Compartir
array:24 [
"pii" => "S021391110671487X"
"issn" => "02139111"
"doi" => "10.1157/13088850"
"estado" => "S300"
"fechaPublicacion" => "2006-05-01"
"aid" => "71487"
"copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
"copyrightAnyo" => "2006"
"documento" => "article"
"crossmark" => 0
"licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
"subdocumento" => "fla"
"cita" => "Gac Sanit. 2006;20:194-201"
"abierto" => array:3 [
"ES" => true
"ES2" => true
"LATM" => true
]
"gratuito" => true
"lecturas" => array:2 [
"total" => 2764
"formatos" => array:3 [
"EPUB" => 113
"HTML" => 2159
"PDF" => 492
]
]
"itemSiguiente" => array:19 [
"pii" => "S0213911106714881"
"issn" => "02139111"
"doi" => "10.1157/13088851"
"estado" => "S300"
"fechaPublicacion" => "2006-05-01"
"aid" => "71488"
"copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
"documento" => "article"
"crossmark" => 0
"licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
"subdocumento" => "fla"
"cita" => "Gac Sanit. 2006;20:202-8"
"abierto" => array:3 [
"ES" => true
"ES2" => true
"LATM" => true
]
"gratuito" => true
"lecturas" => array:2 [
"total" => 5338
"formatos" => array:3 [
"EPUB" => 140
"HTML" => 4532
"PDF" => 666
]
]
"es" => array:11 [
"idiomaDefecto" => true
"cabecera" => "<span class="elsevierStyleTextfn">Originales</span>"
"titulo" => "La violencia contra la mujer en la pareja. Un estudio en el ámbito de la atención primaria"
"tienePdf" => "es"
"tieneTextoCompleto" => 0
"tieneResumen" => array:2 [
0 => "es"
1 => "en"
]
"paginas" => array:1 [
0 => array:2 [
"paginaInicial" => "202"
"paginaFinal" => "208"
]
]
"titulosAlternativos" => array:1 [
"en" => array:1 [
"titulo" => "Intimate partner violence. A survey conducted in the primary care setting"
]
]
"contieneResumen" => array:2 [
"es" => true
"en" => true
]
"contienePdf" => array:1 [
"es" => true
]
"autores" => array:1 [
0 => array:2 [
"autoresLista" => "Isabel Ruiz-Pérez, Juncal Plazaola-Castaño, Pilar Blanco-Prieto, Juana María González-Barranco, Pilar Ayuso-Martín, María Isabel Montero-Piñar"
"autores" => array:7 [
0 => array:2 [
"nombre" => "Isabel"
"apellidos" => "Ruiz-Pérez"
]
1 => array:2 [
"nombre" => "Juncal"
"apellidos" => "Plazaola-Castaño"
]
2 => array:2 [
"nombre" => "Pilar"
"apellidos" => "Blanco-Prieto"
]
3 => array:2 [
"nombre" => "Juana María"
"apellidos" => "González-Barranco"
]
4 => array:2 [
"nombre" => "Pilar"
"apellidos" => "Ayuso-Martín"
]
5 => array:2 [
"nombre" => "María Isabel"
"apellidos" => "Montero-Piñar"
]
6 => array:1 [
"colaborador" => "El Grupo de Estudio para la Violencia de Género"
]
]
]
]
]
"idiomaDefecto" => "es"
"EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106714881?idApp=WGSE"
"url" => "/02139111/0000002000000003/v1_201301241601/S0213911106714881/v1_201301241601/es/main.assets"
]
"itemAnterior" => array:19 [
"pii" => "S0213911106714868"
"issn" => "02139111"
"doi" => "10.1157/13088849"
"estado" => "S300"
"fechaPublicacion" => "2006-05-01"
"aid" => "71486"
"copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
"documento" => "article"
"crossmark" => 0
"licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
"subdocumento" => "fla"
"cita" => "Gac Sanit. 2006;20:184-93"
"abierto" => array:3 [
"ES" => true
"ES2" => true
"LATM" => true
]
"gratuito" => true
"lecturas" => array:2 [
"total" => 4388
"formatos" => array:3 [
"EPUB" => 114
"HTML" => 2728
"PDF" => 1546
]
]
"es" => array:11 [
"idiomaDefecto" => true
