El visado de inspección de medicamentos en España: situación actual desde la perspectiva de los profesionales sanitarios a partir de la introducción de su modalidad electrónica

Despite the apparent stagnation, the development of primary care in response to social changes in recent decades is undeniable, both in figures and in the perception of those providing or using primary care. The traditional difficulties of defining roles and allocating resources among levels of care should be reassessed. A model is required that adjusts the health basket in primary care to today's society, to citizen's new needs and demands, and to the legitimate progress of health professionals, while maintaining the comprehensiveness of this level of care. A model with new resource allocation would increase decision-making in primary health care, thereby improving efficiency in this setting. With a view to equity, because of economies of scale, these changes should be agreed on by the Interregional Council, as the representative of the autonomous communities. The support of the Network of Agencies for Health Technology Assessment, the Institute for Health Information, the GuíaSalud Project and the participation of civil society in its many forms, can offer knowledge and experience for the design, implementation and evaluation of actions designed both to improve clinical practice and enhance the organizational and economic infrastructure necessary to support it.

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La cartera de servicios en atención primaria: un rey sin camisa. Informe SESPAS 2012

Fontán¹,

Ripoll

López-Rodriguez

et al. 2012

Gaceta Sanitaria

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Clinical audit in the pediatric primary care office and overweight prevention in toddlers

Limauro¹,

Gallo²,

Cioffi³

et al. 2020

BMC Pediatr

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Background: Clinical audit is a process by which physicians or other health care professionals perform a regular and systematic review of their clinical practice and amend it, when necessary. An internal audit allows to review the activities carried out by professionals, in order to assess the appropriateness, effectiveness, efficiency and safety of the services provided. Aim of this study was to apply the process of clinical audit to the obesity/overweight care in toddlers. After the correction of the nutritional errors that were considered potentially responsible for the excess weight gain, the effect of the changes of dietary advice on the frequency of overweight/obesity was assessed in a cohort of children aged 24-36 months. Methods: Three Italian primary care pediatricians set up the audit strategy by recognizing the high prevalence of overweight and obesity in the entire cohort of toddlers born in 2005, 2006 and 2007 (Pre-Audit group, age 24-36 months old) under their care. By reviewing their clinical practice, they changed the protocol of weaning and feeding up to 36 months, mainly reducing protein and sugar excess. The change involved the cohorts of toddlers born in the years 2010, 2011 and 2012 (Post-Audit group). Results: Change in the approach of pediatricians to children's diet yielded a reduction of the frequency of overweight/obesity in children between 24 and 36 months of life from 26.3% in the Pre-Audit group to 13.9% in the Post-Audit group (p < 0.0001). Conclusion: Clinical audit revealed high rates of obesity/overweight among toddlers. The practice developed a new strategy for nutritional counseling, which was effective in reducing the frequency of overweight/obesity in young children.

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El visado de inspección de medicamentos en España: situación actual desde la perspectiva de los profesionales sanitarios a partir de la introducción de su modalidad electrónica

Abstract: The IVP is perceived as a tool for the economic control in expenditure on drugs and as additional administrative load in PC. The rhythm of implementation of EP differs between AACC as well as the access to the regulation.

Cited by 2 publications

References 5 publications

La cartera de servicios en atención primaria: un rey sin camisa. Informe SESPAS 2012

La cartera de servicios en atención primaria: un rey sin camisa. Informe SESPAS 2012

Clinical audit in the pediatric primary care office and overweight prevention in toddlers

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