[Comparison of Primary Care Teams in Barcelona According to Management Formulas]

Overview

Journal Aten Primaria

Specialty Public Health

Date 2001 Feb 24

PMID 11198338

Citations 13

Authors

A Guarga

M Gil

M Pasarin

R Manzanera

R Armengol

J Sintes

Affiliations

Soon will be listed here.

Abstract

Objective: The aim of the study is to compare, among socio-economically similar areas, the use of medical services, clinical practice and pharmacy costs depending on the how the primary healthcare teams, that provide these services, are organized according to different managemental formulas.

Design: Descriptive study of the evaluation of health care services.

Patients And Methods: The population units (basic health areas) attended by the reformed primary health care services in Barcelona were classified into three levels according to the population's socioeconomic status (high, medium or low). For each level, two primary health care teams were selected representing different primary health care providers: "Institut Catala de la Salut"; and others. The influence of both the provision option and the population characteristics on service use, clinical practice and costs of prescription were compared.

Main Results: The services offered by the two provision options differ. However, the use of medical services is related to the socioeconomic characteristics and not to the option for service provision. Whilst there are no relevant differences in clinical practice between the different options, we observed variations among different primary care teams, notably in referrals to specialists and influenza vaccine coverage. The greater source of variation in prescription costs seems to be related to an external confounding factor.

Conclusions: Empirical data have not identified relevant differences in the pattern of use, clinical practice, or costs between the different options for service provision within the model of reformed primary care services. Observed variations seem to be associated mainly with the population's characteristics, its pattern of health service use or other external confounding factors.

Citing Articles

[Public Service Motivation of the professionals of the primary care centers: What is more important the environment or the perceived supervisor support?].

Del Estal-Garcia M, Melian-Gonzalez S Aten Primaria. 2021; 53(4):101995.

PMID: 33711773 PMC: 7960547. DOI: 10.1016/j.aprim.2021.101995.

[Primary health care teams management models according to the supplier and the effects on its dynamics in Catalonia].

Bayona Huguet X, Romano Sanchez J, Peris Grao A Rev Esp Salud Publica. 2019; 93.

PMID: 30662061 PMC: 11567483.

[Public, private or third sector management? Differences in the results in Primary Care in Catalonia].

Ballart X, Galais C Aten Primaria. 2018; 51(10):610-616.

PMID: 30409504 PMC: 6930952. DOI: 10.1016/j.aprim.2018.08.006.

Social determinants of prescribed and non-prescribed medicine use.

Daban F, Pasarin M, Rodriguez-Sanz M, Garcia-Altes A, Villalbi J, Zara C Int J Equity Health. 2010; 9:12.

PMID: 20441578 PMC: 2877047. DOI: 10.1186/1475-9276-9-12.

[Primary care evaluation].

Villalbi J Aten Primaria. 2009; 41(12):659-60.

PMID: 19781820 PMC: 7022113. DOI: 10.1016/j.aprim.2009.07.007.

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