Analysis of a Sports-Educational Program in Prisons.

The aim of this study was to analyze the implementation of a sports-educational program in prisons where the Real Madrid Foundation's Social-Sports Program is carried out. For that purpose, a survey of 468 inmates was conducted at 21 prisons in Spain where the Real Madrid Foundation implements its program (441 men (94.23%) and 27 women (5.

[Education of psychologists and their role in primary health care].

This paper takes as its basis the concept of comprehensive health care. The need to try out complementary approaches to health care is emphasized in order to ameliorate the effects of the epidemiological transition. The approach of Primary Health Care as a basic strategy is also presented.

[Efficiency in the delivery of health care].

In this paper the role of efficiency in health care delivery is discussed. In the first part several definitions of efficiency are presented and the most common efficiency analysis are described. In the second part of the paper some experiences aimed at improving the efficiency of health care delivery in England, Latin America and Mexico are discussed.

[The use of the basic drug chart at the first level of care].

This study presents the analysis of the prescriptions given 2,782 clinical encounters. These clinical encounters were directly observed and recorded by trained observers in 164 health centers of the Federal District and nine states of the Mexican Republic. It was found that 70.

[The quality of prescriptive behavior in primary care].

Quality of care was analyzed in 2,782 clinical appointments, focusing on the evaluation of the six basic steps of medical consultation: a) questionnaire, b) physical examination, c) diagnosis, d) prescription, e) information, and f) appointment management. Serious deficiencies were found, with variations depending on the motive of the visit, the type of unit in which the service was given, etc. In order to improve the quality of care a structural change is suggested, both in the health care services and in medical education.

[Mexico: evaluation of medical training based on the results of a national test given to candidates for medical residencies].

This study assesses the current status of medical education in Mexico by evaluating the IX National Medical Residency Examination. The results indicate that the personal background of the candidates is related to the probability of their passing the examination: age; marital status; number of times they have presented the examination; length of time between graduation from medical school and the examination; place where social service was performed; and work experience. The authors observe a strong tendency toward specialization in the professional curricula of the medical schools in Mexico, with a consequent neglect of the national health system's present need for primary care.