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Biomedical subjects

J L Turabián

Publications and source records attributed to J L Turabián.

At least 19 recordsLinked to original sources
PubMed1996

[Variation in the frequency of chronic diseases and risk factors in primary care: 1985-1995].

OBJECTIVE: To study the variation in the frequencies of chronic illnesses in Primary Care between 1985 and 1995. DESIGN: A repeated crossover study, carried out with the same information-gathering procedures in two periods 10 years apart. SETTING: A Family Medicine clinic at a Health Centre. PATIENTS: Frequencies of chronic illnesses, obesity and tobacco addiction in 1,677 patients who attended a Family Medicine clinic between September 1994 and August 1995, were collected. In order to examine the variations, these were compared to the findings of a similar 1985 study of 1,356 patients by the same main researcher and in the same clinic, in which the same diagnostic criteria were used. MAIN RESULTS: Frequencies of almost all chronic illnesses had clearly increased from 1985 (average of 0.88 chronic illnesses per patient) to 1995 (average of 1.99 chronic illnesses per patient), especially in the cancer, Endocrinology, mental disorders, circulatory, respiratory, genito-urinary, skin and muscle-skeleton groups. Variation was not very important in coronary Cardiopathy, Cerebrovascular Accident, chronic Obstructive Pulmonary Disease, peptic ulcer/gastritis/dyspepsia, gall bladder illnesses, Hepatopathies and Renal Lithiasis. CONCLUSIONS: The rising tendency in the frequency of chronic illnesses between 1985 and 1995, with a comparison of comparable and stable series, supposes the need for a significant increase in community social-health resources at the Primary Care level.

Adolescent↗
PubMed1994

[Perception of the success of primary care health promotion in the province of Toledo].

OBJECTIVE: Identification of factors which can condition the perception by Primary Care professionals of success in health promotion. DESIGN: An observation study of a crossover type. PARTICIPANTS: 106 professionals (doctors, nurses and social workers) from 22 health centres in the province of Toledo, who filled in a questionnaire. MEASUREMENTS AND MAIN RESULTS: A non-conditional, multiple, logistic regression analysis was used. The professional satisfied with his/her work, not a doctor and who worked in a health centre open for less than 3 years, presented, against their opposite values, greater probability (OR 3.01, 2.41 and 1.24 respectively) of having a perception of success in health promotion. CONCLUSIONS: Health promotion undertaken in newly-opened centres, which involves in particular non-medical staff and, above all, is carried out by professionals satisfied with their habitual work, has a 77% probability of being considered successful by these professionals. These factors greatly facilitate its propagation in Primary Care.

Attitude of Health Personnel↗
PubMed1993

[Factors related to community participation in primary care in the province of Toledo].

OBJECTIVE: To identify how many professionals have, in their view, some experience of community participation (CP); how many have a positive attitude to CP; and other associated factors. DESIGN: Observational, analytic, crossover study. PARTICIPANTS: Professionals from 22 Health Centres (HC). INTERVENTION: A questionnaire on attitudes, knowledge and behaviour. MEASUREMENTS AND MAIN RESULTS: 220 (67%) of the 330 professionals who received the survey replied. More than half of these considered that CP in the HC was important. 49% had some experience of this question: of these 59% evaluated their experience was successful, a variable which was linked to work satisfaction, attachment to the HC for less than one year or more than five and being a nursing professional. The main problem was considered to be lack of preparation; and the main cause of failure of experiments was defective planning. 95% of professionals were willing to work on health projects involving community participation. CONCLUSIONS: Even accepting the difficulty of measuring attitudes, knowledge and behaviour, the idea and that the positive attitudes and/or experiences of Primary Care health professionals to CP are a chance phenomenon is rejected. An intervention study to check the hypotheses suggested in this study concerning the variable factors which favour success in community health participation is proposed.

Community Participation↗