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Biomedical subjects

A Navarro Martínez

Publications and source records attributed to A Navarro Martínez.

11 recordsLinked to original sources
PubMed1998

[Decile distribution of risk of mortality from ischemic cardiopathy in the male population registered at a health care center].

OBJECTIVE: To distribute the male population registered at our health centre into deciles of risk of death from ischaemic heart disease, using only the data in the clinical history. DESIGN: A crossover, retrospective and observational study, without random distribution. SETTING: Urban health centre. PATIENTS AND OTHER PARTICIPANTS: The work material was 2848 clinical histories of men aged between 25 and 55 1420 of these were histories with up-to-date data because the men had had a consultation during the preceding year. MEASUREMENTS AND MAIN RESULTS: The method proposed by Shaper to evaluate cardiovascular risk was used. The most prevalent risk factor was tobacco dependency, at 50.1% (CI 95%, 47.5-52.7), whereas hypertension and diabetes did not exceed 14.1% (CI, 12.3-15.9) and 2.5% (CI, 0.016-3.31), respectively, 90% of those under 35 were in the 10-30 deciles, while about half the over-45s were in the 40-90 deciles. CONCLUSIONS: Use of the Shaper method enabled us to distribute our male patients according to risk and identify 4% (2.56-5.37) as being at high risk of ischaemic heart disease.

Adult↗
PubMed1995

[Study of short-term unfitness for work because of common illness among primary care management employees].

OBJECTIVES: To find the level of absenteeism among workers in the primary care management of Murcia, along with their distribution by professional category, health area, age and gender; and (2) find the causes of absenteeism and the relationship between these causes and the number of days lost. DESIGN: A descriptive, retrospective, population-based study. SETTING: Primary care management in Murcia. POPULATION: The management staff in Murcia consisted of 1,225 employees, who overall had 610 short-term periods of unfitness for work (SUW) due to common illness and accidents not at work, between October 1st, 1992 and October 1st, 1993. The variables studied were: age, gender, professional category, area where they worked, reason for and length of SUW and type of care. MAIN RESULTS: Index of absenteeism (IA) = 0.50, index of Seriousness (IS) = 40.75, Index of Incapacity (IL) = 18.12 and overall rate (OR) = 4.96. We found a large amount of SUW "without diagnosis": 104 cases (17.04%), which was the second most frequent cause behind respiratory complaints (23.77%). The IS were high in pathologies of the circulatory system, mental illness and neoplasias. CONCLUSIONS: The length of SUW (IS) is not influenced by any of the variables studied, excepting the specific cause of the SUW. II and IA are affected by the model of care (greater in the traditional type, p < 0.05), the health area where they work (p < 0.001) and professional category (p < 0.001). The filling out the sickness note must be improved in order to lessen the number of SUWs "without diagnosis".

Absenteeism↗
PubMed1992

[Enteropathic arthritis].

AIM: Description of a clinical case of enteropathic arthritis. DESIGN: Descriptive study. SITE. Health Centre. PATIENTS AND OTHER PARTICIPANTS: A clinical case is described, starting with back pain where X-rays perceive no irregularity. Later a diagnosis of Crohn's disease is made. Finally lesions characteristic of anchylo-poyethic spondylitis appear. INTERVENTIONS: Corticosteroid treatment. MEASUREMENTS AND MAIN FINDINGS: Clinical investigations and complementary diagnoses. CONCLUSIONS: Way in which spondylitis presents, with no clear X-ray indications. Importance of closely following the development of this type of patient.

Adult↗
PubMed1992

[Advanced booking as strategy for diminishing appointments on demand: an approach].

OBJECTIVE: We looked at a group of patients included in the arterial hypertension (AHT) sub-programme, in order to analyse whether an appointment booked in advance can reduce the number of on-demand consultations requested by the patients themselves. We also assessed whether these patients sought more on-demand consultations than consumers not included in any sub-programme. DESIGN: A retrospective, observational, crossover study, with no random distribution. SITE. Barrio del Carmen Health Centre in Murcia. PATIENTS: 541 consumers not included in any sub-programme and 67 patients involved in the AHT sub-programme. MAIN MEASUREMENTS AND RESULTS: Patients involved in the AHT sub-programme had 9.9 +/- 8.7 on-demand consultations per year, one year before their involvement. In 1987, they had 8.3 +/- 6.2; and in 1989, 7.3 +/- 6.3 (p > 0.05). These patients did not have any more on-demand consultations than those not involved in any sub-programme, except in the 50 to 65 age-group (p < 0.001). CONCLUSIONS: Our model does not show that a booked medical appointment is an adequate tool for reducing demand, even when the number of booked consultations significantly increases.

Appointments and Schedules↗
PubMedDate not supplied

[Postgraduate education in family and community medicine. The importance of differences between health care activity of the tutor and the resident].

OBJECTIVE: To find the health-care activity of Family and Community Medicine (FCM) Interns (I) during their third year of Primary Care duties, to check the existence of significant differences with the Tutor's (T) health-care activity, and to evaluate, using the requests for complementary tests and the referral rate, possible qualitative differences in the outcome of on-demand consultations. DESIGN: A descriptive and retrospective observation study, with two parts, each corresponding to one objective. SETTING: Primary Health Care. The Carmen Health Centre in Murcia, used for teaching postgraduate FCM. PATIENTS AND OTHER PARTICIPANTS: A sample of 489 cases of those requesting health consultations between February 1st and December 21st, 1990 for the first part of the study; and all those consultations between April 8th and May 8th, 1991 for the second part. Covering five family practices. MEASUREMENTS AND MAIN RESULTS: The variables studied were: gender, age, the first or second medical consultation, administrative consultations, reasons for the consultation, the number of inter-referrals and the number of complementary tests. The I had fewer consultations a day than the T (p < 0.001), with a greater proportion of young people between 26 and 35 (p < 0.001) and with first (p < 0.001) and administrative (p < 0.001) consultations predominating. However no differences were observed regarding requests for complementary tests and referral rates. CONCLUSIONS: 1. Significant differences exist between the health-care activity of the T and the I. 2. The population selects the doctor who is going to care for them. 3. There were no differences observed in requests for complementary tests and the referral rates. 4. It would be important to assess the teaching repercussion of these differences and to introduce corrective mechanisms if it is thought necessary.

Adolescent↗