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Morbilidad y consumo de fármacos. Comparación de resultados entre la Encuesta Nacional de Salud y los registros electrónicos
| Content Provider | Semantic Scholar |
|---|---|
| Author | Palacio, Isabel Aguilar Lasfuentes, Patricia Carrera Poblador, Beatriz Torres, Alexandra Prados Hernández, María José Rabanaque |
| Copyright Year | 2014 |
| Abstract | espanolObjetivo Comparar la prevalencia de enfermedad y consumo de farmacos obtenida en la Encuesta Nacional de Salud (ENS) con los resultados de los registros de la historia clinica electronica de atencion primaria (HCE) y del Sistema de Informacion de Consumo Farmaceutico de Aragon (Farmasalud), en poblacion adulta de la provincia de Zaragoza. Metodos Estudio transversal para comparar la prevalencia de enfermedad obtenida en la ENS-2006 y en la HCE, y de consumo de farmacos en la ENS-2006 y Farmasalud. Se obtuvieron los intervalos de confianza del 95% (IC95%) estratificados por sexo y grupos de edad. Se comprobo la comparabilidad entre ambas poblaciones de referencia. Resultados El 81,8% de los adultos de Zaragoza visitaron a algun medico durante 2006 segun la ENS, y el 61,4% a su medico de atencion primaria segun la HCE. La hipertension fue la enfermedad mas prevalente en ambas fuentes de informacion (ENS: 21,5%, IC95%: 19,4-23,9; HCE: 21,6%, IC95%: 21,3-21,8). Las mayores diferencias entre la ENS y la HCE se observaron en la prevalencia de depresion, ansiedad u otros trastornos mentales (ENS: 10,9%; HCE: 26,6%). Los analgesicos fueron los mas consumidos. La prevalencia de consumo vario segun la fuente, con las mayores diferencias en los analgesicos (ENS: 23,3%; Farmasalud: 63,8%) y los antibioticos (ENS: 3,4%; Farmasalud: 41,7%). Las diferencias se mantuvieron al estratificar por sexo, y fueron mayores en el grupo de edad >75 anos. Conclusiones Hay diferencias en la prevalencia de morbilidad y en el consumo de farmacos segun la fuente de informacion utilizada. Resulta aconsejable utilizar de manera complementaria diversas fuentes para estimar prevalencias reales en salud. EnglishObjective To compare the prevalence of disease and drug consumption obtained by using the National Health Survey (NHS) with the information provided by the electronic medical records (EMR) in primary health care and the Pharmaceutical Consumption Registry in Aragon (Farmasalud) in the adult population in the province of Zaragoza. Methods A cross-sectional study was performed to compare the prevalence of diseases in the NHS-2006 and in the EMR. The prevalence of drug consumption was obtained from the NHS-2006 and Farmasalud. Estimations using each database were compared with their 95% confidence intervals (95% CI) and the results were stratified by gender and age groups. The comparability of the databases was tested. Results According to the NHS, a total of 81.8% of the adults in the province of Zaragoza visited a physician in 2006. According to the EMR, 61.4% of adults visited a primary care physician. The most prevalent disease in both databases was hypertension (NHS: 21.5%, 95% CI: 19.4-23.9; EMR: 21.6%, 95% CI: 21.3-21.8). The greatest differences between the NHS and EMR was observed in the prevalence of depression, anxiety, and other mental illnesses (NHS: 10.9%; EMR: 26.6%). The most widely consumed drugs were analgesics The prevalence of drug consumption differed in the two databases, with the greatest differences being found in pain medication (NHS: 23.3%; Farmasalud: 63.8%) and antibiotics (NHS: 3.4%; Farmasalud: 41.7%). These differences persisted after we stratified by gender and were especially important in the group aged more than 75 years. Conclusions The prevalence of morbidity and drug consumption differed depending on the database employed. The use of different databases is recommended to estimate real prevalences. |
| Starting Page | 41 |
| Ending Page | 47 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| Volume Number | 28 |
| Alternate Webpage(s) | http://www.gacetasanitaria.org/index.php?p=revista&pii=S0213911113000836&tipo=pdf-simple |
| Alternate Webpage(s) | https://www.gacetasanitaria.org/index.php?p=revista&pii=S0213911113000836&tipo=pdf-simple |
| Alternate Webpage(s) | http://www.scielosp.org/pdf/gs/v28n1/original6.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