"cabecera" => "<span class="elsevierStyleTextfn">Originales</span>"
"titulo" => "La mortalidad evitable: lista de consenso para la actualización del indicador en España"
"tienePdf" => "es"
"tieneTextoCompleto" => 0
"tieneResumen" => array:2 [
0 => "es"
1 => "en"
]
"paginas" => array:1 [
0 => array:2 [
"paginaInicial" => "184"
"paginaFinal" => "193"
]
]
"titulosAlternativos" => array:1 [
"en" => array:1 [
"titulo" => "Avoidable mortality: a consensus list of causes to update the indicator in Spain"
]
]
"contieneResumen" => array:2 [
"es" => true
"en" => true
]
"contienePdf" => array:1 [
"es" => true
]
"autores" => array:1 [
0 => array:2 [
"autoresLista" => "Rosa Gispert, María de Arán Barés, Anna Puigdefàbregas"
"autores" => array:4 [
0 => array:2 [
"nombre" => "Rosa"
"apellidos" => "Gispert"
]
1 => array:2 [
"nombre" => "María"
"apellidos" => "de Arán Barés"
]
2 => array:2 [
"nombre" => "Anna"
"apellidos" => "Puigdefàbregas"
]
3 => array:1 [
"colaborador" => "El Grupo para el Consenso en la Mortalidad Evitable"
]
]
]
]
]
"idiomaDefecto" => "es"
"EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106714868?idApp=WGSE"
"url" => "/02139111/0000002000000003/v1_201301241601/S0213911106714868/v1_201301241601/es/main.assets"
]
"es" => array:15 [
"idiomaDefecto" => true
"cabecera" => "<span class="elsevierStyleTextfn">Originales</span>"
"titulo" => "¿Es factible que los médicos de primaria utilicen CIE-9-MC? Calidad de la codificación de diagnósticos en las historias clínicas informatizadas"
"tieneTextoCompleto" => 0
"paginas" => array:1 [
0 => array:2 [
"paginaInicial" => "194"
"paginaFinal" => "201"
]
]
"autores" => array:1 [
0 => array:4 [
"autoresLista" => "Juan F. Orueta, Javier Urraca, Iñaki Berraondo, Jon Darpón"
"autores" => array:4 [
0 => array:4 [
"nombre" => "Juan F."
"apellidos" => "Orueta"
"email" => array:1 [
0 => "joruetam@apur.osakidetza.net"
]
"referencia" => array:2 [
0 => array:2 [
"etiqueta" => "<span class="elsevierStyleSup">a</span>"
"identificador" => "aff1"
]
1 => array:2 [
"etiqueta" => "<span class="elsevierStyleSup">¿</span>"
"identificador" => "cor1"
]
]
]
1 => array:3 [
"nombre" => "Javier"
"apellidos" => "Urraca"
"referencia" => array:1 [
0 => array:2 [
"etiqueta" => "<span class="elsevierStyleSup">a</span>"
"identificador" => "aff1"
]
]
]
2 => array:3 [
"nombre" => "Iñaki"
"apellidos" => "Berraondo"
"referencia" => array:1 [
0 => array:2 [
"etiqueta" => "<span class="elsevierStyleSup">a</span>"
"identificador" => "aff1"
]
]
]
3 => array:3 [
"nombre" => "Jon"
"apellidos" => "Darpón"
"referencia" => array:1 [
0 => array:2 [
"etiqueta" => "<span class="elsevierStyleSup">b</span>"
"identificador" => "aff2"
]
]
]
]
"afiliaciones" => array:2 [
0 => array:3 [
"entidad" => "Subdirección de Atención Primaria, Osakidetza/Servicio Vasco de Salud, Vitoria-Gasteiz, Álava, España"
"etiqueta" => "<span class="elsevierStyleSup">a</span>"
"identificador" => "aff1"
]
1 => array:3 [
"entidad" => "Dirección de Asistencia Sanitaria, Osakidetza/Servicio Vasco de Salud, Vitoria-Gasteiz, Álava, España"
"etiqueta" => "<span class="elsevierStyleSup">b</span>"
"identificador" => "aff2"
]
]
"correspondencia" => array:1 [
0 => array:3 [
"identificador" => "cor1"
"etiqueta" => "⁎"
"correspondencia" => "Correspondencia: Dr. Juan F. Orueta. Subdirección de Atención Primaria. SSCC Osakidetza/Servicio Vasco de Salud. Álava, 45. 10006 Vitoria-Gasteiz. Álava. España."
