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A multinational study of the factorial structure and other characteristics or the Dartmouth COOP Functional Health Assessment Charts/WONCA

6 May

In daily practice is not easy to measure health status. COOP charts allows it. In this study COOP chart are used in Canada, Japon, Nepal and Spain. A multinational study of the factorial structure and other characteristics or the Dartmouth COOP Functional Health Assessment Charts/WONCA. Westbury R.C., et al. Fam Pract. 1997; 14: 478-85. Download [...]

Primary Care, Financing and Gatekeeping in Western Europe

29 Apr

Gatekeeping is a common role in Europe for general practitioners. Usually, gatekeeping is associate to patient list. Being a filter allow GP to avoid for their patients unnecessary contact with specialists. In this way it saves money and could no decrease patient satisfaction. Primary Care, Financing and Gatekeeping in Western Europe. Gérvas, J., Pérez Fernández, [...]

Seminars of Innovations in Primary Care: A Network Experience in Education & Research

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 [...]

General Practitioners with Special Interests in the UK

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 [...]

Socio-economic status, chronic morbidity and health services utilization by families

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 [...]

Screening for serious illness. Limits to the power of medicine

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, [...]

Is clinical prevention better than cure?

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 [...]