Atencion primaria
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[The access to health services and their use by immigrant patients: the voice of the professionals].
To find out, from the health professionals' point of view, how different immigrant groups access and use the health services. ⋯ Professionals attribute a higher use of emergencies, late access to the health services, and less continuity of care, to a series of factors related to economic precariousness and to aspects related to the social inclusion. There is the room for social inclusion policies to reduce these inequalities.
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Multicenter Study
[Therapeutic non-compliance with insulin in the treatment of diabetes mellitus 2].
To determine the percentage of therapeutic noncompliance among type 2 diabetes patients on treatment with insulin. ⋯ A quarter of the diabetic patients did not comply with their insulin treatment.
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The ageing of the population and the increase in people with chronic illnesses is a scenario that creates important challenges on how to organise and provide services for this population group. There is already experience and evidence that would help us to re-think about what are the key aspects that should be taken into account to design a simple health model directed towards this new paradigm. ⋯ A multidimensional approach is required where different elements, such as real platforms for change, are incorporated; the contribution that can be made by information systems, the objectives that should be assigned cross-sectionally to different organisations and professionals, the clinical and relational skills that should be contemplated in training and skill development plans or how the provision should be financed. Also, only interacting with some of these elements could give rise to a significant change in the care of chronic patients, particularly those in a highly complex and vulnerable situation.