[Generic drugs again].
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Biomedical subjects
Publications and source records attributed to M Blasco Oliete.
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OBJECTIVE: To evaluate the effectiveness of the group intervention for getting pregnant women to give up tobacco consumption, measured by means of carbon monoxide levels in air breathed out, compared with a minimum intervention. DESIGN: Randomised clinical trial. SETTING: Four primary care teams from Area 9 of IMSALUD-Madrid. PARTICIPANTS: All the pregnant women attending for consultation with the midwives of the four PC teams involved during the study period, who are smoking at least one cigarette a day when they find out they are pregnant and who want to take part in the study once they have been informed of it. Intervention. The subjects included will be randomised into 2 intervention groups. The minimum intervention will consist of brief personal counselling (3 to 5 minutes) on why they should give up smoking, especially now they are pregnant. The group intervention will involve 3 sessions lasting approximately an hour and a half.
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OBJECTIVES: To assess primary care users' views on generic drugs, approach to them and degree of understanding of them; and to find the importance they attach to the economic cost of medication. DESIGN: Transversal, descriptive study. SETTING: Primary care. PARTICIPANTS: A sample of 231 patients was selected from all the people over 18 who attended the health centre for medical consultation during 2001. RESULTS: 60% (95% CI, 55.22%-67.42%) of those surveyed said they had heard of generic medicines. The communications media were the main source of information, accounting for 78.4% of cases (95% CI, 69.19%-83.96%). 48.04% (95% CI, 38.04%-58.16%) of those who had heard of generic medicines had taken them on some occasion; and 32.4% (95% CI, 23.42%-42.34%) normally took them. 76.47% (95% CI, 67.04%-84.30%) did not mind or, where appropriate, would not mind if their doctor changed a medicine they normally took for a generic one. The mean age of those who did not mind was significantly lower than that of those who did. 50% (95% CI, 42.25%-52.75%) of those questioned were very interested in the cost of drugs prescribed by their doctors: people still working were more interested than those on a pension. 67.6% (95% CI, 60.06%-74.61%) believed that doctors should try to prescribe the cheapest drugs, as long as they were equally efficacious. 78.8% of those questioned (95% CI, 71.91%-84.70%) would choose the cheaper of two drugs which were the same bar the cost. CONCLUSIONS: Most patients in our study were aware of generic drugs and were not against the replacement of a medicine they were already taking by a generic one. They did not relate drugs' cost to their quality.
OBJECTIVES: To describe the characteristics of tobacco consumption among adolescents seen at a health centre, find their opinions of the factors that affect consumption, and analyse the quality of the intervention of the health staff. DESIGN: Descriptive, cross-sectional study of adolescents attending the health centre. SETTING: Primary care (PC). PATIENTS: All the young people between 10 and 20 who attended family medicine, paediatric or nursing clinics, whether on-demand or with appointments, on Tuesdays and Wednesdays between December 2000 and February 2001. MAIN RESULTS: 23.1% of all the girls smoked (95% CI, 14.9-33.1) versus 15.3% of boys (95% CI, 8.4-24.7). Among non-smokers the main reason for not smoking was health (94.4%). 50% of smokers had tried to give up, of whom 70.5% tried for health-related reasons. 49.4% (95% CI, 41.8-57.1) of those included in the study had been asked at the health centre on some occasion whether they smoked (10.1% of these [95% CI, 4.2-19.8] were aged 10-13; 73.4% [95% CI, 60.9-83.7] 14-17; and 76.7% [CI 95%: 61.4-88.2] 18-20); and 50.6% had never been asked. Of those who were asked and did smoke, 75% (95% CI, 55.1-89.3) were advised to give up and 4.7% of these (95% CI, 0.1-23.8) were offered help to do so. 28.81% of those who did not smoke (95% CI, 17.8-42.1) were encouraged to continue not to smoke. CONCLUSIONS: Both smokers and non-smokers are highly aware of the repercussions of tobacco on health. Tobacco dependency in young people was not tackled well enough at health centre clinics, especially by paediatricians.