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R Altisent Trota

Publications and source records attributed to R Altisent Trota.

11 recordsLinked to original sources

[Analysis of the relationship between primary care doctors and the pharmaceutical industry].

OBJECTIVES: To describe the type of relationship between primary care family doctors (PCDs) and the pharmaceutical industry (PI) and its representatives in Aragon, to describe doctors' attitudes to this relationship and to find out how doctors behave towards offers from the industry. DESIGN: Descriptive cross-sectional study, through a self-filled questionnaire with closed replies, of a representative sample of the population under study. SETTING AND PARTICIPANTS: Family doctors working in primary care teams throughout Aragon. RESULTS: The reply rate of 28.17% maintained the study's representativity. Differences in the kind of relationship between PCDs and PI were found in gender (greater relationship of male doctors) and setting (it was greater in urban areas). Doctors working in centres with teaching credentials and woman doctors had a more critical attitude. The tendency to collaborate with the industry's offers was greater in the rural areas and among men. The group of doctors that interacted most with the industry tended to collaborate more with the proposals of the PI. No relationship was found between attitude and conduct of PCDs. CONCLUSIONS: Results confirm both the starting hypotheses: a) the nature of relationships between PCDs and the PI and its representatives affects prescribing behaviour, and b) there are differences between what doctors think they should do and what they really do in their dealings with the PI.

Attitude of Health Personnel↗

[Working out a questionnaire to study the relationship between doctors and the drug industry].

OBJECTIVE: To work out and validate a questionnaire that can be self-filled and has closed answers to describe: 1) the kind of relationship between family doctors and the pharmaceutical industry; 2) the attitude of family doctors towards this relationship, and 3) the conduct of family doctors when faced with concrete offers from the industry. DESIGN: Cross-sectional study. PARTICIPANTS: Representative sample of family doctors working in primary care teams in Aragon, stratified by province, rural or urban setting and sex. MAIN MEASUREMENTS: A questionnaire with closed answers that can be self-filled was worked out. It had 55 items on three scales. It was referred to a group of experts in methodology, administration, health law and Bioethics, for an appraisal of its contents, criteria and construction. It was then re-sent to three of them for appraisal of the stability of their scoring. RESULTS: The questionnaire was valid in contents, criteria and construction. The results of the re-test sent to a part of the total sample gave information on replies' stability and served as a measurement of the reliability of the questionnaire. CONCLUSIONS: The questionnaire worked out met established psychometric criteria. The analysis of its results after its distribution to a representative sample of Aragonese family doctors may contribute previously unknown information on their attitudes to the drug industry.

Cross-Sectional Studies↗

[The evaluation of a semiautomatic arterial pressure monitor].

OBJECTIVE: To study the reliability and precision of the arterial pressure digital monitor, Palm Monitor-2 FS-40, model 1083 (DM). The mercury sphygmomanometer (MSM) was used as the reference. DESIGN: Comparative crossover study. SETTING: Primary Care Centre. PATIENTS: 81 patients of both sexes between 26 and 65 found at random in a consultation during November and December, 1991. 24 of them had systolic arterial pressure (SAP) above 140 mmHg and/or diastolic arterial pressure (DAP) above 90 mmHg. MEASUREMENTS AND MAIN RESULTS: Four measurements of AP for each patient were carried out at one minute intervals: the first and the fourth with the MSM and the second and third with the DM. The SAP averages with the DM were 130.27 mmHg in the first take and 129.36 in the second. The DAP averages were 82.53 and 81.88, respectively. The Pearson correlation r between the averages for both devices and the difference of averages, both absolute and in so much per cent, were obtained. The values obtained were 0.887 for SAP and 0.810 for DAP. The difference between averages was -3.83 mmHg (-2.86%) for SAP and -2.55 mmHg (-3.04%) for DAP. CONCLUSIONS: The measurements obtained with this DM are quite reliable, although a tendency to underestimate the AP values in relation to the MSM was noted. Overall it can provide useful information on certain aspects of the diagnosis and follow-up of AHT.

Adult↗

[Brief questionnaires for the early detection of alcoholism in primary health care].

The utility of two tests for the early detection of alcoholism (CBA and CAGE) is studied in a group of 247 adult patients of both sexes at the primary care environment. For the definition of the "problem drinker case", the Münchner alkoholismus test (MALT) protocol is used as "gold standard". A sensitiveness of 79 and 75% is obtained for the CBA and CAGE respectively, a specifity of 94 and 96%, and predictive positive value of 63 and 73%, with a prevalence of "problematic drinkers" of 12%. Both questionnaires are shown as efficient instruments for the secundary prevention of alcoholism in the primary care consulting rooms.

Adolescent↗