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&#46; Un estudio en el &#225;mbito de la atenci&#243;n 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&#46; 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-P&#233;rez, Juncal Plazaola-Casta&#241;o, Pilar Blanco-Prieto, Juana Mar&#237;a Gonz&#225;lez-Barranco, Pilar Ayuso-Mart&#237;n, Mar&#237;a Isabel Montero-Pi&#241;ar"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Ruiz-P&#233;rez"
            ]
            1 => array:2 [
              "nombre" => "Juncal"
              "apellidos" => "Plazaola-Casta&#241;o"
            ]
            2 => array:2 [
              "nombre" => "Pilar"
              "apellidos" => "Blanco-Prieto"
            ]
            3 => array:2 [
              "nombre" => "Juana Mar&#237;a"
              "apellidos" => "Gonz&#225;lez-Barranco"
            ]
            4 => array:2 [
              "nombre" => "Pilar"
              "apellidos" => "Ayuso-Mart&#237;n"
            ]
            5 => array:2 [
              "nombre" => "Mar&#237;a Isabel"
              "apellidos" => "Montero-Pi&#241;ar"
            ]
            6 => array:1 [
              "colaborador" => "El Grupo de Estudio para la Violencia de G&#233;nero"
            ]
          ]
        ]
      ]
    ]
    "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 Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n 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&#58; lista de consenso para la actualizaci&#243;n del indicador en Espa&#241;a"
      "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&#58; 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, Mar&#237;a de Ar&#225;n Bar&#233;s, Anna Puigdef&#224;bregas"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Rosa"
              "apellidos" => "Gispert"
            ]
            1 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "de Ar&#225;n Bar&#233;s"
            ]
            2 => array:2 [
              "nombre" => "Anna"
              "apellidos" => "Puigdef&#224;bregas"
            ]
            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" => "&#191;Es factible que los m&#233;dicos de primaria utilicen CIE-9-MC&#63; Calidad de la codificaci&#243;n de diagn&#243;sticos en las historias cl&#237;nicas informatizadas"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "194"
        "paginaFinal" => "201"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Juan F&#46; Orueta, Javier Urraca, I&#241;aki Berraondo, Jon Darp&#243;n"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Juan F&#46;"
            "apellidos" => "Orueta"
            "email" => array:1 [
              0 => "joruetam&#64;apur&#46;osakidetza&#46;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" => "I&#241;aki"
            "apellidos" => "Berraondo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Jon"
            "apellidos" => "Darp&#243;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Subdirecci&#243;n de Atenci&#243;n Primaria&#44; Osakidetza&#47;Servicio Vasco de Salud&#44; Vitoria-Gasteiz&#44; &#193;lava&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Direcci&#243;n de Asistencia Sanitaria&#44; Osakidetza&#47;Servicio Vasco de Salud&#44; Vitoria-Gasteiz&#44; &#193;lava&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia&#58; Dr&#46; Juan F&#46; Orueta&#46; Subdirecci&#243;n de Atenci&#243;n Primaria&#46; SSCC Osakidetza&#47;Servicio Vasco de Salud&#46; &#193;lava&#44; 45&#46; 10006 Vitoria-Gasteiz&#46; &#193;lava&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Can primary care physicians use the ICD-9-MC&#63; 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 => "Clasificaci&#243;n de Enfermedades"
            1 => "CIE-9-MC"
            2 => "Atenci&#243;n primaria"
            3 => "Historia cl&#237;nica"
            4 => "Sistemas de informaci&#243;n"
          ]
        ]
      ]
      "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 precisi&#243;n de los c&#243;digos CIE-9-MC asignados por los m&#233;dicos de primaria en sus historias cl&#237;nicas informatizadas&#59; evaluar el impacto de actividades para su mejora&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Los c&#243;digos de 87&#46;806 pacientes de 56 m&#233;dicos de Osakidetza&#47;Servicio Vasco de Salud fueron evaluados en 3 ocasiones en 1 a&#241;o&#44; seg&#250;n los siguientes criterios&#58; correspondencia con un c&#243;digo CIE-9-MC v&#225;lido&#59; concordancia entre diagn&#243;stico y c&#243;digo&#59; porcentaje de consultas sin diagn&#243;stico&#46; Finalmente&#44; se contrastaron&#44; con un registro previo de morbilidad atendida&#44; los promedios de diagn&#243;sticos &#250;nicos y tasas anuales de enfermedades de los 84&#46;136 pacientes que permanecieron con el mismo m&#233;dico al menos 6 meses&#46; Se realizaron 2 intervenciones para mejorar la codificaci&#243;n&#58; correcci&#243;n central de errores detectados&#59; asesoramiento