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Biomedical subjects

J A Cortés Rubio

Publications and source records attributed to J A Cortés Rubio.

9 recordsLinked to original sources
PubMed2003

[Working atmosphere in primary care: what needs improving?].

OBJECTIVE: To evaluate the factors linked to the perception of professional quality of life (PQL) in a health area. DESIGN: Analytical cross-sectional study. SETTING: Area 11, primary care, Madrid. PARTICIPANTS: The professionals in the area (1436) were stratified into three groups: I) doctors, pharmacists and psychologists; II) nurses, midwives, physiotherapists and social workers, and III) administrative and nursing assistants and caretakers. INTERVENTIONS: A satisfaction questionnaire (PQL-35) was sent out to 450 professionals selected at random. 282 replies were received (62.7%). All calculations used 95% confidence intervals. RESULTS: The mean PQL score (scale from 1 to 10) was 5.14 (4.90-5.37); for intrinsic motivation (IM), 7.41 (7.26-7.53); for management support (MS), 4.80 (4.64-4.96); and for work-loads (WL), 6.06 (5.91-6.21). Perception of PQL was higher in women, group II and professionals with fewer work demands. Perception of best MS was in women, urban centres and people in charge of administrative areas. Women and temporary workers had higher IM. WL perception was higher in groups I and III. Age, marital status, work shift, length of employment, number of companions and belonging to management committees were not related to PQL. In the multi-variate analysis MS was found to be the factor most affecting PQL. CONCLUSIONS: Perception of PQL is medium-low, with adequate intrinsic motivation but a certain discontent related to high work-loads and perception of scant management support.

Adult↗
PubMed1996

[What is the prevalence of elderly persons at high risk in primary care?].

OBJECTIVES: To find the prevalence in a Health District of elderly people at high risk and the reasons for their inclusion in this category. To evaluate the percentage of patients requiring home care. DESIGN: A crossover descriptive study. SETTING: Urban health centre. PATIENTS STUDY POPULATION: patients over 65, TARGET POPULATION: elderly people with their medical notes at our centre. SAMPLE: 329 individuals chosen by systematic sampling of everyone over 65. MEASUREMENTS AND MAIN RESULTS: The elderly person is defined as at high risk or fragile when he/she fulfils one of the following criteria: a recent hospital release, physical incapacity, mental deterioration, over 80, in an institution, confinement to the home, living alone or being widowed, and recent change of home. There was 38.07% prevalence of elderly people at high risk. The main reasons for classification as elderly people at high risk were: age over 80, living alone and physical incapacity. There is a significant link between being an elderly person at high risk and female. 31.7% of elderly people at high risk have a physical incapacity which prevents their attendance at the health centre. CONCLUSIONS: It needs to be bome in mind that almost 40% of the over-65s are included in the groups of elderly people at high risk and therefore need special attention from Primary Care professionals. Our organisation needs to be adapted to the growing demand for home visits, which should cover at least 12% of those over 65 and 31% of the fragile elderly.

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