Atencion primaria
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Multicenter Study
[Impact on cardiovascular health results of the introduction of the clinical governance contract into primary care in Tarragona].
The objectives of this study are: 1) to determine the improvement in the cardiovascular health of the population after the introduction of the clinical governance contract for primary care team professionals in Tarragona-Reus and the Terres de l'Ebre area (Tarragona province, Spain); 2) to identify the factors predictive of better cardiovascular health after the introduction of the clinical governance contract. The introduction of the clinical governance contract, which is based on professional leadership, feed-back of care information, and monitoring of indicators of cardiovascular risk based on scientific evidence and concretised in clinical practice guidelines, will improve the cardiovascular health results of the reference population. Improvements in indicators of procedure and result are specified in "Material and methods." ⋯ This study is useful, in that clinical governance aims to be a dynamic device to bring professionals into the leadership of health care management and, through monitoring indicators and feeding the findings back to the professionals, to improve health care quality. The study aims to show that management strategy can improve the population s cardiovascular health. The originality of the study lies in the development of a new tool of evaluation based on a novel management strategy for measuring cardiovascular health findings.
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Letter Multicenter Study
[The way participants are recruited affects their degree of collaboration].
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Multicenter Study
[Relationship between the quality of professional life and the burnout of primary health care doctors].
To know the relationship, if this exists, between the quality of professional life (CPL) and the burnout of primary health care staff. ⋯ CPL and burnout measure different but related dimensions. Therefore, its utility is dependent on the objectives. Target elements, which can improve the quality of professional life, can be identified from these tools.
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Letter Multicenter Study
[Antiresorptive treatment after proximal femur fracture].
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Randomized Controlled Trial Multicenter Study Comparative Study
[Efficacy of educational sessions to modify the prescription of new drugs].
To evaluate the efficacy of an educational intervention to minimise the prescription of those new medicines whose therapeutic effects are of little benefit. ⋯ The group educational sessions, run by doctors trained in aspects of evidence-based medicine and prepared jointly with the pharmacy unit, reduced discreetly the prescription of new medicines that were not very innovative.