e informaci&#243;n a los m&#233;dicos de sus resultados individuales&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En la primera evaluaci&#243;n&#44; el 59&#37; de los diagn&#243;sticos no conten&#237;a ning&#250;n c&#243;digo CIE-9-MC asociado&#44; mientras que a la finalizaci&#243;n este porcentaje descendi&#243; al 2&#37;&#46; El porcentaje de errores &#40;discrepancia entre diagn&#243;stico del episodio y c&#243;digo CIE9-MC&#41; disminuy&#243; del 17 al 3&#37;&#46; El promedio anual de diagn&#243;sticos por paciente fue ligeramente menor que en el archivo de referencia &#40;2&#44;26 frente a 2&#44;43&#41;&#44; as&#237; como las tasas de diversos grupos de enfermedades&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Es factible que los m&#233;dicos de atenci&#243;n primaria alcancen un alto grado de calidad en la clasificaci&#243;n de diagn&#243;sticos mediante CIE-9-MC&#46; La implantaci&#243;n de medidas de evaluaci&#243;n&#44; correcci&#243;n de errores e informaci&#243;n a los cl&#237;nicos permiti&#243; mejorar notablemente los resultados iniciales&#46;</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&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The codes of 87&#44;806 patients assigned to 56 primary care physicians in the Basque National Health Service in Spain&#44; were evaluated 3 times over a 1-year period according to the following criteria&#58; correspondence to a valid ICD- 9-CM code&#44; agreement between diagnosis and code&#44; and the percentage of visits with an unspecified reason for consultation&#46; Finally&#44; the mean number of unique diagnoses and rates of diagnostic groups in the 84&#44;136 patients that remained with the same physician for a minimum of 6 months were contrasted with another previously registered morbidity database&#46; Two interventions were performed to improve coding&#58; detected errors were corrected centrally and physicians were assessed and given information on their individual results&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Diagnoses lacking an ICD-9-DIC code decreased from 59&#37; in the first assessment to 2&#37; at the end of the study period&#46; The percentage of coding mistakes &#40;discrepancies in episode diagnosis and ICD-9-CM code&#41; decreased from 17&#37; to 3&#37;&#46; The mean annual number of diagnoses per patient was slightly lower than that in the reference database &#40;2&#46;26 versus 2&#46;43&#41;&#46; The same result was observed in the rates of some diagnostic groups&#46;</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&#46; Implementing procedures for evaluating coding&#44; rectifying mistakes&#44; and providing information to physicians markedly improved the initial results&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:26 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medir y comparar la atenci&#243;n primaria&#58; nuevas necesidades&#44; nuevas herramientas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conjuntos m&#237;nimos de datos en la atenci&#243;n ambulatoria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46; Carrillo"
                            1 => "S&#46; Juncosa"
                            2 => "B&#46; Bolibar"
                            3 => "D&#46; Parkin"
                            4 => "A&#46; Hutchinson"
                            5 => "P&#46;J&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Minimum basic data set in general practice&#58; definitions and coding"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Gervas"
                            1 => "M&#46; P&#233;rez Fern&#225;ndez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conjuntos m&#237;nimos de datos en atenci&#243;n primaria&#58; una exploraci&#243;n de su factibilidad"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Juncosa"
                            1 => "E&#46; Carrillo"
                            2 => "B&#46; Bolibar"
                            3 => "E&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hacia la definici&#243;n de un conjunto m&#237;nimo b&#225;sico de datos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Fuste"
                            1 => "B&#46; Bolibar"
                            2 => "A&#46; Castillo"
                            3 => "J&#46; Coderch"
                            4 => "I&#46; Ruano"
                            5 => "A&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Clasificacion Internacional de Enfermedades 9&#46;<span class="elsevierStyleSup">a</span> Revisi&#243;n Modificaci&#243;n Cl&#237;nica&#46; Madrid&#58; Ministerio de Sanidad y Consumo&#59; 1999&#46;"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quality of morbidity coding in general practice computerized medical records&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Jordan"
                            1 => "M&#46; Porcheret"
                            2 => "P&#46; 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&#46;"
