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Clinical prevention: patients´ fear and the doctor’ s guilt

19 Jan

Prevention is an activity which frequently has is foundation in patients´fear and the doctor’ s guilt. So confronting prevention in many cases doctors and patients lose the scientific point of view. Clinical prevention: patients´ fear and the doctor’ s guilt. Gérvas, J., Heath, H., Durán, A., Gené, J., Members of the Seminar of Innovation 2008. [...]

Presentation for the Second Virtual Congress of General Practice and Family Medicine (2009)

2 Nov

Presentation for the Second Virtual Congress of General Practice and Family Medicine (2009) about self-learning and  the Internet. Key questions are perseverance, asking good questions during the clinical encounter and do not use self-compassion as an excuse (“I have no time today”). Download presentation here.

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 [...]

The concept of prevention: a good idea gone astray?

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, [...]

Human papillomavirus vaccines. Three decent proposals

2 Mar

There are doubts about the effectiveness of the HPV vaccines. For that, we can accept the vaccines if (and only if) 1/ Pharmaceutical industries will donate one vaccine to under-developed countries per each vaccination done in developed countries, 2/ In case of need of re-vaccination (because less than 30 years protection) pharmaceutical industries will cover [...]