Evidence map›Paper›PMID 31174917›Full record

ArticleAtencion primaria2019

[Accomplishment of preventive activities proposed by resident doctors of Family Medicine in Primary Care and its relationship with communication skills].

Natalia Zafra-Ramírez, Alejandro Pérez-Milena, Francisco Javier Valverde-Bolívar, Antonina Rodríguez-Bayón, Miguel Delgado-Rodríguez

Abstract readMulticenter Study
In one paragraph

Article in Atencion primaria, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Natalia Zafra-RamírezCentro de Salud El Valle, Distrito Sanitario Jaén-Jaén Sur (Servicio Andaluz de Salud), Jaén, España.
Alejandro Pérez-MilenaCentro de Salud El Valle, Distrito Sanitario Jaén-Jaén Sur (Servicio Andaluz de Salud), Jaén, España. Electronic address: alejandro.perez.milena.sspa@juntadeandalucia.es.
Francisco Javier Valverde-BolívarUnidad Docente de Medicina Familiar y Comunitaria de Jaén, Distrito Sanitario Jaén-Jaén Sur (Servicio Andaluz de Salud), Jaén, España.
Antonina Rodríguez-BayónCentro de Salud de San José, Área de Gestión Clínica Jaén Norte (Servicio Andaluz de Salud), Linares, Jaén, España.
Miguel Delgado-RodríguezDivisión de Medicina Preventiva y Salud Pública, Universidad de Jaén, Jaén, España; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the offer of preventive activities by resident physicians of family medicine in the Primary Care consultations and the relation with their communication habilities.

designA descriptive multicentre study assessing medical consultations video recording. LOCATION: Eight Primary Healthcare centres in Jaen (Andalucia).

participantsSeventy-three resident physicians (4th year) filmed and observed with patients. PRINCIPAL MEASUREMENTS: Offer of preventive activities (according to the Spanish Program of Preventive Activities and Health Promotion -PAPPS-). Doctor, patient and consultation characteristics. Peer-review of the communication between physicians and patients, using a CICAA scale. A descriptive, bivariate, logistic regression analysis was performed.

resultsTwo hundred and sixty interviews were evaluated (duration 8.5±4.0min) of 73 residents (50.7% women, mean age 32.9±7.7 years, 79% urban environment). The patient is more frequently a woman (60%) who comes alone (72%) due to acute processes (80%) and with 2.1±1.0 demands. Preventive activities are offered in 47% (duration less than one minute) of primary (70%) and secondary (59%) prevention, offered through advice (72%) or screening (52%) and focused on the cardiovascular area (52%) and lifestyles (53%). Eighty percent related to the patient's reason for consultation. Communication skills 41% improvable, 26% adequate, 23% excellent. The offer of preventive activities is related to the duration of the consultation (OR=1.1, 95% CI 1.01; 1.16) and communication skills (OR=1.03, 95% CI 1.01; 1.10).

conclusionsPreventive activities are carried out in almost half of the consultations, although focused on advice and screening and linked to the patient's demand. Consultation time and communication skills favor a greater preventive offer.

Indexed as

CommunicationFamily PracticeInternship and ResidencyPreventive MedicinePrimary Health CareAdultCardiovascular DiseasesFemaleHealth PromotionHumansLife StyleLogistic ModelsMalePeer ReviewPhysician-Patient RelationsSpainAtención Primaria de SaludCommunicationComunicaciónDisease preventionHealth promotionInternado y residenciaInternship and residencyPhysician-patient relationsPrevención de enfermedadesPrimary healthcarePromoción de la saludRelaciones médico-paciente

Identifiers

PMID31174917
PMCPMC6945126

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.