Paulo Alexandre Azevedo Pereira Santos

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BACKGROUND Most of the strategies to induce a more rational use of preventive health services are oriented to the medical side of the doctor-patient relationship. However, the consultation model has changed, and patients now have a more important role in medical consultation. The aim of this study was to assess which healthcare services are deemed(More)
INTRODUCTION Clinical guidelines are support tools, aiming to improve quality of the clinical practice. Patient centered care allows best satisfaction rates, with greater health self-management, and potential gains in quality with fewer costs. OBJECTIVE To evaluate the integration of patients' values in Portuguese guidelines. MATERIAL AND METHODS We(More)
OBJECTIVES To assess whether Portuguese family physicians perform preventive health services in accordance with scientific evidence, based on the recommendations of the United States Preventive Services Task Force (USPSTF). DESIGN Cross-sectional study. SETTING Primary healthcare, Portuguese National Health Service. PARTICIPANTS 255 Portuguese family(More)
BACKGROUND Physicians' ability to make cost-effective decisions has been shown to be affected by their knowledge of health care costs. This study assessed whether Portuguese family physicians are aware of the costs of the most frequently prescribed diagnostic and laboratory tests. METHODS A cross-sectional study was conducted in a representative sample of(More)
BACKGROUND The way software for electronic health records and laboratory tests ordering systems are designed may influence physicians' prescription. A randomised controlled trial was performed to measure the impact of a diagnostic and laboratory tests ordering system software modification. METHODS Participants were family physicians working and(More)
OBJECTIVES To determine, in the context of primary care preventive health services, the level of importance that Portuguese patients attribute to different preventive activities. DESIGN Cross-sectional study. SETTING Primary Healthcare, Portugal. PARTICIPANTS 1000 Portuguese adults selected by a stratified cluster sampling design were invited to(More)
Background: A preventive approach in health care aims to anticipate the natural history of the diseases and to define break points where the procedures may act to change future events, respecting the patient’s autonomy. Patient is an active agent and the main responsible for his/her own health status. The way to achieve the best integration of the(More)
The management of requests for diagnostic exams presents its own inherent characteristics in primary health care and reflects the specific nature of the physician-patient relationship. The scope of the study was to identify the reasons for requesting an electrocardiogram (ECG) in primary health care. A cross-sectional study was conducted in an urban region(More)
OBJECTIVES To characterise the test ordering pattern in Northern Portugal and to investigate the influence of context-related factors, analysing the test ordered at the level of geographical groups of family physicians and at the level of different healthcare organisations. DESIGN Cross-sectional study. SETTING Northern Primary Health Care, Portugal. (More)
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