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Oliva X.,Hospital Of Viladecans Institute Catala Of La Salut | Micalo T.,Hospital Of Viladecans Institute Catala Of La Salut | Perez S.,Servei dAtencio Primaria Baix Llobregat Litoral | Jugo B.,Servei dAtencio Primaria Baix Llobregat Litoral | And 4 more authors.
Endocrinologia y Nutricion | Year: 2013

Purposes: The resolution improvement of endocrine diseases in Primary Care using communication and information technology (IT). Reduce number of inappropriate appointments to specialist care visits. Direct line establishment of communication between Primary Care and Specialist Care and provide quick and useful advices to GPs. Methods and materials: The GP establishes appointments for patients who need a visit with the specialist of endocrinology without physical presence. The queries are recorded in the medical share history of each patient. If a person requires a visit, the Specialist Care makes an appointment himself. A descriptive analysis was made based on virtual visits during 2008-2010, using the electronic medical history of patients from 6 GP centers. Compare of adequacy of first visits (according to agreed protocols) between 2007 and 2009. Results: Total number of online queries: 1705. Pathology: thyroid 35%, diabetes 50%, obesity 4% and others 11%. The most common virtual queries were the thyroid dysfunctions in 2008 and diabetes in 2010. Diabetes increased from 25,5% to 66%. In 2007 there were a 25% of inappropriate first visit which were reduced to 10% in 2009. 88% of queries were resolved virtually. Conclusions: Increase in the capacity of case resolution in Primary Care. Decrease of inappropriate first visits from Primary Care to Specialist Care. Encourage teamwork between Hospital and primary care. Improve the access of training in endocrine pathology among GP. © 2011 SEEN.

Sala Musach I.,Area de Atencion a la Salut Sexual I Reproductiva del Baix Llobregat | Hernandez Alonso A.R.,ABS Camps Blancs | Ros Guitart R.,Area de Atencion a la Salut Sexual I Reproductiva del Baix Llobregat | Lorenz Castane G.,ABS Camps Blancs | Parellada Esquius N.,Servei dAtencio Primaria Baix Llobregat Litoral
Atencion Primaria | Year: 2010

Aims: To assess whether key questions can detect domestic violence (DV), and find out the prevalence in primary care (PC) and women's care (WC). Design: Intervention Study with random assignment. Location: PC and WC clinics (Sant Boi de Llobregat Barcelona). Participants: Systematic random selection of women in PC (not know if battered) and women who came for the first time to the WC service. Age-matched controls were selected. A total of 400 women were interviewed. Interventions: Anamnesis was performed and a questionnaire filled in. In the control group (CG) there was one question concerning DV, in the intervention group (IG) there were 6 key questions: relationship of their parents, partner's parents, if the partner had suffered abuse, relationship with her partner, if sexual relations were consensual or got angry if they were not. When DV was detected, asked about type, features and duration. Results: A total of 101(25.3%) cases of violence were detected, 58(29.4%) in IG and 43(21.2%) in CG (odds ratio (OR)=1.55, confidence interval (CI): 0.96-2.51, P=0.06). WC rates were 32.7% and 17.5% (OR: 2.3, CI: 1.2-4.5, P:0.007) and PC 25.3% and 25.8% (OR: 0.97, CI: 0.47-2.02, P=0.5), respectively. Different characteristics were observed depending on whether they were from PC or WC, but were similar between IG and CG, except mental disability, more common in IG. 23.5% suffered from a psychiatric disorder, 15% in non-battered and 44% in the battered, in 68% of these the disorder appeared after the abuse. Conclusions: Abuse is a Public Health problem. When women visit for the first time it is necessary to use indirect questions to make communication easier, if the woman and the professional know each other, a single question is enough to detect it. © 2009 Elsevier España, S.L. All rights reserved.

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