]
]
]
]
"titulosAlternativos" => array:1 [
"en" => array:1 [
"titulo" => "Can primary care physicians use the ICD-9-MC? An evaluation of the quality of diagnosis coding in computerized medical records"
]
]
"pdfFichero" => "main.pdf"
"tienePdf" => true
"fechaRecibido" => "2005-05-05"
"fechaAceptado" => "2005-09-08"
"PalabrasClave" => array:2 [
"es" => array:1 [
0 => array:4 [
"clase" => "keyword"
"titulo" => "Palabras clave"
"identificador" => "xpalclavsec14095"
"palabras" => array:5 [
0 => "Clasificación de Enfermedades"
1 => "CIE-9-MC"
2 => "Atención primaria"
3 => "Historia clínica"
4 => "Sistemas de información"
]
]
]
"en" => array:1 [
0 => array:4 [
"clase" => "keyword"
"titulo" => "Key words"
"identificador" => "xpalclavsec14096"
"palabras" => array:5 [
0 => "Diseases classification"
1 => "ICD-9-CM codes"
2 => "Primary health care"
3 => "Medical records"
4 => "Information systems"
]
]
]
]
"tieneResumen" => true
"resumen" => array:2 [
"es" => array:2 [
"titulo" => "Resumen"
"resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Determinar el grado de exhaustividad y precisión de los códigos CIE-9-MC asignados por los médicos de primaria en sus historias clínicas informatizadas; evaluar el impacto de actividades para su mejora.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Los códigos de 87.806 pacientes de 56 médicos de Osakidetza/Servicio Vasco de Salud fueron evaluados en 3 ocasiones en 1 año, según los siguientes criterios: correspondencia con un código CIE-9-MC válido; concordancia entre diagnóstico y código; porcentaje de consultas sin diagnóstico. Finalmente, se contrastaron, con un registro previo de morbilidad atendida, los promedios de diagnósticos únicos y tasas anuales de enfermedades de los 84.136 pacientes que permanecieron con el mismo médico al menos 6 meses. Se realizaron 2 intervenciones para mejorar la codificación: corrección central de errores detectados; asesoramiento e información a los médicos de sus resultados individuales.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En la primera evaluación, el 59% de los diagnósticos no contenía ningún código CIE-9-MC asociado, mientras que a la finalización este porcentaje descendió al 2%. El porcentaje de errores (discrepancia entre diagnóstico del episodio y código CIE9-MC) disminuyó del 17 al 3%. El promedio anual de diagnósticos por paciente fue ligeramente menor que en el archivo de referencia (2,26 frente a 2,43), así como las tasas de diversos grupos de enfermedades.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Es factible que los médicos de atención primaria alcancen un alto grado de calidad en la clasificación de diagnósticos mediante CIE-9-MC. La implantación de medidas de evaluación, corrección de errores e información a los clínicos permitió mejorar notablemente los resultados iniciales.</p>"
]
"en" => array:2 [
"titulo" => "Abstract"
"resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To determine the completeness and accuracy of ICD-9-CM codes allocated by primary health care physicians in their computerized medical records and evaluate the effects of improvement procedures.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The codes of 87,806 patients assigned to 56 primary care physicians in the Basque National Health Service in Spain, were evaluated 3 times over a 1-year period according to the following criteria: correspondence to a valid ICD- 9-CM code, agreement between diagnosis and code, and the percentage of visits with an unspecified reason for consultation. Finally, the mean number of unique diagnoses and rates of diagnostic groups in the 84,136 patients that remained with the same physician for a minimum of 6 months were contrasted with another previously registered morbidity database. Two interventions were performed to improve coding: detected errors were corrected centrally and physicians were assessed and given information on their individual results.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Diagnoses lacking an ICD-9-DIC code decreased from 59% in the first assessment to 2% at the end of the study period. The percentage of coding mistakes (discrepancies in episode diagnosis and ICD-9-CM code) decreased from 17% to 3%. The mean annual number of diagnoses per patient was slightly lower than that in the reference database (2.26 versus 2.43). The same result was observed in the rates of some diagnostic groups.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Primary care doctors can achieve a high degree of quality in ICD-9-CM diagnosis coding. Implementing procedures for evaluating coding, rectifying mistakes, and providing information to physicians markedly improved the initial results.</p>"
]
]
"bibliografia" => array:2 [
"titulo" => "Bibliografía"
"seccion" => array:1 [
0 => array:1 [
"bibliografiaReferencia" => array:26 [
0 => array:3 [
"identificador" => "bib1"
"etiqueta" => "1."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Medir y comparar la atención primaria: nuevas necesidades, nuevas herramientas"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "S. Juncosa"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:5 [
