Sebastià March

Sebastià March
APLICA coop

Master of Research

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53
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Publications

Publications (53)
Article
Full-text available
Background General practitioners (GPs) have recognized the presence of gut feelings in their diagnostic process. However, little is known about the frequency or determinants of gut feelings or the diagnostic value of gut feelings for cancer and other serious diseases. Objective To assess the prevalence of gut feelings in general practice, examine...
Article
Full-text available
In Spain, the COVID-19 confinement was carried out in the spring of 2020. All non-essential activities were temporarily suspended. This brought with it the adaptation to home office (telework), still emerging in Europe, and more in Spain. Although the response in general has been positive, the conditions to which families have been subjected to tel...
Article
Full-text available
Introduction Cancer diagnosis in primary care is an important challenge for general practitioners (GPs) due to the relatively low frequency of any single type of cancer and the heterogeneous signs and symptoms that can be present. In addition to analytical reasoning, GPs may become aware of gut feelings (GFs) as they suspect that a patient may have...
Poster
Full-text available
GPs have Gut Feelings (GF) during patient visits: a sense of reassurance (SR) when the GP feels that everything about a patient fits or a sense of alarm (SA) when the GP is concerned about a possible adverse outcome. We don't know the prevalence of GF in GPs consultations, how these GFs affect GPs' decisions, or their prognostic value regarding ser...
Poster
Full-text available
GPs use gut feelings (GF) during a patient visit to pace their decisions. A 'sense of alarm' (SA) means that intervention seems necessary to prevent imminent serious health problems, and a 'sense of reassurance' (SR) implies that a GP feels secure about whether and what therapy needs to be started. We don’t know how these senses are captured in pat...
Article
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Objective: To evaluate the implementation and development of a complex intervention on health promotion and changes in health-promoting behaviours in primary healthcare according to healthcare attendees and health professionals. Design: Descriptive qualitative evaluation research conducted with 94 informants. Data collection techniques consisted...
Article
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Objective: The aim of our study was to determine the self-reported prevalence of use of emergency contraception (EC), identify factors associated with EC use, and measure the prevalence in university students of pregnancy and abortion among users and non-users of EC. Methods: A cross-sectional descriptive study of university students using a self-a...
Article
Full-text available
Objective: The aim of our study was to determine the self-reported prevalence of use of emergency contraception (EC), identify factors associated with EC use, and measure the prevalence in university students of pregnancy and abortion among users and non-users of EC. Methods: A cross-sectional descriptive study of university students using a self-a...
Article
Full-text available
Background: The gut feelings questionnaire (GFQ) is the only tool developed to assess the presence of a ‘sense of alarm’ or a ‘sense of reassurance’ in the diagnostic process of general practitioners (GPs). It was created in Dutch and English and has validated versions in French, German and Polish. Objectives: To obtain a cross-cultural translation...
Article
Full-text available
Objectives To identify knowledge, barriers and discourses about breast cancer screening in Spain among female immigrants from low-income countries and native Spanish women from a low socioeconomic class. Design Qualitative interview study with thematic analysis interpreted using cultural mediators. Setting Mallorca, Spain. Participants Thirty-si...
Article
Full-text available
Resumen El decimotercer informe bienal de SESPAS se estructura en tres bloques que corresponden a quién, cómo y qué sobre la salud comunitaria y la administración local. En el bloque del quién, se describen los agentes principales que trabajan en la salud comunitaria: la comunidad, el sistema sanitario y la administración local; y cómo ha evolucion...
Article
Full-text available
In recent years, health asset maps have become increasingly important tools in the field of health promotion. They are being incorporated into the daily practice of many healthcare workers, in individualized care in consultations (through social prescription), and in groups or community development processes. It is necessary to reflect on how the a...
Article
Full-text available
Background Emergency contraception (EC) is an effective postcoital contraceptive method for reducing the risk of unwanted pregnancy after unprotected intercourse. The estimated effectiveness of EC is between 70 and 89% if taken within 72 h following intercourse. Most of the studies carried out in Spain are quantitative and from the perspective of h...
