Gaceta sanitaria
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To identify patient expectations of clinical decision-making at consultations with their general practitioners for distinct health problems and to determine the patient and general practitioner characteristics related to these expectations, with special focus on gender. ⋯ Most patients wished to be listened to, informed and taken into account by their general practitioners and, to a lesser extent, wished to take decisions autonomously, especially for biomedical problems.
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Multicenter Study Comparative Study
[Parental stance towards alcohol consumption in 12- to 17-year-old adolescents from six urban areas in Spain].
To determine the opinions of urban parents on alcohol drinking in teenagers and their positioning regarding the legal restrictive measures. ⋯ Parents recognize adolescent alcohol drinking as a problem and tend to deal with it. Parents use distinct intervention strategies and generally approve legal measures.
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Randomized Controlled Trial Multicenter Study Clinical Trial
[Cost-effectiveness of drotrecogin alpha [activated] in the treatment of severe sepsis in Spain].
The PROWESS clinical trial has shown that treatment with drotrecogin alpha (activated) in patients with severe sepsis is associated with a reduction in the absolute risk of death compared with standard treatment. The aim of the present study was to assess the cost-effectiveness of drotrecogin alpha (activated) versus that of standard care in the treatment of severe sepsis in Spain. ⋯ Treatment with drotrecogin alfa (activated) presents a favorable cost-effectiveness ratio compared with other health care interventions commonly used in Spain.
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Multicenter Study
[The libraries of the public hospitals in Spain. An economic analysis. The Research Group on Libraries].
The continuous increase in scientific knowledge in the health field, the development of new technologies and the rising cost of publications means that libraries are essential for patient care, medical education and research. In Spain some deficiencies have been seen in hospital libraries, and their cost is unknown. ⋯ The cost of hospital libraries represents only a small fraction of public spending on health. Correction of the observed deficiencies and the importance of libraries in the health system would require increasing spending to about 0.1% of public spending on health.
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Multicenter Study Comparative Study
[Patient satisfaction survey in emergency departments in acute care hospitals].
To describe patient satisfaction with emergency care of different hospitals. ⋯ This survey detect significant differences among all the centers in the study. Waiting time area showed the greater differences among them. Also the worst qualifications, followed by information to patient. Patient satisfaction questionnaires may work as aid in detecting health care problems.