              "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&#46; Hall"
                            1 => "A&#46; Tomlin"
                            2 => "I&#46; Martin"
                            3 => "M&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "C&#243;digos y clasificaciones en medicina general&#47;de familia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "North Staffordshire General Practice Research Network&#46; Data quality of general practice electronic health records&#58; the impact of a program of assessments&#44; feedback&#44; and training"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Porcheret"
                            1 => "R&#46; Hughes"
                            2 => "D&#46; Evans"
                            3 => "K&#46; Jordan"
                            4 => "T&#46; Whitehurst"
                            5 => "H&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "3S-Osabide &#40;programa inform&#225;tico&#41; Versi&#243;n 2&#46; Vitoria-Gasteiz&#58; Osakidetza-Servicio Vasco de Salud&#44; Sistema de Servicios Sanitarios&#46;"
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adjusted Clinical Groups &#40;ACGs&#41; explains the utilization of primary care in Spain based on information registered in the medical records&#58; a cross-sectional study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;F&#46; Orueta"
                            1 => "J&#46; Urraca"
                            2 => "I&#46; Berraondo"
                            3 => "J&#46; Darp&#243;n"
                            4 => "J&#46;J&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "OMI- AP&#46; Organizaci&#243;n y management inform&#225;tico de la atenci&#243;n primaria &#40;programa inform&#225;tico&#41;&#46; Versi&#243;n 3&#46; Osakidetza-Servicio Vasco de Salud y Stacks Consulting e Ingenier&#237;a en Software S&#46;L&#46;"
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Hipo SEMG XXI &#40;programa inform&#225;tico&#41;&#46; Versi&#243;n 7&#46;1&#46; Madrid&#58; SEMG-Secci&#243;n Inform&#225;tica&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Health care episodes&#58; definition&#44; measurement and use"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;C&#46; Hornbrook"
                            1 => "A&#46;V&#46; Hurtado"
                            2 => "R&#46;E&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Instituto de Informaci&#243;n Sanitaria&#46; Clasificaci&#243;n Internacional de Enfermedades&#46; Publicado&#58; 29&#47;02&#47;2004 &#40;citado 7 Mar 2005&#41;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.msc.es/Diseno/sns/sns_sistemas_informacion.htm">http&#58;&#47;&#47;www&#46;msc&#46;es&#47;Diseno&#47;sns&#47;sns&#95;sistemas&#95;informacion&#46;htm</a>"
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ambulatory care groups&#58; a categorization of diagnoses for research and management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "B&#46; Starfield"
                            1 => "J&#46; Weiner"
                            2 => "L&#46; 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&#46;"
              "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&#46;P&#46; Weiner"
                            1 => "B&#46;H&#46; Starfield"
                            2 => "D&#46;M&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Health Services Research &#38; Development Center&#46; The Johns Hopkins ACG Case-Mix System&#46; Documentation &#38; Application Manual&#46; PC &#40;DOS&#47;WIN&#47;NT&#41; Version 5&#46;0&#46; Baltimore&#58; The Johns Hopkins University&#59; 2001&#46;"
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "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&#58; does it work&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;F&#46; Orueta"
                            1 => "J&#46; L&#243;pez-De-Munain"
                            2 => "K&#46; Baez"
                            3 => "J&#46;M&#46; Aiarzaguena"
                            4 => "J&#46;I&#46; Aranguren"
                            5 => "E&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Epi Info for Windows &#40;programa inform&#225;tico&#41; Atlanta&#44; Georgia&#58; Centers for Disease Control and Prevention &#40;CDC&#41;&#46; Division of Public Health Surveillance and Informatics&#46; Epidemiology Program Office&#44; MS K74&#46;"
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computerisation&#44; coding&#44; 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&#46; Nilsson"
                            1 => "H&#46; Ahlfeldt"
                            2 => "L&#46;E&#46; 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&#46;"
              "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&#46;J&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Antecedentes hist&#243;ricos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "K&#46;L&#46; White"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "CIAP-Clasificaci&#243;n Internacional en Atenci&#243;n Primaria"
