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| Name | Class |
|---|---|
| Institut Català de la Salut | OTHER |
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The objective of this study is to increase the registry of social determinants of health in the primary care centers and evaluate the relationship that these social determinants of health with various variables of social impact.
Currently, the social problems are hidden behind clinical diagnostics. This may lead to overdiagnosis and overtreatment of some discomforts/pathologies that are observed in primary care centers that may respond better to community level interventions and promotion of health actions.
It is longitudinal , multicentered, pre and post intervention study, conducted by health professionals of central Catalonia sanitary region during 2019 Prior to the intervention, the number and type of social coded diagnoses in the clinical history is going to be described. Subsequently, an intervention will be carried out: training the professionals in the homogeneous codification of five selected social determinants. This codification will be systematically applied .The number and type of social diagnostics registered in the pre and post-intervention periods is going to be compared. Finally, the impact analysis of the social determinants is going to be carried out.
Afterwards the investigators plan to search solutions at Community level for the select social diagnoses
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients without social determinant of health | Patients without any of the five selected social determinants of health / Patients without any of the five selected social diagnosis. Patient with a registered diagnostic " Health check" (Z00.00) | ||
| Patients with the social determinant"stressful work hours" | Patients with the selected social determinant of health. Patients with a registered diagnostic "stressful work hours " (Z56.3) | ||
| Patients with the social determinant of health "living alone" | Patients with the select social determinant of health . Patients with the selected social determinant of health . Patients with a registered diagnostic " living alone problems" (Z60.2) | ||
| Patients with the social determinant of health "acculturation" | Patients with the selected social determinant of health. Patients with a registered diagnostic "difficulty acculturation " (Z60.3) | ||
| Patients with the social determinant "near surrounding" | Patients with the selected social determinant of health. Patients with a registered diagnostic "other specific problems related to the nearest surroundings" (Z63.8) | ||
| Patients with the social determinant "unemployment" |
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| Measure | Description | Time Frame |
|---|---|---|
| Population Taxes | In the descriptive basal analysis, the population taxes of all social diagnoses is going to be described. | 12 month |
| Measure | Description | Time Frame |
|---|---|---|
| Sociodemographic subcategories | The sociodemographic data described in the study are:
| 7 month |
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Inclusion Criteria:
Phase I:
Phase II:
•Patients should sign the informed consent form to enter in a study cohort.
Exclusion Criteria:
Patients with advanced cognitive impairment because they would not be able to complete the study checklist. The study checklist is consist in answering five questions.
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Study population: Population assigned and attended at the 32 centers of primary care centers from the Catalan health institute of the Central Catalonia Sanitary Region.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Berta Rodoreda Pallàs, NR | Contact | 618625138 | brodoreda.lleida.ics@gencat.cat |
| Name | Affiliation | Role |
|---|---|---|
| Jacobo Mendioroz peña, MD | Institut Català de la Salut | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Primary healthcare consultations of the Catalan health institute of the central catalonia region | Recruiting | Manresa | Barcelona | 08241 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36696168 | Derived | Rodoreda-Pallas B, Lumillo-Gutierrez I, Miro Catalina Q, Torra Escarrer E, Sanahuja Juncadella J, Morin Fraile V. Recording of Social Determinants in Computerized Medical Records in Primary Care Consultations: Quasi-Experimental Study. JMIR Form Res. 2023 Jan 25;7:e41706. doi: 10.2196/41706. |
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Patients with the selected social determinant of health. Patients with a registered diagnostic "unemployment not specified" (Z56.0) |
| Comparison with the post-intervention data of the six diagnostics with Chi Quadrat Test. | For this comparison is going to be used independent samples in the different subcategories. The 6 diagnostics used are:
| 7 month |
| Social Impact. Parametric and non parametric test | It will be evaluated health differences in the six coded groups (including the control group) through appropriate parametric and non-parametric tests , It is going to be compared the average of each selected dependent health variables in social coded diagnoses and the screened patients group without a social diagnosis The dependent health variables are going to be analysed after the codification of the six selected diagnosis. The study dependent health variables are:
| 12 month |