equipocesca » Organization of services http://equipocesca.org Tue, 24 Mar 2026 18:26:47 +0000 en-US hourly 1 http://wordpress.org/?v=3.5 Crying patients in general/family practice: incidence, reasons for encounter and health problems http://equipocesca.org/en/crying-patients-in-generalfamily-practice-incidence-reasons-for-encounter-and-health-problems/ http://equipocesca.org/en/crying-patients-in-generalfamily-practice-incidence-reasons-for-encounter-and-health-problems/#comments Sun, 16 Dec 2012 13:43:26 +0000 Pedro http://www.equipocesca.org/?p=5903824 Despite evidence demonstrating the benefits of understanding patients, there is a paucity of information about how physicians address psychological and social concerns of patients. Patients cried in 157 encounters out of a total of 18,627 giving an incidence rate of 8.4 per thousand. More frequent reasons for encounters were: feeling depressed (12.7%), social handicap (mainly social isolation/living alone) (6.4%), relationship problem with partner (5.1%) and feeling anxious (3.2%). More frequent health problems were: depressive disorder (23.6%), anxiety disorder (8.3%), cerebrovascular disease (5.1%) and loss/death of partner (3.8%).

  • Crying patients in general/family practice: incidence, reasons for encounter and health problems. Gérvas, J., Pastor-Sánchez, R., Pérez-Fernández, M. Rev Bras Med Fam Comunitaria (Florianópolis). 2012:7. Download article here.
]]> http://equipocesca.org/en/crying-patients-in-generalfamily-practice-incidence-reasons-for-encounter-and-health-problems/feed/ 0 Primary health care oriented systems, for whom, why and how http://equipocesca.org/en/primary-health-care-oriented-systems-for-whom-why-and-how/ http://equipocesca.org/en/primary-health-care-oriented-systems-for-whom-why-and-how/#comments Mon, 04 Jun 2012 10:11:47 +0000 Pedro http://www.equipocesca.org/?p=5903665 Health systems are social products, and as such they cannot being invented. They are expression of the final election between “freedom” and “equity”. Freedom means that each person may select and pay for the needed health services. Equity means solidarity, to help those in need even at the cost that are fit. Only the USA lacks an universal public health system; but countries as Germany, Japan and Switzerland, and others also favours “freedom”. “Equity” is important in countries like Denmark, Spain and the UK, and others, where primary health care is important.

  • Primary health care oriented systems, for whom, why and how. Gérvas J. In: A symposium celebrating the scientific and policy legacy of Bárbara Starfield. Baltimore: Johns Hopkins Bloomberg School of Public Health. May 10th 2012. Download English text here.
]]> http://equipocesca.org/en/primary-health-care-oriented-systems-for-whom-why-and-how/feed/ 2 Quaternary prevention: a summary http://equipocesca.org/en/5903652/ http://equipocesca.org/en/5903652/#comments Mon, 04 Jun 2012 09:53:29 +0000 Pedro http://www.equipocesca.org/?p=5903652

Quaternary prevention is the prevention of harms by medical interventions and as such a foundation block of medicine (primum non nocere). All services have adverse effects, all services might produce damage to health. A few services produce more benefits than harms in specific situations. Unnecessary and inappropriate services mainly produce harms, and few benefits if any.

]]> http://equipocesca.org/en/5903652/feed/ 0 Clinical care and health disparities http://equipocesca.org/en/clinical-care-and-health-disparities/ http://equipocesca.org/en/clinical-care-and-health-disparities/#comments Tue, 10 Apr 2012 15:34:47 +0000 Pedro http://www.equipocesca.org/?p=5903606 In this review, we consider empirical studies from the United States and elsewhere, and we focus on how one aspect of health systems, clinical care, contributes to maintaining systematic differences in health across population groups characterized by social disadvantage. We consider inequities in clinical care and the policies that influence them. We develop a framework for considering the structural and behavioral components of clinical care and review the existing literature for evidence that is likely to be generalizable across health systems over time.

  • Clinical care and health disparities. Starfield, B., Gérvas, J., Mangin, D. Annu Rev Public Health. 2012; 33: 89-106. Download English version here.
]]> http://equipocesca.org/en/clinical-care-and-health-disparities/feed/ 0 Quaternary prevention: theory and practice http://equipocesca.org/en/prevencion-cuaternaria-teoria-y-practica-en-la-consulta-la-ensenanza-y-la-politica-sanitaria-y-su-relacion-con-la-equidad-y-el-coste/ http://equipocesca.org/en/prevencion-cuaternaria-teoria-y-practica-en-la-consulta-la-ensenanza-y-la-politica-sanitaria-y-su-relacion-con-la-equidad-y-el-coste/#comments Thu, 13 Oct 2011 13:42:03 +0000 Pedro http://www.equipocesca.org/?p=2606 All health services have adverse effects, all health services might produce damage to health. A few services produce more benefits than harms in specific situations. Unnecessary and inappropriate services mainly produce harms, and few benefits if any. Quaternary prevention is the prevention of unnecessary and/or inappropriate services and the prevention of over-medicalisation. Quaternary prevention refers mainly to personal services, to clinical care, but collective services is not out of scope. The topic of the 2011 Seminar of Innovation in Primary Care was quaternary prevention. We included the speakers abstracts and the summary of the face-to-face encounter.

  • Prevención cuaternaria: teoría y práctica en la consulta, la enseñanza y la política sanitaria, y su relación con la equidad y el coste. Gérvas, J. Barcelona, octubre 2011. Descargar resumen aquí.
]]> http://equipocesca.org/en/prevencion-cuaternaria-teoria-y-practica-en-la-consulta-la-ensenanza-y-la-politica-sanitaria-y-su-relacion-con-la-equidad-y-el-coste/feed/ 2 Critical steps in Europe to set up PHC under conditions of resource constraint. The case fo the Mediterranean countries http://equipocesca.org/en/critical-steps-in-europe-to-set-up-phc-under-conditions-of-resource-constraint-the-case-fo-the-mediterranean-countries/ http://equipocesca.org/en/critical-steps-in-europe-to-set-up-phc-under-conditions-of-resource-constraint-the-case-fo-the-mediterranean-countries/#comments Wed, 21 Sep 2011 13:14:52 +0000 Pedro http://www.equipocesca.org/?p=2535 Primary health care have a different status across countries. This paper is an exploration of the reasons why. Much can be learned by analysing Spain as a benchmark, and comparing it with other Mediterranean countries (Greece, Italy, and Portugal).

  • Critical steps in Europe to set up PHC under conditions of resource constraint. The case fo the Mediterranean countries. Gérvas, J., Durán, A. Oxford Policy Management Ltd (United Kingdom), for the Department of International Development, Georgia Health Sector Reform Programme – CNTR 02 4201, PHC; 2004. Download English version here.
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