                        "paginaInicial" => "13"
                        "paginaFinal" => "17"
                        "serieFecha" => "1990"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sistemas de informaci&#243;n en atenci&#243;n primaria&#58; &#191;debemos codificar con la CIE-9-MC&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "E&#46; Gos&#225;lbez Pastor"
                            1 => "I&#46; P&#233;rez-Salinas"
                            2 => "J&#46; D&#237;ez-Domingo"
                            3 => "A&#46; Ballester Sanz"
                            4 => "A&#46;M&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Los sistemas de <span class="elsevierStyleItalic">case-mix</span> en atenci&#243;n primaria&#58; desde los estudios de investigaci&#243;n hasta su implantaci&#243;n en el mundo real"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;F&#46; 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"
]
Compartir
Publique en esta revista
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Originales
¿Es factible que los médicos de primaria utilicen CIE-9-MC? Calidad de la codificación de diagnósticos en las historias clínicas informatizadas
Can primary care physicians use the ICD-9-MC? An evaluation of the quality of diagnosis coding in computerized medical records
Juan F. Oruetaa,
Autor para correspondencia
joruetam@apur.osakidetza.net

Correspondencia: Dr. Juan F. Orueta. Subdirección de Atención Primaria. SSCC Osakidetza/Servicio Vasco de Salud. Álava, 45. 10006 Vitoria-Gasteiz. Álava. España.
, Javier Urracaa, Iñaki Berraondoa, Jon Darpónb
a Subdirección de Atención Primaria, Osakidetza/Servicio Vasco de Salud, Vitoria-Gasteiz, Álava, España
b Dirección de Asistencia Sanitaria, Osakidetza/Servicio Vasco de Salud, Vitoria-Gasteiz, Álava, España
Leído
995
Veces
se ha leído el artículo
365
Total PDF
630
Total HTML
Compartir estadísticas
 array:24 [
  "pii" => "S021391110671487X"
  "issn" => "02139111"
  "doi" => "10.1157/13088850"
  "estado" => "S300"
  "fechaPublicacion" => "2006-05-01"
  "aid" => "71487"
  "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n 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 Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n 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&#46; Un estudio en el &#225;mbito de la atenci&#243;n 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&#46; 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-P&#233;rez, Juncal Plazaola-Casta&#241;o, Pilar Blanco-Prieto, Juana Mar&#237;a Gonz&#225;lez-Barranco, Pilar Ayuso-Mart&#237;n, Mar&#237;a Isabel Montero-Pi&#241;ar"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Ruiz-P&#233;rez"
            ]
            1 => array:2 [
              "nombre" => "Juncal"
              "apellidos" => "Plazaola-Casta&#241;o"
            ]
            2 => array:2 [
              "nombre" => "Pilar"
              "apellidos" => "Blanco-Prieto"
            ]
            3 => array:2 [
              "nombre" => "Juana Mar&#237;a"
              "apellidos" => "Gonz&#225;lez-Barranco"
            ]
            4 => array:2 [
              "nombre" => "Pilar"
              "apellidos" => "Ayuso-Mart&#237;n"
            ]
            5 => array:2 [
              "nombre" => "Mar&#237;a Isabel"
              "apellidos" => "Montero-Pi&#241;ar"
            ]
            6 => array:1 [
              "colaborador" => "El Grupo de Estudio para la Violencia de G&#233;nero"
            ]
          ]
        ]
      ]
    ]
    "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 Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n 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&#58; lista de consenso para la actualizaci&#243;n del indicador en Espa&#241;a"
      "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&#58; 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, Mar&#237;a de Ar&#225;n Bar&#233;s, Anna Puigdef&#224;bregas"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Rosa"
              "apellidos" => "Gispert"
            ]
            1 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "de Ar&#225;n Bar&#233;s"
            ]
            2 => array:2 [
              "nombre" => "Anna"
              "apellidos" => "Puigdef&#224;bregas"
            ]
            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" => "&#191;Es factible que los m&#233;dicos de primaria utilicen CIE-9-MC&#63; Calidad de la codificaci&#243;n de diagn&#243;sticos en las historias cl&#237;nicas informatizadas"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "194"
        "paginaFinal" => "201"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Juan F&#46; Orueta, Javier Urraca, I&#241;aki Berraondo, Jon Darp&#243;n"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Juan F&#46;"
