[Evaluation of the system of direct purchase and distribution of urinary incontinence pads in primary care centers].

Objective: To evaluate the impact of the pilot experience of direct purchase and distribution of incontinence diapers in primary health care centres of the Balearic Islands after 10 months of implementation.

Design: Comparison of diapers's public expenditures and use during 10 months of pilot experience (9/1/1994-6/30/1995: POSTC) to a same length period prior to pilot experience implementation (11/1/1993-8/31/1994: PREC).

Setting: Primary health care centres of the Balearic Islands (Spain).

[Identification and recording of risk factors both at reformed and non-reformed primary care centers].

Objective: To identify factors associated with carrying out preventive activities in primary care.

Design: A crossover study through a self-administered questionnaire.

Setting: Reformed and non-reformed centres of the primary care sub-division of the Barcelona Health Region, Catalan Health Institute.

[Vaccination against hepatitis B in health workers and other staff in Barcelona].

Objective: To analyse the results of a hepatitis B vaccination programme, in order to find the levels of acceptance of the programme and adherence to it, as well as the immunological response and the impact of age, gender and the index of corporal mass (ICM).

Design: This was a retrospective study.

Setting: Primary Care.

[A tumor registry at a primary care center].

Aim: We analysed the data obtained from a tumor register kept in a Primary Care Centre (PCC) to find out the variables which contribute to the diagnostic and therapeutic evolution of our patients.

Design: Retrospective study on every Neoplasia registered in the Centre.

Patients: 293 malignant Neoplasias were recorded in the period between June 1984 and June 1990 (184 in males--62.

[The evaluation of different methods for rapid diagnosis in the detection of asymptomatic bacteriuria in pregnant women].

We compared the effectiveness of different methods of rapid diagnosis in the detection of asymptomatic bacteriuria in 74 females during the first trimester of pregnancy. The sensitivity, specificity and negative predictive value for the visual reading of nitrites, leukocyte sterase, bacteriuria and leukocyturia in the sediment and bacteria in Gram stain were 77%, 22%, 33%, 22% and 88%, 98%, 85%, 82%, 91% and 86%, and 97%, 89%, 90% and 90%, with and accuracy of 96%, 77%, 76%, 82% and 86%, respectively. The combination of visual readings of nitrites and Gram stain showed a sensitivity and negative predictive value of 100%.

[Ischemic cardiopathy in primary care. A descriptive study].

A descriptive study of ischemic heart disease in a primary care center is reported. From the recording systems 112 patients with IHD (9 of them dead) were identified. The calculated incidence and prevalence rates were 1.

[A drug prescription study in chronic pathology at a primary care center].

To evaluate the characteristics of the drug used for the therapy of chronic diseases, 1588 prescriptions from a sample of 549 continued drug prescription forms were evaluated. Every patient had a mean number of 2.9 drugs, 2.

[Request for a hemogram as a marker of the quality of health care].

The evaluation of markers of the health care activity, such as the reason for requesting a peripheral blood count in everyday practice and its inclusion in the clinical record, constitutes an estimate of the quality of care. To this end, we have reviewed the requests of 160 peripheral blood counts in our center during one month. It was found that the request itself and/or its cause had not been mentioned in the clinical record in 32.