[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 BorrellSource :
- Atencion primaria [ 0212-6567 ] ; 2007.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Classe sociale (MeSH), Enquêtes de santé (MeSH), Espagne (MeSH), Facteurs sexuels (MeSH), Facteurs socioéconomiques (MeSH), Facteurs temps (MeSH), Femelle (MeSH), Humains (MeSH), Intervalles de confiance (MeSH), Mesure de la pression artérielle (MeSH), Modèles logistiques (MeSH), Mâle (MeSH), Odds ratio (MeSH), Prévention du fait de fumer (MeSH), Réforme des soins de santé (MeSH), Soins de santé primaires (MeSH), Sujet âgé (MeSH), Vaccins antigrippaux (administration et posologie), Études transversales (MeSH).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- Adolescent, Adulte, Adulte d'âge moyen, Classe sociale, Enquêtes de santé, Espagne, Facteurs sexuels, Facteurs socioéconomiques, Facteurs temps, Femelle, Humains, Intervalles de confiance, Mesure de la pression artérielle, Modèles logistiques, Mâle, Odds ratio, Prévention du fait de fumer, Réforme des soins de santé, Soins de santé primaires, Sujet âgé, Études transversales.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Blood Pressure Determination (MeSH), Confidence Intervals (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Health Care Reform (MeSH), Health Surveys (MeSH), Humans (MeSH), Influenza Vaccines (administration & dosage), Logistic Models (MeSH), Male (MeSH), Middle Aged (MeSH), Odds Ratio (MeSH), Primary Health Care (MeSH), Sex Factors (MeSH), Smoking Prevention (MeSH), Social Class (MeSH), Socioeconomic Factors (MeSH), Spain (MeSH), Time Factors (MeSH).
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic : Spain.
- Adolescent, Adult, Aged, Blood Pressure Determination, Confidence Intervals, Cross-Sectional Studies, Female, Health Care Reform, Health Surveys, Humans, Logistic Models, Male, Middle Aged, Odds Ratio, Primary Health Care, Sex Factors, Smoking Prevention, Social Class, Socioeconomic Factors, Time Factors.
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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<author><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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<author><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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<affiliation wicri:level="3"><nlm:affiliation>Agència de Salut Pública de Barcelona, Barcelona, Spain.</nlm:affiliation>
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<author><name sortKey="Pasarin, M Isabel" sort="Pasarin, M Isabel" uniqKey="Pasarin M" first="M Isabel" last="Pasarín">M Isabel Pasarín</name>
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<author><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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<author><name sortKey="Garcia Altes, Anna" sort="Garcia Altes, Anna" uniqKey="Garcia Altes A" first="Anna" last="García-Altés">Anna García-Altés</name>
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<author><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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<author><name sortKey="Cano Serral, Gemma" sort="Cano Serral, Gemma" uniqKey="Cano Serral G" first="Gemma" last="Cano-Serral">Gemma Cano-Serral</name>
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<series><title level="j">Atencion primaria</title>
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<imprint><date when="2007" type="published">2007</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><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>
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<keywords scheme="KwdFr" xml:lang="fr"><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>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Spain</term>
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<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term>
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<keywords scheme="MESH" xml:lang="en"><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>
</keywords>
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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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<ArticleTitle>[Evaluation of the primary health care reform: preventive practices and inequalities].</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Cross-sectional, descriptive, observational study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Barcelona Health Survey, primary health care, Spain, year 2000.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Non-institutionalised residents of the city of Barcelona over 15 years old in the year 2000 (N=10,000 people).</AbstractText>
<AbstractText Label="MAIN MEASUREMENTS" NlmCategory="METHODS">The indicators used were the prevalences of receiving the 3 practices. Descriptive and multivariate logistic regression analyses were performed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Daban</LastName>
<ForeName>Ferran</ForeName>
<Initials>F</Initials>
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<Author ValidYN="Y"><LastName>Pasarín</LastName>
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<Author ValidYN="Y"><LastName>Villalbí</LastName>
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<VernacularTitle>Evaluación de la reforma de la atención primaria de salud: prácticas preventivas y desigualdades.</VernacularTitle>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName>
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<MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
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<MeshHeading><DescriptorName UI="D000074606" MajorTopicYN="N">Smoking Prevention</DescriptorName>
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<MeshHeading><DescriptorName UI="D012923" MajorTopicYN="N">Social Class</DescriptorName>
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<MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName>
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<MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
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<Month>8</Month>
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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>
<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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<country name="Espagne"><region name="Catalogne"><name sortKey="Daban, Ferran" sort="Daban, Ferran" uniqKey="Daban F" first="Ferran" last="Daban">Ferran Daban</name>
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