Article
Full-text available
Objective Spanish primary healthcare teams have the responsibility of performing health-promoting community activities (CAs), although such activities are not widespread. Our aim was to identify the factors related to participation in those activities. Design Two case – control studies. Setting Performed in primary care of five Spanish regions....
Article
Full-text available
Background Although some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informants. Understanding the perception of heal...
Article
Full-text available
Background: Primary health care (PHC) is the ideal setting to provide integrated services centred on the person and to implement health promotion (HP) activities. Objective: To identify proposals to approach HP in the context of primary care according to health-care users aged 45-75 years, key community informants and primary care centre (PCC) w...
Article
Full-text available
Objectives The gut feelings of doctors can act as triggers and modulators of the diagnostic process. This study explored the existence, significance, determinants and triggers of gut feelings among Spanish general practitioners. Design Qualitative study using focus groups. Thematic content analysis. Setting Primary healthcare centres in Majorca (...
Article
Full-text available
En este artículo se aboga por la necesidad de impulsar las intervenciones de promoción de la salud con perspectiva comunitaria en la práctica sanitaria. Se describen algunas de las intervenciones comunitarias realizadas en atención primaria, su evidencia científica y los factores que se relacionan con llevarlas a cabo. Se subraya la necesidad de un...
Poster
Full-text available
BACKGROUND Gut feelings (GF) have shown to have a place in family physicians (FP) diagnostic process according to studies carried out in the Netherlands, Belgium and France. The Gut Feelings Questionnaire (GFQ) determines the presence of GF during a FP’s consultation. RESEARCH QUESTION Do Spanish FP recognize GF in their diagnostic reasoning? What...
Article
Objective To describe the health-promoting community activities developed in primary health care and compare types of activities and how they are performed among autonomous regions. Methods A descriptive multicenter study was carried out in primary care in 5 Spanish regions. We included community activities consisting of non-sporadic activities, c...
Article
Full-text available
OBJECTIVES To assess the knowledge, perceptions, expectations and attitudes of Primary Care (PC) professionals in Mallorca on managerial autonomy. DESIGN Cross-sectional study based on an ad hoc, anonymous questionnaire, distributed online, from June-July 2013. LOCATION PC Mallorca. PARTICIPANTS PC healthcare professionals (n=1,097). MEASUREMEN...
Article
Background: To describe the variability in the application of community activities (CA) promoting health, in support received, in training, and in evaluation of the participation of professionals, administration and social partners in these. Methods: Survey to key informants identified in each region with the help of the Spanish Society of Famil...
Article
Fundamento. Describir la variabilidad en la realización de actividades comunitarias de promoción de la salud, en apoyos recibidos, en formación y en valoración de la participación de profesionales, administración y agentes sociales en las mismas. Métodos. Estudio descriptivo mediante cuestionarios enviados a informadores clave identificados en cada...
Article
To describe the health-promoting community activities developed in primary health care and compare types of activities and how they are performed among autonomous regions. A descriptive multicenter study was carried out in primary care in 5 Spanish regions. We included community activities consisting of non-sporadic activities, carried out in the p...
Article
Full-text available
Objetivos: Valorar los conocimientos, percepciones, expectativas y actitudes de los profesionales de Atención Primaria (AP) de Mallorca sobre la autonomía de gestión. Diseño: Estudio descriptivo transversal, basado en un cuestionario ad hoc, anónimo, y distribuido de forma online, durante junio-julio del 2013. Emplazamiento: AP Mallorca. Participan...
Article
Objectives: To determine risk factors associated with presence of depression in young adults 20 to 35. Methods: Case-control design in 6 health centers. Subjects: Young adult, visited in the past two years in primary health care. Cases: Diagnosis of depression <12 months. Controls: no diagnosis of depression or related treatment. Diagnosis...
Article
Full-text available
According to Spanish health regulations, primary care professionals have the responsibility to carry out health-promoting community activities (CAs). However, in practice, their implementation is not as widespread as it should be. The aims of this study were to identify factors within the team, the community and the professionals that influence the...
Article
