Accesibilidad y utilización de la espirometría en los centros de atención primaria de Cataluña

Llauger, María Antonia; Rosas, Alba; Burgos, Felip; Torrente, Elena; Tresserras, Ricard; Escarrabill, Joan

doi:10.1016/j.aprim.2013.12.012

Cited by 9 publications

(8 citation statements)

References 38 publications

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“…It also differs from what was described by Seclén-Palacin and Darras et al, who remarked the problem of the Peruvian population when accessing health services, taking into account that in that study there is a larger and randomized sample, having a clearer picture of what happens in the country (7). An investigation developed in Spanish primary care facilities found that more than 90% had accessibility to spirometry (22).…”

Section: Discussioncontrasting

confidence: 58%

Factors Associated with Accessibility in Seven Peruvian Primary Health Care Facilities

Valladares-Garrido¹,

Ccosco-blas²,

Gutierrez³

et al. 2021

PJMHS

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Introduction: There is limited evidence on factors associated with access to health primary health care services in users of marginal urban areas of Lima, Peru. Objective: To determine factors associated with access to primary health care services in Lima, Peru. Material and Methods: Cross-sectional study in users treated at seven primary health care facilities in a marginal urban area of Lima, Peru in 2019. A questionnaire was used to measure accessibility to health services; demographic and socioeconomic factors and characteristics of health services were investigated as well. Simple and multiple regression analyses were performed, estimating prevalence ratios. Results: Out of a total of 150 participants, 85.2% had access to health services. Female gender was positively associated with access to health services (aPR:1.17, 95% CI:1.11-1.23). Secondary education (aPR:0.65, 95% CI:0.44-0.98) and higher technical education or armed forces (aPR:0.64, 95%CI:0.46-0.89) were negatively associated with access to health services. On the other hand, we found that waiting time for care reduces the possibility of accessing health care; in case wait time is more than 30 minutes (aPR:0.83, 95% CI: 0.77-0.95), more than one hour (RPa:0.85, CI95%:0.75-0.95) and more than two hours (RPa:0.84, CI95%:0.75-0.93). Conclusions: The majority of users treated at the Primary Health Care facilities had access to health services. Having a higher educational level and reporting a longer waiting time for care were associated with a lower frequency of accessibility, while being a woman was associated with a higher frequency of accessibility. Key words: Health services, primary health care, health services accessibility, delivery of health care, public health.

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Section: Discussioncontrasting

confidence: 58%

Factors Associated with Accessibility in Seven Peruvian Primary Health Care Facilities

Valladares-Garrido¹,

Ccosco-blas²,

Gutierrez³

et al. 2021

PJMHS

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“…This training must be completed with adequate recycling and maintenance of skills, through regular courses or workshops [18,24]. Despite certain articles [25][26][27] of national scope, where an enormous variability between different autonomous communities is identified, and the low adaptation to the quality criteria established by the national regulations on spirometries, there is a clear example that Primary Care spirometry is possible, which is the Balearics Program of Spirometry in Primary Care. There, after a comprehensive training in spirometry, a significant improvement has been achieved since its implementation in both process and result aspects, with an increase in the number of spirometries in all centers, in the proportion of patients diagnosed with asthma and COPD with spirometry, and in the proportion of quality spirometries.…”

Section: Question 2 Is There a Significant Copd Underdiagnosis? Of What Magnitude? For What Reasons?mentioning

confidence: 99%

Chronic obstructive pulmonary disease (COPD) in Spain and the different aspects of its social impact: a multidisciplinary opinion document

Bouza

Agustí²,

Almagro³

et al. 2020

Rev Esp Quimioter

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which it leads, the impact of COPD on relatives and caregivers, the limitation of daily life observed in these patients, and the economic and societal burden that they represent for the health system, are not so well-known. A major problem is the high under-diagnosis, mainly due to difficulties for obtaining, in a systematic way, spirometries in hospitals and health-care centers. For this reason, the Fundación de Ciencias de la Salud and the Spanish National Network Center for Research in Respiratory Diseases (CIBERES) have brought together experts in COPD, patients and their organizations, clinical psychologists, experts in health economics, nurses and journalists to obtain their opinion about COPD in Spain. They also discussed the scientific bibliometrics on COPD that is being carried out from the CIBERES and speculated on the future of this condition. The format of the meeting consisted in the discussion of a series of questions that were addressed by different speakers and discussed until a consensus conclusion was reached.

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“…All the above elements 13 , 14 allow us to identify and develop 9 , 15–18 the four pivotal components needed for regional deployment in Catalonia (ES; 7.5 million inhabitants) of a collaborative FS program across health-care tiers. The four core components of the FS program are illustrated in Figure 1 .…”

Section: Introductionmentioning

confidence: 99%

Protocol for regional implementation of collaborative lung function testing

Vargas

Burgos

Cano

et al. 2016

npj Prim Care Resp Med

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Accesibilidad y utilización de la espirometría en los centros de atención primaria de Cataluña

Abstract: Despite the accessibility of EF efforts should be made to standardize training, increasing the number of scans test and promote systematic quality control.

Cited by 9 publications

References 38 publications

Factors Associated with Accessibility in Seven Peruvian Primary Health Care Facilities

Factors Associated with Accessibility in Seven Peruvian Primary Health Care Facilities

Chronic obstructive pulmonary disease (COPD) in Spain and the different aspects of its social impact: a multidisciplinary opinion document

Protocol for regional implementation of collaborative lung function testing

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