• Atencion primaria · Nov 2019

    Multicenter Study

    [Accomplishment of preventive activities proposed by resident doctors of Family Medicine in Primary Care and its relationship with communication skills].

    • Natalia Zafra-Ramírez, Alejandro Pérez-Milena, Francisco Javier Valverde-Bolívar, Antonina Rodríguez-Bayón, and Miguel Delgado-Rodríguez.
    • Centro de Salud El Valle, Distrito Sanitario Jaén-Jaén Sur (Servicio Andaluz de Salud), Jaén, España.
    • Aten Primaria. 2019 Nov 1; 51 (9): 562570562-570.

    ObjectiveTo determine the offer of preventive activities by resident physicians of family medicine in the Primary Care consultations and the relation with their communication habilities.DesignA descriptive multicentre study assessing medical consultations video recording.LocationEight Primary Healthcare centres in Jaen (Andalucia).ParticipantsSeventy-three resident physicians (4th year) filmed and observed with patients.Principal MeasurementsOffer of preventive activities (according to the Spanish Program of Preventive Activities and Health Promotion -PAPPS-). Doctor, patient and consultation characteristics. Peer-review of the communication between physicians and patients, using a CICAA scale. A descriptive, bivariate, logistic regression analysis was performed.ResultsTwo hundred and sixty interviews were evaluated (duration 8.5±4.0min) of 73 residents (50.7% women, mean age 32.9±7.7 years, 79% urban environment). The patient is more frequently a woman (60%) who comes alone (72%) due to acute processes (80%) and with 2.1±1.0 demands. Preventive activities are offered in 47% (duration less than one minute) of primary (70%) and secondary (59%) prevention, offered through advice (72%) or screening (52%) and focused on the cardiovascular area (52%) and lifestyles (53%). Eighty percent related to the patient's reason for consultation. Communication skills 41% improvable, 26% adequate, 23% excellent. The offer of preventive activities is related to the duration of the consultation (OR=1.1, 95% CI 1.01; 1.16) and communication skills (OR=1.03, 95% CI 1.01; 1.10).ConclusionsPreventive activities are carried out in almost half of the consultations, although focused on advice and screening and linked to the patient's demand. Consultation time and communication skills favor a greater preventive offer.Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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