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BACKGROUND A new intervention aimed at managing patients with medically unexplained symptoms (MUS) based on a specific set of communication techniques was developed, and tested in a cluster randomised clinical trial. Due to the modest results obtained and in order to improve our intervention we need to know the GPs' attitudes towards patients with MUS,(More)
A psychiatric survey in three regions of the Basque Autonomous Community aimed to replicate two British surveys, in London and a rural area of Scotland, investigating both prevalence of psychiatric disorder and its relationship with certain key psychosocial factors. The Spanish rural-urban differences in rates of depression and anxiety closely paralleled(More)
BACKGROUND Somatizing patients are a challenge to general practitioners (GPs). A cluster randomized controlled trial was conducted to asses the effect of specific communication techniques delivered by GPs on somatizing patients' self-perceived health. METHOD Thirty-nine GPs were assigned randomly to two parallel groups. GPs in the intervention group(More)
OBJECTIVE To describe the complexity of somatizing patients' symptomatology and the difficulties involved in the diagnostic process. DESIGN. Cross-sectional study of patients with medically unexplained symptoms. SETTING Basque Health Service primary care centres in Bizkaia, Spain. SUBJECTS The study comprised 156 patients selected at random from a list(More)
AIM To determine the incidence of Parkinson's disease in Navarra, province of Spain. PATIENTS AND METHODS All patients diagnosed as suffering from Parkinson's disease or related disorders for the neurologists of the region during the period 1994-1995 inclusive were referred to the study. EUROPARKINSON protocol and an epidemiological questionnaire were(More)
AIMS To ascertain in real practice the diagnosis rate of diabetic retinopathy (DR) in patients considered to have positive screening test by general practitioners (GPs) and what are the reasons for the false positive diagnosis. METHODS Four GPs previously instructed in the interpretation of retinal photographs evaluated the digital retinography images of(More)
OBJECTIVE To analyze the early discriminative predictive information regarding the immunophenotype components of patients with sepsis, and its potential use as a prognosis tool. DESIGN Observational prospective clinical study. SETTING Intensive care unit (ICU) in a University Hospital. PATIENTS Thirty-five patients admitted with severe sepsis. (More)
The aim of this paper is to describe the process of transformation over the past two decades in the Spanish healthcare system. The main emphasis is on priority setting and rationing at different levels. On the supply side, the policies have focused on limiting the scope of pharmaceutical benefits in the system, and establishing a guaranteed healthcare(More)
The estimated number of new cases of colorectal cancer per year in Spain (no. 19,166) is higher than other tumour locations. 1.56 times more cases of colon cancer are registered than of the rectum, and there are 1.44 times more cases in men than in women. Incidence and mortality are lower than the average for European countries; in historical series(More)
OBJECTIVE To examine (1) how physicians present an explanation of symptoms in terms of a hormonal imbalance as a means to initiate a psychosocial discussion with somatizing patients; and (2) how they respond to this explanation of symptoms. METHODS Qualitative study of 11 sequences in which physicians explain patients' symptoms in terms of a hormonal(More)