PubMed Health⌕ Search

Biomedical subjects

J Gené-Badia

Publications and source records attributed to J Gené-Badia.

6 recordsLinked to original sources
PubMed2001

The EFQM excellence model is useful for primary health care teams.

BACKGROUND: Primary care teams are facing an increased need to develop quality programmes at local level. GPs must lead this process and promote a positive organizational culture if they want to achieve and maintain a continuous improvement of the service. OBJECTIVE: The aim of the present study was to test the applicability and reliability of the European Foundation for Quality Management (EFQM) excellence model self-assessment questionnaire in a primary health care organization. METHOD: A cross-sectional study was carried out of the EFQM questionnaire to compare the scores achieved by a primary health care team in Spain caring for 42 000 inhabitants using internal self-assessment with the scores achieved by professional management auditors through an external audit. RESULTS: The scores of each criterion achieved by self-evaluation are similar to or lower than those assessed by the external evaluation. There is agreement in the areas suitable for improvement. CONCLUSIONS: The experience proves the applicability of the EFQM excellence model for primary health care teams and its reliability, at least when the team undergoing self-assessment know they are going to be re-evaluated. There is high concordance in the identification of areas for improvement.

Benchmarking↗
PubMed1988

Risk factors in the use of benzodiazepines.

A case-control study was carried out on 107 benzodiazepine users and 214 controls not treated with anxiolytic-hypnotic agents, chosen randomly and matched two to one for each case by age, sex and family doctor. The users presented a higher degree of psychic disorder than the controls, with depression, interpersonal sensitivity, and the total number of symptoms being the elements distinguishing the two groups. We have found two factors that put the population at large at risk for using benzodiazepines; the family doctor's diagnosis of a mental disorder in the clinical history and the daily use of drugs other than benzodiazepines explained the risk independently. The presence of chronic disorders, especially cardiological and musculoskeletal disorders, also showed a significant risk, but were only explained by their close association with one of the first two factors. It is postulated that general practitioners, who are the principal prescribers of drugs, are causing over-medication in the population.

Adult↗