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Z Gancedo González

Publications and source records attributed to Z Gancedo González.

8 recordsLinked to original sources
PubMed1996

[An analysis of long-term computerized prescriptions for those over and under 65 at a health center].

OBJECTIVES: To analyse the origin, diagnoses and types of medicine used in computerised long-term prescription at our centre, which are classified by age distribution; and to extract, if possible, use parameters for monitoring internal activities. DESIGN: Descriptive study. SETTING: Zumaia Health Centre (Guipúzcoa). PATIENTS: 976 patients divided into those over and those under 65, included in the programme of long-term treatment cards. MEASUREMENTS AND MAIN RESULTS: 54% of patients were over 65 and 46% under. Average medicines per patient were 3.24 and 2.23, respectively. 34% of long-term prescription originated in primary care, although primary care was only the main indicator to a significant degree in group K (CIAP) diagnoses for under-65's. The commonest diagnoses belonged to group K, independently of the origin of the prescription. The most prescribed medicines were those in groups M and C (IMC), significantly higher in the over-65's. CONCLUSIONS: Only one third of the prescriptions originated in PC. A significant reversal of this tendency was observed in young people with chronic group K pathologies. The indication of long-term treatment for psychological problems often escapes the public health system; when the PC doctor indicates this treatment, he/she usually does so on the basis of symptomatic conditions. Monitoring new cases could help us find the efficacy of the corrective measures introduced, both at the level of structural innovations and changes in care procedure.

Aged↗
PubMed1993

[Who prescribes? Origin and adequacy of long term prescriptions included in a computerized long term treatment programme at a health center].

OBJECTIVE: To quantify medications not prescribed at the primary level and their suitability for patients included in a programme of compliance and computerised control of long treatments at a Health Centre. DESIGN: Descriptive study. SETTING: Zumaia Health Centre (Guipúzcoa). PATIENTS: The study sampled 75 patients out of a total of 397 in treatment. MEASUREMENTS AND MAIN RESULTS: The total number of drugs studied was 230, out of which 23% were prescribed by the General Practitioner and 77% referred from other care levels. Of these last, the bibliographical sources consulted advised against their use in chronic treatments in one out of every 5 cases, which depended on the pathology which was the cause of referral. CONCLUSIONS: Much of the medication included in our long-treatment programme was prescribed at other care levels than our Health Centre. The elaboration of a list of medications excluded from long-treatment programmes should bear in mind the prescription's real origin in order to avoid negative consequences both for the user and the system. The computerisation of prescriptions could be extremely valuable both in the control of our programmes and the analysis of their attributable costs. We propose that the validity of the type of referred medications used for long-treatment patients should be studied as an indicator of a Health Centre's proper functioning.

Drug Prescriptions↗
PubMed1993

[The evaluation of a computer program for the filling of repeat prescriptions].

OBJECTIVE: To study the long-term prescriptions at our health centre, using information supplied by the data base of the long-term treatment programme (LTP). Secondly, to evaluate the programme's efficiency as regards the best use of available time at our Health Centre. DESIGN: Descriptive study. SETTING: Zumaia Health Centre (Guipúzcoa). PATIENTS: The 533 patients at present included in the long-term treatment programme. MEASUREMENTS AND MAIN RESULTS: 7.9% of the adult population were included in the LTP. There was a significant increase, greater than expected, in the 65-74 age group. On average, the patients received 8.2 jars of medicine at each check-up, which on average took place every 54 days. 60% of patients needed three or less different drugs. On average, the programme printed 560 prescriptions per week, thus avoiding a manual filling of prescriptions calculated at 4 hours and 40 minutes. CONCLUSIONS: The transferral to computers of the filling and control of repeat prescriptions is an alternative of sufficient importance to justify its general use. Modification of the present form authorizing repeat prescriptions would greatly increase efficiency. Further studies are required in order to look deeper into the origin and adequacy of prescriptions.

Adolescent↗
PubMed1990

[The multiple-admissions patient in internal medicine as a special type of hospital readmission].

A considerable number of patients treated in hospitals register several readmissions, this being special cause for concern, not only from a clinical point of view but also in respect of the management of resources. This article analysed the clinical, epidemiological and resources variable associated with patients classified as "multiadmitted". The aim of the study is determine the possible factors which predispose the multiadmission. Multiadmitted patients are defined as those who are admitted twice in a period of 12 months or those admitted 3 times in 5 years. The type of the study carried out involved control cases. We selected 1099 admissions during a period of a year at an internal medicine department of a third-level hospital. Among the various results, we would highlight the fact that 34% of the patients were multiadmitted. The main characteristics were: mean age of 8 years older than the others, patients afflicted with chronic diseases of high prevalence (most of them of the respiratory, cardiovascular, gastrointestinal or endocrine systems). The most frequent diseases were COLD (Chronic Obstructive Lung Disease), cardiomyopathies, and chronic liver disease).

Age Factors↗
PubMed1989

[A morbidity study in a general internal medicine service in a third-level hospital].

This study carried out at a type "C" hospital, analyses the actual pathology of 1,052 patients attended to at the internal medicine department during a period of one year. The sex distribution did not show any differences. The median age (64 years) was significantly superior in women. The more frequent diseases were from group VII (cardiovascular: 512 cases) and group VIII (respiratory: 471 cases) according to the 9th edition of the who international diseases classification. The most frequent causes for admission were: respiratory infection (19.5%), cardiac insufficiency (13.8%) and CVA (10.6%). The most frequent baseline diseases were cardiomyopathy (20.4%), chronic obstructive airways syndrome (16%), malignant neoplasia (8.5%) and hepatopathy (7.6%). The risk factors and toxic habits observed were: Chronic bronchitis (19.6%), blood hypertension (15.5%), diabetes (13.5%) and high alcohol intake (10%).

Adult↗
PubMed1989

[Mortality at an internal medicine department of a tertiary hospital].

The clinical and epidemiological variables as well as conduct parameters, attributable to death cases of the 1,052 patients cared for during one year in an Internal Medicine Department are analyzed. The mortality rate was 11.6%. We may point out in our results the elevated mean age (75.5 +/- 11.2 years) and the high incidence of repeated admissions (46%) among death cases. The mean and median hospital stay values were lower in the patients who died than in those that survived. The more frequent basic causes of death were stroke (27%), chronic obstructive pulmonary disease (15%) and neoplasias (14%). When analyzing the different conditions within one patient, cardiovascular diseases were most often found amongst those who died (73%). Gastrointestinal and infectious diseases were on the contrary associated to a low mortality rate.

Adult↗