000			02566na a2200229 4500
003			H12O
005			20210625062802.0
008			130622s2011 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aGarcía Redondo, Alberto _91899 _eInstituto de Investigación i+12
245	0	0	_aAltered expression of myogenic regulatory factors in the mouse model of amyotrophic lateral sclerosis _h[artículo]
260			_bNeurodegenerative Diseases, _c2011
300			_a8(5):386-396.
500			_aFormato Vancouver. Magán P, Alberquilla A, Otero A, Ribera JM. Hospitalizations for ambulatory care sensitive conditions and quality of primary care: their relation with socioeconomic and health care variables in the Madrid regional health service (Spain). Med Care. 2011;49(1):17-23.
501			_aPMID: 20978453
504			_aContiene 90 referencias
520			_aHospitalizations for ambulatory care sensitive conditions (ACSH) have been proposed as an indirect indicator of the effectiveness and quality of care provided by primary health care. OBJECTIVE: To investigate the association of ACSH rates with population socioeconomic factors and with characteristics of primary health care. RESEARCH DESIGN: Cross-sectional, ecologic study. Using hospital discharge data, ACSH were selected from the list of conditions validated for Spain. SETTING: All 34 health districts in the Region of Madrid, Spain. SUBJECTS: Individuals aged 65 years or older residing in the region of Madrid between 2001 and 2003, inclusive. MEASURES: Age- and gender-adjusted ACSH rates in each health district. RESULTS: The adjusted ACSH rate per 1000 population was 35.37 in men and 20.45 in women. In the Poisson regression analysis, an inverse relation was seen between ACSH rates and the socioeconomic variables. Physician workload was the only health care variable with a statistically significant relation (rate ratio of 1.066 [95% CI; 1.041-1.091]). These results were similar in the analyses disaggregated by gender. In the multivariate analyses that included health care variables, none of the health care variables were statistically significant. CONCLUSIONS: ACSH may be more closely related with socioeconomic variables than with characteristics of primary care activity. Therefore, other factors outside the health system must be considered to improve health outcomes in the population.
710			_9625 _aInstituto de Investigación imas12
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/5/pc5773.pdf _ySolicitar documento
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999			_c5773 _d5773