[show abstract][hide abstract] ABSTRACT: The aim of the present study was to analyze the content in health education of the patient-physician interview. The study was observational and descriptive. The target population were the patients attending the general practices of the Social Security clinics. With permission of patients and physicians, 53 visits of two general practitioners were recorded on tape. 48 interviews were analyzed with definition of activities (asking, answering, discussing, etc.) and contents (health problems, treatment, health education, etc.). Health education was 10% of the contents, and it was associated with the physician's activity of commenting/instructing and with the patient's activity of commenting/asking.
[show abstract][hide abstract] ABSTRACT: The use of the outpatient medical services belongs to the health care system as part of the interaction between the services and the population. The aim of the study was to define the use of services separating visits (repetitive elements) from patients (non-repetitive elements). The visits and the patients were evaluated for a two-month period in an urban general practice. The results were compared between themselves and for those from samples recording seven days. There were no differences regarding use between groups of visits during seven-day and forty-day periods (0.9 and 0.89 visits per month, respectively). The patients from the seven-day groups used more commonly the practice than those from the general forty-day group (0.8 and 0, 65 visits per month, respectively). Thus, if short recording periods are taken, a group of patients with a high rate of use is selected.
[show abstract][hide abstract] ABSTRACT: The term basic minimal unit of data in primary care is used for those essential data required so that all primary care professionals may carry out their work. The results of a study performed with the Delphi technique about the basic unit of data by 35 Spanish physician are reported. The results are distributed in three areas: clinical interview (12 basic data were considered), clinical history (27 essential data) and health care performance (19 minimal data).
[show abstract][hide abstract] ABSTRACT: Ambulatory Visit Groups (AVG) allow the ambulatory clinical activity of all doctors to be evaluated, except that of histopathologists, radiologists and anaesthesists. This classification is based on the average consumption of resources, with the principal diagnosis as the basic criteria of classification. This paper reviews some aspects of AVGs: the methodologic characteristics (classification criteria and mechanisms of assignation) and the interest of their possible use in studies and in the evaluation and administration of ambulatory services.
[show abstract][hide abstract] ABSTRACT: Primary Health Care covers many activities, among which the services offered by general practitioners are basic. The information they generate is comlex and disperse, and has to be systematized because of need for computerization, the mechanization of some processes and because of ethical and legal problem. This study analyses the systematization necessary to obtain useful and homogenous information.