"tituloSerie" => "Medifam"
"fecha" => "1996"
"volumen" => "6"
"paginaInicial" => "316"
"paginaFinal" => "320"
]
]
]
]
]
]
1 => array:3 [
"identificador" => "bib2"
"etiqueta" => "2."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Conjuntos mínimos de datos en la atención ambulatoria"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:6 [
0 => "E. Carrillo"
1 => "S. Juncosa"
2 => "B. Bolibar"
3 => "D. Parkin"
4 => "A. Hutchinson"
5 => "P.J. Fisher"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Gac Sanit"
"fecha" => "1991"
"volumen" => "5"
"paginaInicial" => "225"
"paginaFinal" => "230"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/1802871"
"web" => "Medline"
]
]
]
]
]
]
]
]
2 => array:3 [
"identificador" => "bib3"
"etiqueta" => "3."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Minimum basic data set in general practice: definitions and coding"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:2 [
0 => "J. Gervas"
1 => "M. Pérez Fernández"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Fam Pract"
"fecha" => "1992"
"volumen" => "9"
"paginaInicial" => "349"
"paginaFinal" => "352"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/1459393"
"web" => "Medline"
]
]
]
]
]
]
]
]
3 => array:3 [
"identificador" => "bib4"
"etiqueta" => "4."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Conjuntos mínimos de datos en atención primaria: una exploración de su factibilidad"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:4 [
0 => "S. Juncosa"
1 => "E. Carrillo"
2 => "B. Bolibar"
3 => "E. Portella"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Aten Primaria"
"fecha" => "1992"
"volumen" => "10"
"paginaInicial" => "605"
"paginaFinal" => "611"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/1511109"
"web" => "Medline"
]
]
]
]
]
]
]
]
4 => array:3 [
"identificador" => "bib5"
"etiqueta" => "5."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Hacia la definición de un conjunto mínimo básico de datos"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:6 [
0 => "J. Fuste"
1 => "B. Bolibar"
2 => "A. Castillo"
3 => "J. Coderch"
4 => "I. Ruano"
5 => "A. Sicras"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Aten Primaria"
"fecha" => "2002"
"volumen" => "30"
"paginaInicial" => "229"
"paginaFinal" => "235"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/12237028"
"web" => "Medline"
]
]
]
]
]
]
]
]
5 => array:3 [
"identificador" => "bib6"
"etiqueta" => "6."
"referencia" => array:1 [
0 => array:1 [
"referenciaCompleta" => "Clasificacion Internacional de Enfermedades 9.<span class="elsevierStyleSup">a</span> Revisión Modificación Clínica. Madrid: Ministerio de Sanidad y Consumo; 1999."
]
]
]
6 => array:3 [
"identificador" => "bib7"
"etiqueta" => "7."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Quality of morbidity coding in general practice computerized medical records: a systematic review"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "K. Jordan"
1 => "M. Porcheret"
2 => "P. Croft"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1093/fampra/cmh409"
"Revista" => array:6 [
"tituloSerie" => "Fam Pract"
"fecha" => "2004"
"volumen" => "21"
"paginaInicial" => "396"
"paginaFinal" => "412"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/15249528"
"web" => "Medline"
]
]
]
]
]
]
]
]
7 => array:3 [
"identificador" => "bib8"
"etiqueta" => "8."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "general practice minimum data set for New Zealand"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:4 [
0 => "J. Hall"
1 => "A. Tomlin"
2 => "I. Martin"
3 => "M. Tilyard"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:4 [
"tituloSerie" => "Med J"
"fecha" => "2002"
"volumen" => "115"
"paginaInicial" => "1163"
]
]
]
]
]
]
8 => array:3 [
"identificador" => "bib9"
"etiqueta" => "9."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Códigos y clasificaciones en medicina general/de familia"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "J. Gervas"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Aten Primaria"
"fecha" => "1997"
"volumen" => "20"
"paginaInicial" => "343"
"paginaFinal" => "344"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/9432214"
"web" => "Medline"
]
]
]
]
]
]
]
]
9 => array:3 [
"identificador" => "bib10"
"etiqueta" => "10."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "North Staffordshire General Practice Research Network. Data quality of general practice electronic health records: the impact of a program of assessments, feedback, and training"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:6 [
0 => "M. Porcheret"
1 => "R. Hughes"
2 => "D. Evans"
3 => "K. Jordan"
4 => "T. Whitehurst"
5 => "H. Ogden"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1197/jamia.M1362"
"Revista" => array:6 [
"tituloSerie" => "J Am Med Inform Assoc"
"fecha" => "2004"
"volumen" => "11"
"paginaInicial" => "78"
"paginaFinal" => "86"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/14527973"
"web" => "Medline"
]
]
]
]
]
]
]
]
10 => array:3 [
"identificador" => "bib11"
"etiqueta" => "11."
