Abstract:
OBJECTIVE:To find the prevalence of burnout syndrome in general practitioners of the Public Sanitary Service in a health area in Zaragoza (Spain) and compare the results with the original American and two Spanish samples (general practitioners and specialists). DESIGN:A descriptive, crossover population study. SETTING:General practitioners of the Public Sanitary Service in a health area in Zaragoza (Spain). PARTICIPANTS:A sample of 286 general practitioners was selected through random conglomerate sampling in 37 health centres (14 rural and 23 urban). RESULTS:We used an anonymous self-administered enquiry method. It included Maslasch Burnout Inventory (MBI), which values the three syndrome dimensions: emotional exhaustion (EE), depersonalization (DP) and lack of personal accomplishment (PA), and two own questionnaires related to the job and personal beliefs. 144 people (63 female and 81 male) between 29 and 69 years old were studied. 59.7% showed high levels of burnout on EE subscale, 36.1% on DP subscale and 31.2% on PA one. Comparing with the original American sample, we obtained significantly differences on EE and DP subscales whereas comparing with the Spanish general practitioners one we obtained significantly differences on EE and PA. Comparing with the Spanish specialists one we obtained significantly differences on DP and LP. CONCLUSIONS:There's a serious prevalence of burnout syndrome in general practitioners, particularly on EE subscale. There should be quick interventions in health policy in order to control and prevent this issue.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
de Pablo González R,Suberviola González JFsubject
Has Abstractpub_date
1998-11-30 00:00:00pages
580-4issue
9eissn
0212-6567issn
1578-1275journal_volume
22pub_type
杂志文章abstract:OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-09-15 00:00:00
abstract:OBJECTIVE:To assess the level of initial non-compliance with treatment. DESIGN:An observational study with interviews of patients, which compared prescriptions filled at the Siruela Health Centre (Badajoz) with those dispensed at the town's only pharmacy. SETTING:Primary Care; rural ambit. RESULTS:8,100 prescription...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:To determine the distribution of the public health spending (PHS) among health sectors from 2002 to 2008, and the eventual regional inequalities related to the regional income level and the ageing population. DESIGN:A longitudinal and retrospective study. SETTING:Spain. PARTICIPANTS:The 17 Autonomous Commu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2011.01.005
更新日期:2012-01-01 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:OBJECTIVES:To find the factors linked to erectile dysfunction, to evaluate this as a possible marker of health status, to analyse the evolution of clinical parameters of associated illnesses and the response to Viagra.Design. Intervention study without a control. SETTING:Alguazas Health Centre (Murcia). PARTICIPANTS:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)79030-6
更新日期:2002-09-30 00:00:00
abstract:SETTING:Community level. "Santa María de Benquerencia" Health District, Toledo. PARTICIPANTS:People over 15, chosen by random sampling from the municipal census, who stated that they had suffered some health disorder over the previous fortnight. MEASUREMENTS AND MAIN RESULTS:212 surveys were accepted as valid (averag...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-06-15 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:To analyse the appropriateness of specific immunotherapy treatment (IT) to indications based on scientific evidence. DESIGN:Cross-sectional, descriptive study. SETTING:Primary care in a health district of about 12,000 inhabitants. PATIENTS:166 patients for whom IT was prescribed in the period between Janua...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78635-5
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVE:To assess heart failure prevalence, epidemiology, co-morbidities and polypharmacy in our region from electronic patient records. To evaluate gender differences in heart failure patients. DESIGN:Descriptive, cross-sectional study. SETTING:Primary care Lleida (Spain). PARTICIPANTS:All patients from 21 primar...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.03.021
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:To find the causes of worry in second-year family and community medicine (FCM) residents on their arrival at health centres. DESIGN:A descriptive study. A survey with 4 questions on difficulties found in the on-demand clinic, in consultations by appointment, other causes of anxiety and problems foreseen a p...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-12-01 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: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: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 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:OBJECTIVE:The echocardiogram (ECC) is not available to all Spanish General Practitioners (GP) despite its proven benefits in prevalent diseases, such as hypertension and heart failure. STUDY OBJECTIVE:To analyse the clinical adequacy of the application, performance, and diagnostic and therapeutic decisions of ECC indi...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2011.03.007
更新日期:2012-04-01 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:Epidemiological studies and interventions to reduce inequalities in community health require the assignation of exhaustive and easy-to-obtain social indicators. Occupation and education are two of the most often used. In this study we attempt to evaluate the association between education and occupation among ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78733-6
更新日期:2000-11-30 00:00:00
abstract:OBJECTIVES:To find the profile of the heroin addict included in the Methadone Maintenance Programme (MMP) and the standard of information which primary care doctors have about these patients. DESIGN:A descriptive crossover study. PATIENTS AND OTHER PARTICIPANTS:All the drug addicts included in the MMP, located at the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-05-31 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::We have evaluated the fulfillment of the aims of an integrated influenza vaccination program for a basic urban health area. We have focused the analysis on the vaccine coverage for age and sex groups, groups of risk modifiers and risk gradient. We have evaluated the most adequate method of call. Overall coverage was 6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-10-01 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::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::In 2010, the American Diabetes Association included glycosylated hemoglobin (HbA1c) as a criterion for the diagnosis of diabetes with a cut-off point of ≥ 6.5%. However, there may be a substantial percentage of false negative results. Other scientific societies have accepted this approach but with slight differences. ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/S0212-6567(10)70002-0
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of orthostatic hypotension (OH) in patients 80 years old and over attending a primary care unit. To relate OH to the most prevalent pathologies and to the most used drugs. DESIGN:Transversal observational study. LOCATION:Primary care unit, Santiago de Compostela. PARTICIPANTS:Eig...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.12.003
更新日期:2019-05-01 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::In this Clinical practice guide we examine the diagnostic and therapeutic management of adult patients with constipation and abdominal discomfort, at the confluence of the spectrum of irritable bowel syndrome and functional constipation. Both fall within the framework of functional intestinal disorders and have major ...
journal_title:Atencion primaria
pub_type: 共识发展会议,杂志文章,实务指引
doi:10.1016/j.aprim.2017.01.003
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the prevalence of deformities of the vertebral column in the child population of a rural area; the index of false positives that diagnoses in the School Health programme generate; and the percentage of children where the diagnosis is confirmed and the treatment is then followed. DESIGN:Descriptiv...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVE:To know the health professional profile in the province of Lleida with regard to health education. DESIGN:Observational transversal study. SETTING:All the medicine, nursery and social work colleges in the province of Lleida (3060). PARTICIPANTS:Bachelors in medicine (208), graduates in nursery (252), gradu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:A description of early diagnosis of cervical cancer in the Barbastro Hospital area. DESIGN:Descriptive and retrospective study on all the CIN III cases collected in the Tumor Hospital Registry from 1989 to 1998. To correlate the data to the population covered by the hospital. PARTICIPANTS AND METHODS:59 CIN...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)70421-0
更新日期:2001-10-31 00:00:00
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