Atencion primaria
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Randomized Controlled Trial Comparative Study
[Effectiveness of a programme of intensive tobacco counselling by nursing professionals].
To determine the effectiveness of a systematic intensive tobacco counselling programme conducted by nursing professionals. ⋯ In smokers seen in primary care, the effectiveness of a programme of intensive tobacco counselling by nursing staff is no more effective than the doctor's brief, one-off counselling. Brief counselling has a better cost-effectiveness relationship than intensive counselling.
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To assess the views of primary care physicians (PCPs) in Spain regarding the purpose of inspection validation of prescriptions (IVP) and its impact on prescription and patients, as well as doctors' acceptance of this measure. ⋯ According to PCPs, the objective of the IVP is mainly economic and may affect negatively their clinical practice and patients. Therefore, in general, they do not support it, at least for drugs for diseases mainly managed in primary care.
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To determine the efficacy over 12 months of the educational programme on self-care of the elderly (PECA), which covers quality of life, nutritional status, and perceived social support of people over 65 living in their own homes. ⋯ Despite a statistically significant difference in the variable of nutritional status, the difference was not "clinically" relevant. The ineffectiveness of the intervention is due to our starting from a very homogeneous sample, which had good health status and well-established social networks.
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Multicenter Study
[TB-Red (TB-Network) Project: pilot study and evaluation of an information transfer].
The main objective of this project is to set up and assess a pilot model to help increase the cure rate in the mobile immigrant population with Tuberculosis. A model of information transfer is proposed. This is based on successful experiences in other countries. ⋯ To set up the project, 4 items are needed: a) registration form; b) extensible identification card; c) telephone, and d) data base. The coordination of the project and collection of information will be centralised at the National Centre of Tropical Medicine, which is also the coordinator of the REUMT network. INFORMATION ANALYSIS: A statistical analysis of the data base will be run, first descriptive and then bivariate. To assess the intervention, indicators marking the process and results will be collected.
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To evaluate the effectiveness of interventions aimed at improving the quality and outcome of chronic disease management. ⋯ In order to improve quality and effectiveness of chronic disease management, it is necessary to take a systematic view including proactive health care systems and patients taking an active role in managing their disease. These programmes should combine, at the least, organizational strategies, design of clinical practice and patient self-management.