Biomedical subjects
A Ruiz Téllez
Publications and source records attributed to A Ruiz Téllez.
[Making consultations flexible at demand peaks].
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[The computerization of primary care].
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[Informatics in primary care (I)].
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[Temporal disability: management improvements].
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[Computerization: equipment, attitudes and aptitudes at health centers of the Autonomous Basque Community].
OBJECTIVE: To find the material complement, skills and attitudes towards computers of professionals working in the Primary Care field in the Basque Autonomous Community. DESIGN: A descriptive study based on a personal questionnaire. SETTING: Primary Care Centre of Osakidetza-Basque Health service. MAIN RESULTS: Overall reply rate was 83.5%. The actual hardware complement was only 8% of that required. Hardware needs were calculated as 89 regular and 6 occasional outlets for each 100 professionals. A minimum of 27% of the network's professionals already used a computer. About 2,000 people needed first-contact training. Proficiency training needs oscillated between 25 and 50% of the staff in function of the type of software. CONCLUSIONS: There is a significant equipment deficit. Professionals are highly sensitised to the reality of computerisation, as both the high rate of reply and the desire to acquire computer literacy confirm.
[Computers and quality: a practical example].
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[An analysis of the level of accuracy of the official diagnosis of temporary work incapacity].
OBJECTIVE: To assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN: A descriptive, prospective and observational study. SETTING: Health Centre in an urban area in Vitoria. PATIENTS AND OTHERS PARTICIPANTS: All the sickness occasioning time off work between May and July, 1991, recorded at the above Health Centre: a sample of 224 TUW. MEASUREMENTS AND MAIN RESULTS: In 11.6% of the TUW the diagnoses did not coincide. The main reasons for the lack of correspondence were: initial ignorance of the diagnosis (34.6%); confidentiality before a third party (25.9%); pretense (14.8%). There was a notable difference between the psychological diagnoses (12) and those found in the official certificate 3 for TUW (p = 0.032). The most common diagnostic group was the locomotive one (29%). CONCLUSIONS: There is considerable inexactness in the diagnoses on the official TUW certificate. A lot of time off for psychological reasons is covered up by organic complaints. The locomotive group of complaints is the most commonly found one. We propose that the CIAP classification should be adopted to standardise diagnoses in this area.
[Management in primary care].
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[Aspects of the intrafamilial transmission of the hepatitis B virus in a family of the gypsy race].
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[Tuberculin test: errors in injection and interpretation of the Mantoux test. Evaluation of a training course].
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[Questionable obstruction in hypertrophic cardiomyopathy].
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