. SETTING:Bidasoa Integrated Healthcare Organisation, Gipuzkoa, Spain. PARTICIPANTS:The service was provid...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2020.04.008
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:To design and validate a self-administered questionnaire to evaluate sexual function in women. DESIGN:Cross-sectional, multi-centre study. SETTING:Primary care, in 9 health centres of the Community of Valencia. PARTICIPANTS:Women not at risk of sexual dysfunction, selected by consecutive sampling. Initial ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/s0212-6567(04)79497-4
更新日期:2004-10-15 00:00:00
abstract:OBJECTIVE:To determine the validity and usefulness of brain natriuretic peptide (BNP) for diagnosing left ventricular dysfunction (LVD). DESIGN:Prospective, descriptive, multi-centred study to validate the diagnostic test. SETTING:Primary care centres in the Community of Madrid, Spain. PARTICIPANTS:Consecutive sampl...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(05)70554-0
更新日期:2005-11-30 00:00:00
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...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78496-4
更新日期:2000-03-15 00:00:00
abstract:OBJECTIVE:To find the relevance of analytic tests requested by the Primary Care doctor. DESIGN:A descriptive crossover study. Relevance was decided by the definition of criteria through consensus techniques. SETTING:Three urban Health Centres in Area 4 of the City of Valencia. PARTICIPANTS:All the requests for analy...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:
更新日期:1996-06-30 00:00:00
abstract:OBJECTIVE:Principally, to establish the prevalence of xerostomia in the general population and, second, to find the association of xerostomia with the consumption of tranquillizers and anti-depression, anti-allergy, anti-Hypertension and hypnotic drugs. DESIGN:A crossover study of prevalence. SETTING:The urban area o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-03-15 00:00:00
abstract:OBJECTIVE:To describe the experience of women caregivers with chronic conditions who care for a dependent relative. DESIGN:Qualitative study based on constructivist grounded theory. LOCATION:Study conducted on two Health Areas urban of the Community of Madrid. PARTICIPANTS:Thirty nine women with a chronic condition ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.03.006
更新日期:2016-02-01 00:00:00
abstract:INTRODUCTION:Chronic diseases have become more central to Primary Care due to their greater prevalence and the difficulties of monitoring them. This complex problem requires a many-sided solution that affects patients' behaviour, health workers' approach and changes in how the health service is organised. OBJECTIVES:T...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)78910-6
更新日期:2004-09-15 00:00:00
abstract:OBJECTIVE:To describe the characteristics of the malignant and pre-malignant lesions found in the minor surgical interventions performed at a health centre. DESIGN:Retrospective, descriptive study. PARTICIPANTS:682 lesions: all the lesions extirpated and referred to pathology except for epidermal and trichilemmal cys...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(03)79334-2
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:To determine the pap smear adequacy, and to compare the quality using cervical cytobrush with that obtain by using cotton swab in the endocervical sample. DESIGN:Transversal study. Carried out in two periods both pre and post intervention. SETTING:Primary care centre in the south of Madrid. INTERVENTION:We...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78604-5
更新日期:2000-06-15 00:00:00