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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
[Who is the infrequent patient?]
J A Granados Garrido1, F J San Andrés Rebollo, P Costa Zamora
1Unidad Docente de Medicina Familiar y Comunitaria, Centro de Salud de Parla, Madrid.
Objective:
To reach the rarely attending section of the population, in order to define its sociodemographic characteristics, and analyse its health status and use of the Health Services.
Design:
Observational, crossover study, using a questionnaire.
Setting:
Primary Care.
Patients:
Patients over 19 assigned to four morning-shift doctors at the Parla Health Centre (Madrid) and who had not attended for health care over the preceding four years.
Intervention:
Communication by letter and phone. Questionnaire.
Measurements And Main Results:
5.07% (468) of the catchment population satisfied our criteria for inclusion. More than half of these could not be located. Only 51 (10.9%) could be interviewed; and 14 (2.99%) remained in the study. Gender accounted for no significant differences. No one was over 65. Self-perception of their own health status was good or very good in 85.7%. 85.7% were smokers. 71% said that they "rarely" attended for health care. One male had three cardiovascular risk factors.
Conclusions:
We found that finding the rarely attending person was not easy. The few cases analysed do not allow for extrapolation. Our findings showed he was a married 37-year old male with a steady job in the service sector. He smokes, doesn't drink and considers himself in a good state of health.
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