[Comparison of primary care teams in Barcelona according to management formulas].
Identifieur interne : 000666 ( Main/Exploration ); précédent : 000665; suivant : 000667[Comparison of primary care teams in Barcelona according to management formulas].
Auteurs : A. Guarga [Espagne] ; M. Gil ; M. Pasarín ; R. Manzanera ; R. Armengol ; J. SintesSource :
- Atencion primaria [ 0212-6567 ] ; 2000.
Descripteurs français
- KwdFr :
- Besoins et demandes de services de santé (statistiques et données numériques), Besoins et demandes de services de santé (économie), Efficacité fonctionnement (MeSH), Espagne (MeSH), Facteurs socioéconomiques (MeSH), Humains (MeSH), Ordonnances médicamenteuses (statistiques et données numériques), Services de soins à domicile (statistiques et données numériques), Soins de santé primaires (statistiques et données numériques), Soins de santé primaires (économie), Techniques de laboratoire clinique (statistiques et données numériques).
- MESH :
- statistiques et données numériques : Besoins et demandes de services de santé, Ordonnances médicamenteuses, Services de soins à domicile, Soins de santé primaires, Techniques de laboratoire clinique.
- économie : Besoins et demandes de services de santé, Soins de santé primaires.
- Efficacité fonctionnement, Espagne, Facteurs socioéconomiques, Humains.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Clinical Laboratory Techniques (statistics & numerical data), Drug Prescriptions (statistics & numerical data), Efficiency, Organizational (MeSH), Health Services Needs and Demand (economics), Health Services Needs and Demand (statistics & numerical data), Home Care Services (statistics & numerical data), Humans (MeSH), Primary Health Care (economics), Primary Health Care (statistics & numerical data), Socioeconomic Factors (MeSH), Spain (MeSH).
- MESH :
- geographic : Spain.
- economics : Health Services Needs and Demand, Primary Health Care.
- statistics & numerical data : Clinical Laboratory Techniques, Drug Prescriptions, Health Services Needs and Demand, Home Care Services, Primary Health Care.
- Efficiency, Organizational, Humans, Socioeconomic Factors.
Abstract
OBJECTIVE
The aim of the study is to compare, among socio-economically similar areas, the use of medical services, clinical practice and pharmacy costs depending on the how the primary healthcare teams, that provide these services, are organized according to different managemental formulas.
DESIGN
Descriptive study of the evaluation of health care services.
PATIENTS AND METHODS
The population units (basic health areas) attended by the reformed primary health care services in Barcelona were classified into three levels according to the population's socioeconomic status (high, medium or low). For each level, two primary health care teams were selected representing different primary health care providers: "Institut Catala de la Salut"; and others. The influence of both the provision option and the population characteristics on service use, clinical practice and costs of prescription were compared.
MAIN RESULTS
The services offered by the two provision options differ. However, the use of medical services is related to the socioeconomic characteristics and not to the option for service provision. Whilst there are no relevant differences in clinical practice between the different options, we observed variations among different primary care teams, notably in referrals to specialists and influenza vaccine coverage. The greater source of variation in prescription costs seems to be related to an external confounding factor.
CONCLUSIONS
Empirical data have not identified relevant differences in the pattern of use, clinical practice, or costs between the different options for service provision within the model of reformed primary care services. Observed variations seem to be associated mainly with the population's characteristics, its pattern of health service use or other external confounding factors.
DOI: 10.1016/s0212-6567(00)78731-2
PubMed: 11198338
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Armengol</name></author><author><name sortKey="Sintes, J" sort="Sintes, J" uniqKey="Sintes J" first="J" last="Sintes">J. Sintes</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2000">2000</date><idno type="RBID">pubmed:11198338</idno><idno type="pmid">11198338</idno><idno type="doi">10.1016/s0212-6567(00)78731-2</idno><idno type="wicri:Area/Main/Corpus">00663</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">00663</idno><idno type="wicri:Area/Main/Curation">000663</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000663</idno><idno type="wicri:Area/Main/Exploration">000663</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Comparison of primary care teams in Barcelona according to management formulas].</title><author><name sortKey="Guarga, A" sort="Guarga, A" uniqKey="Guarga A" first="A" last="Guarga">A. Guarga</name><affiliation wicri:level="1"><nlm:affiliation>Dirección de Planificación y Evaluación, Consorci Sanitari de Barcelona. aguarga@rsbcn.scs.es</nlm:affiliation><country wicri:rule="url">Espagne</country></affiliation></author><author><name sortKey="Gil, M" sort="Gil, M" uniqKey="Gil M" first="M" last="Gil">M. Gil</name></author><author><name sortKey="Pasarin, M" sort="Pasarin, M" uniqKey="Pasarin M" first="M" last="Pasarín">M. Pasarín</name></author><author><name sortKey="Manzanera, R" sort="Manzanera, R" uniqKey="Manzanera R" first="R" last="Manzanera">R. Manzanera</name></author><author><name sortKey="Armengol, R" sort="Armengol, R" uniqKey="Armengol R" first="R" last="Armengol">R. Armengol</name></author><author><name sortKey="Sintes, J" sort="Sintes, J" uniqKey="Sintes J" first="J" last="Sintes">J. Sintes</name></author></analytic><series><title level="j">Atencion primaria</title><idno type="ISSN">0212-6567</idno><imprint><date when="2000" type="published">2000</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical Laboratory Techniques (statistics & numerical data)</term><term>Drug Prescriptions (statistics & numerical data)</term><term>Efficiency, Organizational (MeSH)</term><term>Health Services Needs and Demand (economics)</term><term>Health Services Needs and Demand (statistics & numerical data)</term><term>Home Care Services (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Primary Health Care (economics)</term><term>Primary Health Care (statistics & numerical data)</term><term>Socioeconomic Factors (MeSH)</term><term>Spain (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Besoins et demandes de services de santé (statistiques et données numériques)</term><term>Besoins et demandes de services de santé (économie)</term><term>Efficacité