OBJECTIVE: To analyse the frequency of adverse events to treatment reported by patients in relation to consultation time, attention from their usual doctor and information provided by their doctor about treatment. DESIGN: Descriptive study. Patients were invited to respond to a telephone survey. SETTING: 21 Primary Care health centres in Spain. PARTICIPANTS: 15,282 patients attended by GPs or paediatricians (error of 1% for p=q=0.50, α 95%) were selected at random from the total consultations recorded in 1 month. For sampling, quotas were assigned for type of attention, age and sex. In the case of children (under 14 years), the survey was answered by their parents. MAIN OUTCOME MEASURES: Patients' report on frequency of unexpected or adverse reaction to a treatment; whether informed or not about possible complications of the treatment and precautions to take; consultation time; and whether or not patient is usually seen by the same doctor. RESULTS: 1557 (17.6%, CI 95% 16.8 to 18.4%) of the adults and 867 (13.7%, 95% CI 12.8 to 14.5%) of the children reported adverse or unexpected reactions to the treatment according to patients' reports. Consultation time (OR 0.5, 95% CI 0.4 to 0.5), doctor rotation at the health centre (OR 2.04, 95% CI 1.85 to 2.25) and information on treatment precautions (OR 0.47, 95% CI 0.43 to 0.53) determine the higher risk of adverse reactions to treatment. CONCLUSIONS: Planning at health centres should involve the monitoring of mean consultation time and doctor rotation as indirect indicators of safety. Furthermore, protocols related to the information provided to patients should be reviewed.
OBJECTIVE: To analyse the frequency of adverse events to treatment reported by patients in relation to consultation time, attention from their usual doctor and information provided by their doctor about treatment. DESIGN: Descriptive study. Patients were invited to respond to a telephone survey. SETTING: 21 Primary Care health centres in Spain. PARTICIPANTS: 15,282 patients attended by GPs or paediatricians (error of 1% for p=q=0.50, α 95%) were selected at random from the total consultations recorded in 1 month. For sampling, quotas were assigned for type of attention, age and sex. In the case of children (under 14 years), the survey was answered by their parents. MAIN OUTCOME MEASURES: Patients' report on frequency of unexpected or adverse reaction to a treatment; whether informed or not about possible complications of the treatment and precautions to take; consultation time; and whether or not patient is usually seen by the same doctor. RESULTS: 1557 (17.6%, CI 95% 16.8 to 18.4%) of the adults and 867 (13.7%, 95% CI 12.8 to 14.5%) of the children reported adverse or unexpected reactions to the treatment according to patients' reports. Consultation time (OR 0.5, 95% CI 0.4 to 0.5), doctor rotation at the health centre (OR 2.04, 95% CI 1.85 to 2.25) and information on treatment precautions (OR 0.47, 95% CI 0.43 to 0.53) determine the higher risk of adverse reactions to treatment. CONCLUSIONS: Planning at health centres should involve the monitoring of mean consultation time and doctor rotation as indirect indicators of safety. Furthermore, protocols related to the information provided to patients should be reviewed.
Authors: Virtudes Pérez-Jover; José J Mira; Concepción Carratala-Munuera; Vicente F Gil-Guillen; Josep Basora; Adriana López-Pineda; Domingo Orozco-Beltrán Journal: Int J Environ Res Public Health Date: 2018-02-10 Impact factor: 3.390
Authors: Susan J Stocks; Ailsa Donnelly; Aneez Esmail; Joanne Beresford; Carolyn Gamble; Sarah Luty; Richard Deacon; Avril Danczak; Nicola Mann; David Townsend; James Ashley; Paul Bowie; Stephen M Campbell Journal: BMJ Open Date: 2018-02-03 Impact factor: 2.692
Authors: Susan Jill Stocks; Ailsa Donnelly; Aneez Esmail; Joanne Beresford; Sarah Luty; Richard Deacon; Avril Danczak; Nicola Mann; David Townsend; James Ashley; Carolyn Gamble; Paul Bowie; Stephen M Campbell Journal: BMJ Open Date: 2018-06-13 Impact factor: 2.692
Authors: José Joaquín Mira; Irene Carrillo; Carmen Silvestre; Pastora Pérez-Pérez; Cristina Nebot; Guadalupe Olivera; Javier González de Dios; Jesús María Aranaz Andrés Journal: BMJ Open Date: 2018-06-15 Impact factor: 2.692