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[西班牙比斯开省女性预防活动登记:变异性]

[Registry of preventive activities in women: variability in Vizcaya, Spain].

作者信息

Múgica Del Campo Irma, Ibáñez Pérez Félix, Cobos Campos Raquel

机构信息

Centro de Salud Rekalde, Bilbao, España.

出版信息

Rev Esp Salud Publica. 2012 May-Jun;86(3):269-77. doi: 10.1590/S1135-57272012000300006.

Abstract

BACKGROUND

Several studies have reported that there is a lack of preventive activities performance in Primary Health Care, however in Vizcaya, the situation is not known, so, we decided determine the percentage of preventive activities carried out on women by primary care physicians which are recorded in the Electronic Health Record (Osabide), and analyze the characteristics which determine differences in registration between regions and physicians.

METHODS

We conducted a cross-sectional study involving 425 women aged between 26 and 51 years who were to the general practitioners' consult at least twice, and who were again on April 28, 29 or 30, 2011. We colleted as primary variable the registries of contraceptives practices (group aged between 26 and 51 years), the registries of cervical cytologies during the last five years, as well as the registries of mammograms performed during the two last years, and compared the medical record between men and women practitioners, health regions and between areas with and without centers for women, using the chi-square statistic.

RESULTS

In 139 (34.1%) of all women and in 99 (48.3%) of women aged between 26 and 51 years there was registry of cytologies and contraceptives practices respectively. The mammography performance was registered in 22 (10.7%) of women aged between 52 and 65 years.

CONCLUSIONS

The registry of preventive activities on women is low. We have observed differences by practitioners' gender.

摘要

背景

多项研究报告称,初级卫生保健中缺乏预防活动的开展情况,然而在比斯开省,具体情况尚不清楚。因此,我们决定确定初级保健医生对女性开展的并记录在电子健康记录(Osabide)中的预防活动的比例,并分析决定不同地区和医生之间记录差异的特征。

方法

我们进行了一项横断面研究,纳入了425名年龄在26至51岁之间的女性,她们至少两次前往全科医生处就诊,且在2011年4月28日、29日或30日再次就诊。我们收集了避孕措施记录(年龄在26至51岁之间的人群)、过去五年的宫颈细胞学检查记录以及过去两年的乳房X光检查记录作为主要变量,并使用卡方统计量比较了男女医生、不同健康区域以及有无女性健康中心地区之间的病历情况。

结果

在所有女性中,139名(34.1%)有细胞学检查记录,在年龄在26至51岁之间的女性中,99名(48.3%)有避孕措施记录。在年龄在52至65岁之间的女性中,22名(10.7%)有乳房X光检查记录。

结论

女性预防活动的记录率较低。我们观察到了医生性别的差异。

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