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

dc.contributor.authorZafra-Ramírez, Natalia
dc.contributor.authorPérez-Milena, Alejandro
dc.contributor.authorValverde-Bolívar, Francisco Javier
dc.contributor.authorRodríguez-Bayón, Antonina
dc.contributor.authorDelgado-Rodríguez, Miguel
dc.date.accessioned2023-01-25T13:34:41Z
dc.date.available2023-01-25T13:34:41Z
dc.date.issued2019-06-04
dc.description.abstractTo determine the offer of preventive activities by resident physicians of family medicine in the Primary Care consultations and the relation with their communication habilities. A descriptive multicentre study assessing medical consultations video recording. Eight Primary Healthcare centres in Jaen (Andalucia). Seventy-three resident physicians (4th year) filmed and observed with patients. 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. Two 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). Preventive 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.
dc.identifier.doi10.1016/j.aprim.2018.05.010
dc.identifier.essn1578-1275
dc.identifier.pmcPMC6945126
dc.identifier.pmid31174917
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6945126/pdf
dc.identifier.unpaywallURLhttps://doi.org/10.1016/j.aprim.2018.05.010
dc.identifier.urihttp://hdl.handle.net/10668/14088
dc.issue.number9
dc.journal.titleAtencion primaria
dc.journal.titleabbreviationAten Primaria
dc.language.isoes
dc.organizationJaén
dc.organizationJaén
dc.organizationJaén Sur
dc.organizationArea de Gestión Sanitaria Norte de Jaén
dc.organizationAGS - Norte de Jaén
dc.page.number562-570
dc.pubmedtypeJournal Article
dc.pubmedtypeMulticenter Study
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAtención Primaria de Salud
dc.subjectCommunication
dc.subjectComunicación
dc.subjectDisease prevention
dc.subjectHealth promotion
dc.subjectInternado y residencia
dc.subjectInternship and residency
dc.subjectPhysician-patient relations
dc.subjectPrevención de enfermedades
dc.subjectPrimary healthcare
dc.subjectPromoción de la salud
dc.subjectRelaciones médico-paciente
dc.subject.meshAdult
dc.subject.meshCardiovascular Diseases
dc.subject.meshCommunication
dc.subject.meshFamily Practice
dc.subject.meshFemale
dc.subject.meshHealth Promotion
dc.subject.meshHumans
dc.subject.meshInternship and Residency
dc.subject.meshLife Style
dc.subject.meshLogistic Models
dc.subject.meshMale
dc.subject.meshPeer Review
dc.subject.meshPhysician-Patient Relations
dc.subject.meshPreventive Medicine
dc.subject.meshPrimary Health Care
dc.subject.meshSpain
dc.subject.meshTime Factors
dc.title[Accomplishment of preventive activities proposed by resident doctors of Family Medicine in Primary Care and its relationship with communication skills].
dc.title.alternativeOferta de actividades preventivas propuestas por médicos residentes de Medicina Familiar en Atención Primaria y su relación con las habilidades comunicacionales.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number51
dspace.entity.typePublication

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