"referencia" => array:1 [
0 => array:1 [
"referenciaCompleta" => "3S-Osabide (programa informático) Versión 2. Vitoria-Gasteiz: Osakidetza-Servicio Vasco de Salud, Sistema de Servicios Sanitarios."
]
]
]
11 => array:3 [
"identificador" => "bib12"
"etiqueta" => "12."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Adjusted Clinical Groups (ACGs) explains the utilization of primary care in Spain based on information registered in the medical records: a cross-sectional study"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:5 [
0 => "J.F. Orueta"
1 => "J. Urraca"
2 => "I. Berraondo"
3 => "J. Darpón"
4 => "J.J. Aurrekoetxea"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1016/j.healthpol.2005.04.005"
"Revista" => array:6 [
"tituloSerie" => "Health Policy"
"fecha" => "2006"
"volumen" => "76"
"paginaInicial" => "38"
"paginaFinal" => "48"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/15946763"
"web" => "Medline"
]
]
]
]
]
]
]
]
12 => array:3 [
"identificador" => "bib13"
"etiqueta" => "13."
"referencia" => array:1 [
0 => array:1 [
"referenciaCompleta" => "OMI- AP. Organización y management informático de la atención primaria (programa informático). Versión 3. Osakidetza-Servicio Vasco de Salud y Stacks Consulting e Ingeniería en Software S.L."
]
]
]
13 => array:3 [
"identificador" => "bib14"
"etiqueta" => "14."
"referencia" => array:1 [
0 => array:1 [
"referenciaCompleta" => "Hipo SEMG XXI (programa informático). Versión 7.1. Madrid: SEMG-Sección Informática."
]
]
]
14 => array:3 [
"identificador" => "bib15"
"etiqueta" => "15."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Health care episodes: definition, measurement and use"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "M.C. Hornbrook"
1 => "A.V. Hurtado"
2 => "R.E. Johnson"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Med Care Rev"
"fecha" => "1985"
"volumen" => "42"
"paginaInicial" => "163"
"paginaFinal" => "218"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/10274864"
"web" => "Medline"
]
]
]
]
]
]
]
]
15 => array:3 [
"identificador" => "bib16"
"etiqueta" => "16."
"referencia" => array:1 [
0 => array:1 [
"referenciaCompleta" => "Instituto de Información Sanitaria. Clasificación Internacional de Enfermedades. Publicado: 29/02/2004 (citado 7 Mar 2005). Disponible en: <a class="elsevierStyleInterRef" href="http://www.msc.es/Diseno/sns/sns_sistemas_informacion.htm">http://www.msc.es/Diseno/sns/sns_sistemas_informacion.htm</a>"
]
]
]
16 => array:3 [
"identificador" => "bib17"
"etiqueta" => "17."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Ambulatory care groups: a categorization of diagnoses for research and management"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:3 [
0 => "B. Starfield"
1 => "J. Weiner"
2 => "L. Mumford"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Health Serv Res"
"fecha" => "1991"
"volumen" => "26"
"paginaInicial" => "53"
"paginaFinal" => "74"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/1901841"
"web" => "Medline"
]
]
]
]
]
]
]
]
17 => array:3 [
"identificador" => "bib18"
"etiqueta" => "18."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Development and application of a population-oriented measure of ambulatory care case-mix"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:3 [
0 => "J.P. Weiner"
1 => "B.H. Starfield"
2 => "D.M. Steinwachs"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Med Care"
"fecha" => "1991"
"volumen" => "29"
"paginaInicial" => "452"
"paginaFinal" => "473"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/1902278"
"web" => "Medline"
]
]
]
]
]
]
]
]
18 => array:3 [
"identificador" => "bib19"
"etiqueta" => "19."