            "apellidos" => "Orueta"
            "email" => array:1 [
              0 => "joruetam&#64;apur&#46;osakidetza&#46;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" => "I&#241;aki"
            "apellidos" => "Berraondo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Jon"
            "apellidos" => "Darp&#243;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Subdirecci&#243;n de Atenci&#243;n Primaria&#44; Osakidetza&#47;Servicio Vasco de Salud&#44; Vitoria-Gasteiz&#44; &#193;lava&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Direcci&#243;n de Asistencia Sanitaria&#44; Osakidetza&#47;Servicio Vasco de Salud&#44; Vitoria-Gasteiz&#44; &#193;lava&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia&#58; Dr&#46; Juan F&#46; Orueta&#46; Subdirecci&#243;n de Atenci&#243;n Primaria&#46; SSCC Osakidetza&#47;Servicio Vasco de Salud&#46; &#193;lava&#44; 45&#46; 10006 Vitoria-Gasteiz&#46; &#193;lava&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Can primary care physicians use the ICD-9-MC&#63; 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 => "Clasificaci&#243;n de Enfermedades"
            1 => "CIE-9-MC"
            2 => "Atenci&#243;n primaria"
            3 => "Historia cl&#237;nica"
            4 => "Sistemas de informaci&#243;n"
          ]
        ]
      ]
      "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 precisi&#243;n de los c&#243;digos CIE-9-MC asignados por los m&#233;dicos de primaria en sus historias cl&#237;nicas informatizadas&#59; evaluar el impacto de actividades para su mejora&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Los c&#243;digos de 87&#46;806 pacientes de 56 m&#233;dicos de Osakidetza&#47;Servicio Vasco de Salud fueron evaluados en 3 ocasiones en 1 a&#241;o&#44; seg&#250;n los siguientes criterios&#58; correspondencia con un c&#243;digo CIE-9-MC v&#225;lido&#59; concordancia entre diagn&#243;stico y c&#243;digo&#59; porcentaje de consultas sin diagn&#243;stico&#46; Finalmente&#44; se contrastaron&#44; con un registro previo de morbilidad atendida&#44; los promedios de diagn&#243;sticos &#250;nicos y tasas anuales de enfermedades de los 84&#46;136 pacientes que permanecieron con el mismo m&#233;dico al menos 6 meses&#46; Se realizaron 2 intervenciones para mejorar la codificaci&#243;n&#58; correcci&#243;n central de errores detectados&#59; asesoramiento e informaci&#243;n a los m&#233;dicos de sus resultados individuales&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En la primera evaluaci&#243;n&#44; el 59&#37; de los diagn&#243;sticos no conten&#237;a ning&#250;n c&#243;digo CIE-9-MC asociado&#44; mientras que a la finalizaci&#243;n este porcentaje descendi&#243; al 2&#37;&#46; El porcentaje de errores &#40;discrepancia entre diagn&#243;stico del episodio y c&#243;digo CIE9-MC&#41; disminuy&#243; del 17 al 3&#37;&#46; El promedio anual de diagn&#243;sticos por paciente fue ligeramente menor que en el archivo de referencia &#40;2&#44;26 frente a 2&#44;43&#41;&#44; as&#237; como las tasas de diversos grupos de enfermedades&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Es factible que los m&#233;dicos de atenci&#243;n primaria alcancen un alto grado de calidad en la clasificaci&#243;n de diagn&#243;sticos mediante CIE-9-MC&#46; La implantaci&#243;n de medidas de evaluaci&#243;n&#44; correcci&#243;n de errores e informaci&#243;n a los cl&#237;nicos permiti&#243; mejorar notablemente los resultados iniciales&#46;</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&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The codes of 87&#44;806 patients assigned to 56 primary care physicians in the Basque National Health Service in Spain&#44; were evaluated 3 times over a 1-year period according to the following criteria&#58; correspondence to a valid ICD- 9-CM code&#44; agreement between diagnosis and code&#44; and the percentage of visits with an unspecified reason for consultation&#46; Finally&#44; the mean number of unique diagnoses and rates of diagnostic groups in the 84&#44;136 patients that remained with the same physician for a minimum of 6 months were contrasted with another previously registered morbidity database&#46; Two interventions were performed to improve coding&#58; detected errors were corrected centrally and physicians were assessed and given information on their individual results&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Diagnoses lacking an ICD-9-DIC code decreased from 59&#37; in the first assessment to 2&#37; at the end of the study period&#46; The percentage of coding mistakes &#40;discrepancies in episode diagnosis and ICD-9-CM code&#41; decreased from 17&#37; to 3&#37;&#46; The mean annual number of diagnoses per patient was slightly lower than that in the reference database &#40;2&#46;26 versus 2&#46;43&#41;&#46; The same result was observed in the rates of some diagnostic groups&#46;</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&#46; Implementing procedures for evaluating coding&#44; rectifying mistakes&#44; and providing information to physicians markedly improved the initial results&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:26 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medir y comparar la atenci&#243;n primaria&#58; nuevas necesidades&#44; nuevas herramientas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conjuntos m&#237;nimos de datos en la atenci&#243;n ambulatoria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46; Carrillo"