The different incidence rates of, and risk factors for, depression in different countries argue for the need to have a specific risk algorithm for each country or a supranational risk algorithm. We aimed to develop and validate a predictD-Spain risk algorithm (PSRA) for the onset of major depression and to compare the performance of the PSRA with t...
Article
Full-text available
Describe the community activities (CA) published or registered in health promotion networks in which Primary Health Care (PHC) has taken part. Descriptive study, by documental review of experiences. Data source: articles, activities in exchange networks, presentations and funded projects. SELECTED EXPERIENCES: The AC included were those where PHC a...
Article
Full-text available
Strategies adopted by health administrations and directed towards drug cost control in primary care (PC) can, according to earlier studies, generate tension between health administrators and healthcare professionals. This study collects and analyzes the opinions of general practitioners (GPs) regarding current cost control measures as well as their...
Article
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Few data exist on the psychosocial factors associated with attrition in longitudinal surveys. This study was undertaken to determine psychosocial and sociodemographic predictors of attrition from a longitudinal study of the onset and persistence of episodes of major depression in primary care. A systematic random sample of general practice attendee...
Article
RAMOS M., ARRANZ M., TALTAVULL M., MARCH S., CABEZA E. & ESTEVA M. (2010) European Journal of Cancer Care19, 192–199 Factors triggering medical consultation for symptoms of colorectal cancer and perceptions surrounding diagnosis This study aims to find out how the presenting symptoms of colorectal cancer are interpreted by those who get them, to id...
Data
Table 1. Reliability analysis by predictD – Questionnaires.
Article
Background: The effects of putative risk factors on the onset and/or persistence of depression remain unclear. We aim to develop comprehensive models to predict the onset and persistence of episodes of depression in primary care. Here we explain the general methodology of the predictD-Spain study and evaluate the reliability of the questionnaires u...
Article
Full-text available
The effects of putative risk factors on the onset and/or persistence of depression remain unclear. We aim to develop comprehensive models to predict the onset and persistence of episodes of depression in primary care. Here we explain the general methodology of the predictD-Spain study and evaluate the reliability of the questionnaires used. This is...
Article
Full-text available
To find the problems, as seen by family doctors, in care for immigrants, with description of proposed solutions. Transversal and descriptive. 262 doctors from 18 health centres in a district. Each professional received a questionnaire containing social and demographic variables, number of immigrants seen per day, their place of origin, 6 items on a...
Article
Objectives To find the problems, as seen by family doctors, in care for immigrants, with description of proposed solutions. Design Transversal and descriptive. Participants 262 doctors from 18 health centres in a district. Measurements Each professional received a questionnaire containing social and demographic variables, number of immigrants se...
Article
Full-text available
Resum La recerca a l'atenció primària a Espanya és escassa. A Mallorca, fa 20 anys es va crear la Unitat d'Investigació d'Atenció Primària, una de les poques reconegudes per l'Institut de Salut Carles III (ISCIII). Es presenten els resultats dels anys 2009-2010 de la Unitat d'Investigació. Amb relació a les estructures de recerca d'àmbit estatal, f...

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Projects

Project (1)
Project
We intend to research about gut feelings among Spanish GPs. First we will investigate the existence, significance, determinants and triggers of these gut feelings. We will take out a focus group study replicating Stolper et al research among Dutch GPs (Stolper et al 2009). We will compare our results with the Dutch and the French ones. After this study our project will continue with the English-Spanish translation and linguistic validation of the Gut Feelings Questionnaire (GFQ) developed by Stolper et al (Stolper et al 2013) for measuring the presence of GF in diagnostic reasoning. We will take care about including Spanish speaking GPs from the Americas in this process of linguistic validation to achieve a greater scope of the GFQ. If necessary we will also proceed to the construct validation of the Spanish version of the GFQ. Finally we foresee to take out a quantitative research using the GFQ to assess the predictive value and accuracy of the Spanish GPs gut feelings in the early diagnosis of cancer. During the development of the project and depending on the results we get we will value other possibilities (Delphi consensus study, survey among Spanish speaking GPs from Spain and the Americas…) that can help us to understand and define the phenomenon of GF among Spanish GPs.