29 Apr
Seminars on Innovation in Primary Care are encounters with a previous online work about new ways of thinking or organization in primary care. From 2005 this experience allows to teach and research in Spain. This presentation is a summary of the work done. Seminars of Innovations in Primary Care “ A Network Experience in Education [...]
7 Apr
“General Practitioners with Special Interests” (GPwSI) is a British initiative about waiting list. Voluntary GP develop specialists clinics, for his patients and those of their colleages. They devote part time and expertice to some problem or patient (minor surgery, diabetes and so on) so in some way work as specialists, and patients are refered to [...]
24 Mar
Socioeconomic status depends on wealth and education. Both have impact on health. In this study there are some comparisons in between two urban district, one rich, one poor. There are differences in health and use of services, but also unexpected differences in the main source of income (pension in the poor district) and the number [...]
24 Mar
Prevention without limits creates monsters. Prevention has week foundations, as diagnostic methods with no scientific base. Good example are the problems with the interpretation of mammography in the screening of breast cancer and with the diagnosis of melanoma. Screening for serious illness. Limits to the power of medicine. Gérvas, J. European Journal of General Practice, [...]
2 Mar
New health challenges because social, technical and epidemiological changes need new types of medicalinterventions. Old-style prevention is not more justifiedthan old-style treatment. More money spent on preventivecare for the rich people, who are in a better position todemand it, takes time away from the poor people, whohave greater needs for their health problems. We propose [...]
2 Mar
Capitation is the way of payment for general practitioners-family physicians in countries where primary care is strong, as Denmark, Holland, Spain, New Zealand, Spain and the UK. Capitation implies the existence of patients’ list and fair distribution of general practitioners over the country. Supply and distribution of family physicians. Gérvas, J. Canadian Family Physician/ Le [...]
2 Mar
Over time, the definition of prevention has expanded so that its meaning in the context of health services is now unclear. As risk factors are increasingly considered to be the equivalent of ‘‘diseases’’ for purposes of intervention, the concept of pr evention has lost all practical meaning. This paper reviews the inconsistencies in its utility, [...]
