Serveur d'exploration sur la grippe en Espagne

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[Evaluation of the primary health care reform: preventive practices and inequalities].

Identifieur interne : 000560 ( Main/Exploration ); précédent : 000559; suivant : 000561

[Evaluation of the primary health care reform: preventive practices and inequalities].

Auteurs : Ferran Daban [Espagne] ; M Isabel Pasarín ; Maica Rodríguez-Sanz ; Anna García-Altés ; Joan R. Villalbí ; Gemma Cano-Serral ; Carme Borrell

Source :

RBID : pubmed:17669316

Descripteurs français

English descriptors

Abstract

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.


DOI: 10.1157/13107718
PubMed: 17669316


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Rodriguez Sanz, Maica" sort="Rodriguez Sanz, Maica" uniqKey="Rodriguez Sanz M" first="Maica" last="Rodríguez-Sanz">Maica Rodríguez-Sanz</name>
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<name sortKey="Villalbi, Joan R" sort="Villalbi, Joan R" uniqKey="Villalbi J" first="Joan R" last="Villalbí">Joan R. Villalbí</name>
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<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Blood Pressure Determination (MeSH)</term>
<term>Confidence Intervals (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Health Care Reform (MeSH)</term>
<term>Health Surveys (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Logistic Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Odds Ratio (MeSH)</term>
<term>Primary Health Care (MeSH)</term>
<term>Sex Factors (MeSH)</term>
<term>Smoking Prevention (MeSH)</term>
<term>Social Class (MeSH)</term>
<term>Socioeconomic Factors (MeSH)</term>
<term>Spain (MeSH)</term>
<term>Time Factors (MeSH)</term>
</keywords>
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<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Classe sociale (MeSH)</term>
<term>Enquêtes de santé (MeSH)</term>
<term>Espagne (MeSH)</term>
<term>Facteurs sexuels (MeSH)</term>
<term>Facteurs socioéconomiques (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Intervalles de confiance (MeSH)</term>
<term>Mesure de la pression artérielle (MeSH)</term>
<term>Modèles logistiques (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Odds ratio (MeSH)</term>
<term>Prévention du fait de fumer (MeSH)</term>
<term>Réforme des soins de santé (MeSH)</term>
<term>Soins de santé primaires (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Vaccins antigrippaux (administration et posologie)</term>
<term>Études transversales (MeSH)</term>
</keywords>
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<term>Influenza Vaccines</term>
</keywords>
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<term>Spain</term>
</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr">
<term>Vaccins antigrippaux</term>
</keywords>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Blood Pressure Determination</term>
<term>Confidence Intervals</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Health Care Reform</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Primary Health Care</term>
<term>Sex Factors</term>
<term>Smoking Prevention</term>
<term>Social Class</term>
<term>Socioeconomic Factors</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Classe sociale</term>
<term>Enquêtes de santé</term>
<term>Espagne</term>
<term>Facteurs sexuels</term>
<term>Facteurs socioéconomiques</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Intervalles de confiance</term>
<term>Mesure de la pression artérielle</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Prévention du fait de fumer</term>
<term>Réforme des soins de santé</term>
<term>Soins de santé primaires</term>
<term>Sujet âgé</term>
<term>Études transversales</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Cross-sectional, descriptive, observational study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Barcelona Health Survey, primary health care, Spain, year 2000.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
</p>
<p>Non-institutionalised residents of the city of Barcelona over 15 years old in the year 2000 (N=10,000 people).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN MEASUREMENTS</b>
</p>
<p>The indicators used were the prevalences of receiving the 3 practices. Descriptive and multivariate logistic regression analyses were performed.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>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).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>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.</p>
</div>
</front>
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