"referencia" => array:1 [
0 => array:1 [
"referenciaCompleta" => "Health Services Research & Development Center. The Johns Hopkins ACG Case-Mix System. Documentation & Application Manual. PC (DOS/WIN/NT) Version 5.0. Baltimore: The Johns Hopkins University; 2001."
]
]
]
19 => array:3 [
"identificador" => "bib20"
"etiqueta" => "20."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Application of the ambulatory care groups in the primary care of a European national health care system: does it work?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:6 [
0 => "J.F. Orueta"
1 => "J. López-De-Munain"
2 => "K. Baez"
3 => "J.M. Aiarzaguena"
4 => "J.I. Aranguren"
5 => "E. Pedrero"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Med Care"
"fecha" => "1999"
"volumen" => "37"
"paginaInicial" => "238"
"paginaFinal" => "248"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/10098568"
"web" => "Medline"
]
]
]
]
]
]
]
]
20 => array:3 [
"identificador" => "bib21"
"etiqueta" => "21."
"referencia" => array:1 [
0 => array:1 [
"referenciaCompleta" => "Epi Info for Windows (programa informático) Atlanta, Georgia: Centers for Disease Control and Prevention (CDC). Division of Public Health Surveillance and Informatics. Epidemiology Program Office, MS K74."
]
]
]
21 => array:3 [
"identificador" => "bib22"
"etiqueta" => "22."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Computerisation, coding, data retrieval and related attitudes among Swedish general practitioners-a survey of necessary conditions for a database of diseases and health problems"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "G. Nilsson"
1 => "H. Ahlfeldt"
2 => "L.E. Strender"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Int J Med Inform"
"fecha" => "2002"
"volumen" => "65"
"paginaInicial" => "135"
"paginaFinal" => "143"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/12052426"
"web" => "Medline"
]
]
]
]
]
]
]
]
22 => array:3 [
"identificador" => "bib23"
"etiqueta" => "23."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Quality measures and electronic medical systems"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "C.J. McDonald"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "JAMA"
"fecha" => "1999"
"volumen" => "282"
"paginaInicial" => "1181"
"paginaFinal" => "1182"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/10501125"
"web" => "Medline"
]
]
]
]
]
]
]
]
23 => array:3 [
"identificador" => "bib24"
"etiqueta" => "24."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Antecedentes históricos"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "K.L. White"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"LibroEditado" => array:4 [
"titulo" => "CIAP-Clasificación Internacional en Atención Primaria"
"paginaInicial" => "13"
"paginaFinal" => "17"
"serieFecha" => "1990"
]
]
]
]
]
]
24 => array:3 [
"identificador" => "bib25"
"etiqueta" => "25."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Sistemas de información en atención primaria: ¿debemos codificar con la CIE-9-MC?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:5 [
0 => "E. Gosálbez Pastor"
1 => "I. Pérez-Salinas"
2 => "J. Díez-Domingo"
3 => "A. Ballester Sanz"
4 => "A.M. Costa-Alcaraz"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Aten Primaria"
"fecha" => "2003"
"volumen" => "31"
"paginaInicial" => "519"
"paginaFinal" => "523"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/12765591"
"web" => "Medline"
]
]
]
]
]
]
]
]
25 => array:3 [
"identificador" => "bib26"
"etiqueta" => "26."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Los sistemas de <span class="elsevierStyleItalic">case-mix</span> en atención primaria: desde los estudios de investigación hasta su implantación en el mundo real"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "J.F. Orueta"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Aten Primaria"
"fecha" => "2004"
"volumen" => "34"
"numero" => "Sup 1"
"paginaInicial" => "53"
"paginaFinal" => "54"
]
]
]
]
]
]
]
]
]
]
]
"idiomaDefecto" => "es"
"url" => "/02139111/0000002000000003/v1_201301241601/S021391110671487X/v1_201301241601/es/main.assets"
"Apartado" => array:4 [
"identificador" => "764"
"tipo" => "SECCION"
"es" => array:2 [
"titulo" => "Originales"
"idiomaDefecto" => true
]
"idiomaDefecto" => "es"
]
"PDF" => "https://static.elsevier.es/multimedia/02139111/0000002000000003/v1_201301241601/S021391110671487X/v1_201301241601/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
"EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021391110671487X?idApp=WGSE"
]