OBJECTIVE: To evaluate primary care reform (PCR) in Barcelona during the year 2000 using 3 preventive practices: anti-smoking advice, blood pressure measurement, and flu vaccination. Any inequalities of gender, age, or social class in receiving these practices are also assessed. DESIGN: Cross-sectional, descriptive, observational study. SETTING: Barcelona Health Survey, primary health care, Spain, year 2000. PARTICIPANTS: Non-institutionalised residents of the city of Barcelona over 15 years old in the year 2000 (N=10,000 people). MAIN MEASUREMENTS: The indicators used were the prevalences of receiving the 3 practices. Descriptive and multivariate logistic regression analyses were performed. RESULTS: Receiving the preventive practices studied is greater in areas where PCR was established longer, compared to the centres that had not begun the reforms (63.7% as opposed to 53.2%, respectively). Anti-smoking advice, for women, is less frequent in the more disadvantaged classes (odds ratio [OR] =0.72; 95% confidence interval [CI], 0.55-1). CONCLUSIONS: PCR is a factor associated with carrying out preventive practices. No significant disparities between social class or gender were found for those who received the preventive practices.
OBJECTIVE: To evaluate primary care reform (PCR) in Barcelona during the year 2000 using 3 preventive practices: anti-smoking advice, blood pressure measurement, and flu vaccination. Any inequalities of gender, age, or social class in receiving these practices are also assessed. DESIGN: Cross-sectional, descriptive, observational study. SETTING: Barcelona Health Survey, primary health care, Spain, year 2000. PARTICIPANTS: Non-institutionalised residents of the city of Barcelona over 15 years old in the year 2000 (N=10,000 people). MAIN MEASUREMENTS: The indicators used were the prevalences of receiving the 3 practices. Descriptive and multivariate logistic regression analyses were performed. RESULTS: Receiving the preventive practices studied is greater in areas where PCR was established longer, compared to the centres that had not begun the reforms (63.7% as opposed to 53.2%, respectively). Anti-smoking advice, for women, is less frequent in the more disadvantaged classes (odds ratio [OR] =0.72; 95% confidence interval [CI], 0.55-1). CONCLUSIONS: PCR is a factor associated with carrying out preventive practices. No significant disparities between social class or gender were found for those who received the preventive practices.
Authors: Laia Palència; Albert Espelt; Maica Rodríguez-Sanz; Katia B Rocha; M Isabel Pasarín; Carme Borrell Journal: Eur J Health Econ Date: 2011-11-10
Authors: Ferran Daban; M Isabel Pasarín; Maica Rodríguez-Sanz; Anna García-Altés; Joan R Villalbí; Corinne Zara; Carme Borrell Journal: Int J Equity Health Date: 2010-05-04
Authors: Francisco Javier Cuevas Fernández; María José Iglesias Girón; María Del Cristo Rodríguez Pérez; Silvia Ortiz Simarro; Antonio Cabrera de León; Armando Aguirre-Jaime Journal: Aten Primaria Date: 2019-07-01 Impact factor: 1.137