{"id":7920,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/factores-bio-psico-sociales-y-utilizacion-de-servicios-de-atencion-primaria\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"factores-bio-psico-sociales-y-utilizacion-de-servicios-de-atencion-primaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-bio-psico-sociales-y-utilizacion-de-servicios-de-atencion-primaria\/","title":{"rendered":"Factores bio-psico-sociales y utilizacion de servicios de atencion primaria."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Ayarzaguena Sarriugarte Jos\u00e9 M. <\/strong><\/h2>\n<p>Objetivo: explicar el efecto que los trastornos mentales &#8482;, la enfermedad fisica cronica (efc) y los acontecimientos vitales estresantes (estres) tienen sobre la hiperutilizacion de servicios medicos de atencion primaria, independientemente del de la edad, sexo y el de un conjunto de variables socio-demograficas y familiares cuya asociacion a la utilizacion es ya conocida. Dise\u00f1o:  observacional analitico de casos y controles.  poblacion: nueve cupos de medicina general.  dise\u00f1o muestral, criterios de inclusion: a los pacientes entre 18 y 80 a\u00f1os que han consultado al menos una vez por iniciativa propia en el periodo de estudio, se les aplica los percentiles 90 y 30 de distribucion del numero de consultas. Se realiza despues un muestreo estratificado por medico.  variables de estudio:  variable respuesta: utilizacion. Variables explicativas:  tm, efc y estres.  variables de ajuste: socio-demograficas, familiares y la isocrona.  analisis estadistico: univariado y multivariante (estratificado y regresion logistica multiple).  resultados: el estres, la efc, el tm y la edad son las unicas variables que presentan un efecto ajustado sobre la hiperutilizacion a iniciativa propia.  conclusiones: los medicos de a.P. Deben de investigar la presencia de estres, tm y efc ante sus pacientes hiperutilizadores.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores bio-psico-sociales y utilizacion de servicios de atencion primaria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores bio-psico-sociales y utilizacion de servicios de atencion primaria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Ayarzaguena Sarriugarte Jos\u00e9 M. <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Eduardo Ortiz Lastra<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Mar\u00eda Rivera Pomar <\/li>\n<li>Javier Vega Gutierrez (vocal)<\/li>\n<li>Felipe Miguel De La Villa (vocal)<\/li>\n<li>Antonio Cardona Llorens (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ayarzaguena Sarriugarte Jos\u00e9 M. Objetivo: explicar el efecto que los trastornos mentales &#8482;, la enfermedad fisica cronica [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,12909,967],"tags":[19253,28089,12574,1734,8988,13350],"class_list":["post-7920","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-pais-vasco-euskal-herriko-unibertsitatea","category-salud-publica","tag-antonio-cardona-llorens","tag-ayarzaguena-sarriugarte-jose-m","tag-eduardo-ortiz-lastra","tag-felipe-miguel-de-la-villa","tag-javier-vega-gutierrez","tag-jose-maria-rivera-pomar"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/7920","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=7920"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/7920\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=7920"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=7920"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=7920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}