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ObjetivoConocer la capacidad evaluadora del cuestionario CVP-35 para valorar la calidad de vida profesional.DiseñoEstudio prospectivo y observacional.EmplazamientoUn área de atención primaria de la Comunidad de Madrid.ParticipantesParticiparon 149 trabajadores sanitarios con algún signo de «desgaste profesional» medido con el Maslach Burnout Inventory (MBI).MedicionesSe cumplimentaron el MBI, el cuestionario de Salud General de Goldberg (GHQ-28) y el CVP-35 al inicio y al año de seguimiento. Se evaluaron el cambio de la CVP y de sus componentes, el apoyo directivo (CVP-AD), la carga de trabajo (CVP-CT) y la motivación intrínseca (CVP-MI) en los sujetos con variaciones en la puntuación del MBI o del GHQ-28 superiores a 0,5 desviaciones estándar (DE) de la distribución basal.ResultadosLas variaciones en el CVP-35 y sus dominios se correlacionan débilmente con los cambios en el MBI y GHQ-28 (r < 0,500), pero concuerdan con el modelo conceptual. En los individuos con variaciones significativas en el GHQ-28, se aprecian unos cambios medios en la CVP y sus dominios comprendidos entre 0,18 y 0,55 puntos. En aquellos casos con variaciones significativas en los dominios del MBI, la CVP presentó variaciones medias absolutas entre 0,23 y 0,45 puntos, CVP-AD entre 0,30 y 0,67, CVP-CT entre 0,01 y 0,55 y CVP-MI entre 0,22 y 0,83 puntos.ConclusionesEl CVP-35 es un instrumento sensible al cambio desde el punto de vista poblacional. Pueden considerarse relevantes cambios del orden de 0,5 puntos en la percepción de la CVP o en sus componentes.ObjectiveTo establish the CVP-35 evaluative properties to measure the professional quality of life (PQL).DesignProspective, observational study.SettingA primary care area in the Community of Madrid, Spain.ParticipantsA total of 149 sanitary workers with some burnout sign measured by Maslach Burnout Inventory (MBI) participated.MeasurementsThey fulfilled MBI, Goldberg Health Questionnaire (GHQ-28), and CVP-35 questionnaires at the beginning and after a year of follow-up, in which 73 subjects took part in activities for coping stress. It was assessed the change of PQL and their domains managerial support (PQL-MS), work load (PQL-WL), intrinsic motivation (PQL-IM) for the subjects with variations at the MBI, or GHQ-28 punctuation greater than 0.5 SD of the initial distribution.ResultsVariations in CVP-35 and their domains correlate weakly with changes in MBI and GHQ-28 (r

Objective Identify the economic value the user attributes to the visit to the family physician, in a setting of a National Health System, by the Willingness to Pay (WTP) expressed. Methods Economic evaluation study, by the contingent valuation method. Questions were asked about WTP using a payment card format. Interviews were conducted with 451 subjects, in areas with different socioeconomic characteristics. An ordered probit was used to evaluate model's validity. Results Median WTP expressed was €18 (interquartile range €8–28), not including “zero-answers” of thirty-four subjects (7.5%). This value represents 2% of average adjusted family incomes. Patients with higher incomes or with chronic illnesses presented a probability of 5–14 percentage points of expressing a high WTP. For every point of increase of patient satisfaction, the probability of presenting a WTP in the lowest range decreases 7.0 percentage points. Subjects with a low education level and those older than 65 expressed a lower WTP. Accessibility, risk perception, nationality and having private insurance were not related to the WTP expressed. Conclusions Users of primary care have a clear perception of the economic value of care received from the family physician, even in a framework of providing services financed by taxes and without cost at the moment of use. This value increases in subjects with higher incomes, with greater need for care, or more satisfied.

To establish the CVP-35 evaluative properties to measure the professional quality of life (PQL).Prospective, observational study.A primary care area in the Community of Madrid, Spain.A total of 149 sanitary workers with some burnout sign measured by Maslach Burnout Inventory (MBI) participated.They fulfilled MBI, Goldberg Health Questionnaire (GHQ-28), and CVP-35 questionnaires at the beginning and after a year of follow-up, in which 73 subjects took part in activities for coping stress. It was assessed the change of PQL and their domains managerial support (PQL-MS), work load (PQL-WL), intrinsic motivation (PQL-IM) for the subjects with variations at the MBI, or GHQ-28 punctuation greater than 0.5 SD of the initial distribution.Variations in CVP-35 and their domains correlate weakly with changes in MBI and GHQ-28 (r0.500), but they are congruent with the conceptual model. In the individuals with significant variations in the GHQ-28, they appreciate an average change in PQL and their domains between 0.18 and 0.55 points (absolute value). In those with significant variations in the MBI domains, PQL presented average absolute variations between 0.23 and 0.45 points, PQL-MS between 0.30 and 0.67, PQL-WL between 0.01 and 0.55 and PQL-IM between 0.22 and 0.83 points.CVP-35 is a sensitive-to-change instrument under population point of view. Changes in PQL perception or in any of their domains of 0.5 points could be pointed as relevant.

OBJECTIVES: To evaluate the usefulness of a glaucoma and intraocular hypertension screening strategy for new cases detected. To evaluate the acceptability of taking intraocular pressure (IOP) and the appearance of side effects. DESIGN: Cross-sectional, descriptive study. SETTING: An urban health centre and the ophthalmology clinic of its main hospital. PARTICIPANTS: A total of 2044 patients aged over 40, 63.5% women and 36.5% men, with a mean age of 61.23 (SD, 11.42). They were selected by consecutive sampling from patients who visited the health centre over a 9-month period. Subjects diagnosed with glaucoma, ocular hypertension (OH), conjunctivitis, or corneal pathology were excluded. INTERVENTIONS: Taking of IOP with Tonopen XL in primary care. Subjects with IOP ≥21 mm Hg were referred to ophthalmology. In these patients, IOP was measured with Goldmann, and patients with confirmed OH received ophthalmoscopy and campimetry. MAIN MEASUREMENTS: Percentage of subjects with glaucoma, suspected glaucoma, and OH confirmed in ophthalmology. Positive predictive value (PPV) for OH. RESULTS: One hundred subjects with OH were detected (4.89%; 95% CI, 3.93%-5.85%), of whom 21 were diagnosed with glaucoma (1.04%; 95% CI, 0.57-1.49) and 10 with suspected glaucoma (0.49%; 95% CI, 0.16-0.82). The PPV for OH was 44.27%. The acceptability of the test was 98.09%. No patients presented with side-effects following the taking of their IOP. CONCLUSIONS: The strategy evaluated is useful in terms of the number of subjects with glaucoma and OH detected. The acceptability of taking IOP with Tonopen XL was high.