fonctionnement (MeSH)</term><term>Espagne (MeSH)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Humains (MeSH)</term><term>Ordonnances médicamenteuses (statistiques et données numériques)</term><term>Services de soins à domicile (statistiques et données numériques)</term><term>Soins de santé primaires (statistiques et données numériques)</term><term>Soins de santé primaires (économie)</term><term>Techniques de laboratoire clinique (statistiques et données numériques)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Health Services Needs and Demand</term><term>Primary Health Care</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Clinical Laboratory Techniques</term><term>Drug Prescriptions</term><term>Health Services Needs and Demand</term><term>Home Care Services</term><term>Primary Health Care</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Besoins et demandes de services de santé</term><term>Ordonnances médicamenteuses</term><term>Services de soins à domicile</term><term>Soins de santé primaires</term><term>Techniques de laboratoire clinique</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Besoins et demandes de services de santé</term><term>Soins de santé primaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Efficiency, Organizational</term><term>Humans</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Efficacité fonctionnement</term><term>Espagne</term><term>Facteurs socioéconomiques</term><term>Humains</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The aim of the study is to compare, among socio-economically similar areas, the use of medical services, clinical practice and pharmacy costs depending on the how the primary healthcare teams, that provide these services, are organized according to different managemental formulas.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Descriptive study of the evaluation of health care services.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS AND METHODS</b></p><p>The population units (basic health areas) attended by the reformed primary health care services in Barcelona were classified into three levels according to the population's socioeconomic status (high, medium or low). For each level, two primary health care teams were selected representing different primary health care providers: "Institut Catala de la Salut"; and others. The influence of both the provision option and the population characteristics on service use, clinical practice and costs of prescription were compared.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN RESULTS</b></p><p>The services offered by the two provision options differ. However, the use of medical services is related to the socioeconomic characteristics and not to the option for service provision. Whilst there are no relevant differences in clinical practice between the different options, we observed variations among different primary care teams, notably in referrals to specialists and influenza vaccine coverage. The greater source of variation in prescription costs seems to be related to an external confounding factor.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Empirical data have not identified relevant differences in the pattern of use, clinical practice, or costs between the different options for service provision within the model of reformed primary care services. Observed variations seem to be associated mainly with the population's characteristics, its pattern of health service use or other external confounding factors.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11198338</PMID><DateCompleted><Year>2001</Year><Month>02</Month><Day>01</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0212-6567</ISSN><JournalIssue CitedMedium="Print"><Volume>26</Volume><Issue>9</Issue><PubDate><Year>2000</Year><Month>Nov</Month><Day>30</Day></PubDate></JournalIssue><Title>Atencion primaria</Title><ISOAbbreviation>Aten Primaria</ISOAbbreviation></Journal><ArticleTitle>[Comparison of primary care teams in Barcelona according to management formulas].</ArticleTitle><Pagination><MedlinePgn>600-6</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of the study is to compare, among socio-economically similar areas, the use of medical services, clinical practice and pharmacy costs depending on the how the primary healthcare teams, that provide these services, are organized according to different managemental formulas.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Descriptive study of the evaluation of health care services.</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">The population units (basic health areas) attended by the reformed primary health care services in Barcelona were classified into three levels according to the population's socioeconomic status (high, medium or low). For each level, two primary health care teams were selected representing different primary health care providers: "Institut Catala de la Salut"; and others. The influence of both the provision option and the population characteristics on service use, clinical practice and costs of prescription were compared.</AbstractText><AbstractText Label="MAIN RESULTS" NlmCategory="RESULTS">The services offered by the two provision options differ. However, the use of medical services is related to the socioeconomic characteristics and not to the option for service provision. Whilst there are no relevant differences in clinical practice between the different options, we observed variations among different primary care teams, notably in referrals to specialists and influenza vaccine coverage. The greater source of variation in prescription costs seems to be related to an external confounding factor.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Empirical data have not identified relevant differences in the pattern of use, clinical practice, or costs between the different options for service provision within the model of reformed primary care services. 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Armengol</name><name sortKey="Gil, M" sort="Gil, M" uniqKey="Gil M" first="M" last="Gil">M. Gil</name><name sortKey="Manzanera, R" sort="Manzanera, R" uniqKey="Manzanera R" first="R" last="Manzanera">R. Manzanera</name><name sortKey="Pasarin, M" sort="Pasarin, M" uniqKey="Pasarin M" first="M" last="Pasarín">M. Pasarín</name><name sortKey="Sintes, J" sort="Sintes, J" uniqKey="Sintes J" first="J" last="Sintes">J. Sintes</name></noCountry><country name="Espagne"><noRegion><name sortKey="Guarga, A" sort="Guarga, A" uniqKey="Guarga A" first="A" last="Guarga">A. Guarga</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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