Atencion primaria
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To define and validate a battery of prescription indicators on the use of anti-hypertensives, lipid-lowerers, diabetes drugs, and insulin, as measurements of family doctors' quality of prescription in primary health care. ⋯ There is a statistically significant relationship between a good prescription indicator and proper control of intermediate health variables.
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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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Randomized Controlled Trial
[Evaluation of the efficacy of a comprehensive programme of secondary prevention of cardiovascular disease in primary care: the PREseAP Study].
To assess the efficacy of a comprehensive secondary prevention programme to reduce morbidity and mortality in patients who have suffered a cardiovascular (CV) event; to control CV risk factors and prophylactic treatment in order to prevent recurrence; and to improve the quality of life of patients with cardiovascular disease. ⋯ Cardiovascular fatal events, cardiovascular non-fatal events, total mortality and health-related quality of life (SF-36).
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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.