Atencion primaria
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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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Identification of the variables relative to the population characteristics and the primary and specialised care services provision which determine the referral rates between both levels. ⋯ The PRR is greater in the BHZ with higher levels of need of services and lower levels of socioeconomic status and social mobility. There is no relationship with either the provision or the organisation of primary care and specialised care. These variables should be included in the planning of the provision of services.
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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.