Publicaciones sobre evaluación de la atención primaria en España tras veinte años de reforma (1984-2004): análisis temático y bibliométrico

Abstract

In view of the widespread opinion as to the lack of data for evaluating the results of the Primary Care reform which began in Spain in 1984, the conducting of a thematic and bibliometric analysis for the published evaluation studies is posed. The documents published within the 1984-2004 time period, located by means of systematic bibliographic search both in biomedical journals and in theses, reports or books on any of the components of Primary Care included within the proposed thematic classification and referred to scopes broader than one single healthcare center. Three complimentary search strategies were used: electronic databases, manual review of indexes and reference work quote-based searches. A total of 684 documents met the criteria for inclusion: 85% having been taken from biomedical journals, 12.3% having been doctoral theses, and 2.6% reports or books. Documents were located in 49 different journals (29 foreign), Atención Primaria (52.7%) being the journal having provided the largest number of articles. A total 12.7% of the articles were published in journals indexed in the SCI, and 8.6% in foreign journals. In 32% of the studies, the first author was working at a reformed healthcare center. Two-thirds of the evaluations revolved around the analysis of the process; the topics most often evaluated having been related to healthcare spending (pharmacy), the system organization (emergencies) and professional satisfaction. Broad-based documentation is provided with evaluations of primary care in Spain. Studies have been focused more on the evaluation of the process than on that of the results. Research in this field requires including studies not published in journals (theses and reports).

Evaluation of scientific output in Dentistry in Spanish Universities

“…In Spain, there has been a change in scientific output and citation rate, as shown in various bibliometric studies, some of which are general ( 9 ), whilst others are focused on the fields of biomedicine ( 10 - 13 ), primary care ( 14 ), autism ( 15 ), cardiology ( 16 ), or dentistry ( 17 ) .…”

Evaluación económica de intervenciones sanitarias en España durante el periodo 1983-2008

“…Estos resultados concuerdan con otras revisiones previas realizadas 12,13 lo cual indica que es un fenómeno extendido. Como en toda evaluación, la elección de los temas está influenciada por el interés de los diferentes agentes y por la facilidad de acceso a las fuentes de información 14 . Así, esta elección por evaluar tratamientos podría deberse a las facilidades metodológicas que su análisis plantea frente a otras intervenciones.…”

Revisión documental de experiencias de actividad comunitaria en atención primaria de salud

“…Ha pasado un cuarto de siglo desde el inicio de la reforma de APS en España, y aunque esta ha sido ampliamente estudiada y evaluada, se sabe muy poco sobre las AC realizadas 22 . Un estudio de principios de los noventa 23 concluía que la mitad de los profesionales de APS de Toledo habían tenido alguna experiencia en participación comunitaria, aunque no describía las actividades realizadas.…”