Atencion primaria
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Multicenter Study
[Usefulness of the budget and the balanced scorecard in managing Primary Care Centres. Impact on staff motivation].
To analyse the utility perceived by managers of centers of primary care about management tools (budget and balanced scorecard), together their impact on human resources motivation. ⋯ This study shows that budgeting restrictions have led to a significant reduction in autonomy of Spanish Primary Care centers. Management decision making is much centralised, also focused on cost saving over quality of healthcare. As a result, two needs emerge for the future: increasing centers' autonomy and improving staff commitment through training and professional development programs.
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Multicenter Study Comparative Study
[Is the introduction of clinical management programs for patients with chronic obstructive pulmonary disease useful? Comparison of the effectiveness of two interventions on the clinical progress and care received].
To evaluate the effectiveness of two management programs on patients with chronic obstructive pulmonary disease (COPD). ⋯ Both interventions achieved significant improvements, and no overall worsening of a chronic and progressive disease as is COPD.
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Randomized Controlled Trial
[Evaluation of the effectiveness of a Mindfulness and Self-Compassion program to reduce stress and prevent burnout in Primary Care health professionals].
To evaluate the effectiveness of a Mindfulness and Self-Compassion Program on the levels of stress and burnout in Primary Care health professionals. ⋯ This work suggests that it may be beneficial to encourage mindfulness and self-compassion practices in the health environment.