J Fusté1, M Rué. 1. Servei Català de la Salut, Travessera de les Corts, 131-159, Edifici Olimpia, 08028 Barcelona, Spain. jfuste@olimpia.scs.es
Abstract
OBJECTIVES: To determine whether variability exists among primary care teams (PCTs) in Catalonia in opportunistic screening activities (screening for smoking, drinking, hypertension and tetanus vaccination) and to analyze the explanatory factors in the individual characteristics of the population treated and the characteristics of the PCT. METHODS: A multilevel analysis with individual and PCT explanatory variables was performed. The data were draw from a sample of 3,000 clinical histories from the adult population treated in 1995 in 30 PCTs from the restructured primary care network in Catalonia and from PCT characteristics. RESULTS: The recording of preventive activities in the clinical histories increased with the number of risk factors and/or diseases diagnosed, the number of other preventive activities recorded, and age. Recording of arterial pressure was more frequent in women while the remaining preventive activities were more frequent in men. Workload impeded opportunistic detection. Greater recording of antitetanus vaccination was associated with the number of years that the PCT had been functioning and with wider geographical area. Recording of smoking was higher in urban areas. CONCLUSIONS: Variability in opportunistic detection exists among PCTs in Catalonia. The characteristics of the PCT and the population treated that explain part of this variability are identified. Lower workload favors preventive activities in primary care.
OBJECTIVES: To determine whether variability exists among primary care teams (PCTs) in Catalonia in opportunistic screening activities (screening for smoking, drinking, hypertension and tetanus vaccination) and to analyze the explanatory factors in the individual characteristics of the population treated and the characteristics of the PCT. METHODS: A multilevel analysis with individual and PCT explanatory variables was performed. The data were draw from a sample of 3,000 clinical histories from the adult population treated in 1995 in 30 PCTs from the restructured primary care network in Catalonia and from PCT characteristics. RESULTS: The recording of preventive activities in the clinical histories increased with the number of risk factors and/or diseases diagnosed, the number of other preventive activities recorded, and age. Recording of arterial pressure was more frequent in women while the remaining preventive activities were more frequent in men. Workload impeded opportunistic detection. Greater recording of antitetanus vaccination was associated with the number of years that the PCT had been functioning and with wider geographical area. Recording of smoking was higher in urban areas. CONCLUSIONS: Variability in opportunistic detection exists among PCTs in Catalonia. The characteristics of the PCT and the population treated that explain part of this variability are identified. Lower workload favors preventive activities in primary care.
Authors: Magdalena Rosell-Murphy; Teresa Rodriguez-Blanco; Julio Morán; Mariona Pons-Vigués; Josep M Elorza-Ricart; Jordi Rodríguez; Clara Pareja; María Ángeles Nuin; Bonaventura Bolíbar Journal: BMC Public Health Date: 2015-05-07 Impact factor: 3.295
Authors: Bonaventura Bolíbar; Clara Pareja; M Pilar Astier-Peña; Julio Morán; Teresa Rodríguez-Blanco; Magdalena Rosell-Murphy; Manuel Iglesias; Sebastián Juncosa; Juanjo Mascort; Concepció Violan; Rosa Magallón; Javier Apezteguia Journal: BMC Public Health Date: 2008-08-08 Impact factor: 3.295
Authors: Ana Parro-Moreno; Pilar Serrano-Gallardo; Antonio Díaz-Holgado; Jose L Aréjula-Torres; Victor Abraira; Isolina M Santiago-Pérez; Jose M Morales-Asencio Journal: BMJ Open Date: 2015-12-07 Impact factor: 2.692