                            1 => "S&#46; Juncosa"
                            2 => "B&#46; Bolibar"
                            3 => "D&#46; Parkin"
                            4 => "A&#46; Hutchinson"
                            5 => "P&#46;J&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Minimum basic data set in general practice&#58; definitions and coding"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Gervas"
                            1 => "M&#46; P&#233;rez Fern&#225;ndez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conjuntos m&#237;nimos de datos en atenci&#243;n primaria&#58; una exploraci&#243;n de su factibilidad"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Juncosa"
                            1 => "E&#46; Carrillo"
                            2 => "B&#46; Bolibar"
                            3 => "E&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hacia la definici&#243;n de un conjunto m&#237;nimo b&#225;sico de datos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Fuste"
                            1 => "B&#46; Bolibar"
                            2 => "A&#46; Castillo"
                            3 => "J&#46; Coderch"
                            4 => "I&#46; Ruano"
                            5 => "A&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Clasificacion Internacional de Enfermedades 9&#46;<span class="elsevierStyleSup">a</span> Revisi&#243;n Modificaci&#243;n Cl&#237;nica&#46; Madrid&#58; Ministerio de Sanidad y Consumo&#59; 1999&#46;"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quality of morbidity coding in general practice computerized medical records&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Jordan"
                            1 => "M&#46; Porcheret"
                            2 => "P&#46; 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&#46;"
              "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&#46; Hall"
                            1 => "A&#46; Tomlin"
                            2 => "I&#46; Martin"
                            3 => "M&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "C&#243;digos y clasificaciones en medicina general&#47;de familia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "North Staffordshire General Practice Research Network&#46; Data quality of general practice electronic health records&#58; the impact of a program of assessments&#44; feedback&#44; and training"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Porcheret"
                            1 => "R&#46; Hughes"
                            2 => "D&#46; Evans"
                            3 => "K&#46; Jordan"
                            4 => "T&#46; Whitehurst"
                            5 => "H&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "3S-Osabide &#40;programa inform&#225;tico&#41; Versi&#243;n 2&#46; Vitoria-Gasteiz&#58; Osakidetza-Servicio Vasco de Salud&#44; Sistema de Servicios Sanitarios&#46;"
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adjusted Clinical Groups &#40;ACGs&#41; explains the utilization of primary care in Spain based on information registered in the medical records&#58; a cross-sectional study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;F&#46; Orueta"
                            1 => "J&#46; Urraca"
                            2 => "I&#46; Berraondo"
                            3 => "J&#46; Darp&#243;n"
                            4 => "J&#46;J&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "OMI- AP&#46; Organizaci&#243;n y management inform&#225;tico de la atenci&#243;n primaria &#40;programa inform&#225;tico&#41;&#46; Versi&#243;n 3&#46; Osakidetza-Servicio Vasco de Salud y Stacks Consulting e Ingenier&#237;a en Software S&#46;L&#46;"
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Hipo SEMG XXI &#40;programa inform&#225;tico&#41;&#46; Versi&#243;n 7&#46;1&#46; Madrid&#58; SEMG-Secci&#243;n Inform&#225;tica&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Health care episodes&#58; definition&#44; measurement and use"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;C&#46; Hornbrook"
                            1 => "A&#46;V&#46; Hurtado"
                            2 => "R&#46;E&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Instituto de Informaci&#243;n Sanitaria&#46; Clasificaci&#243;n Internacional de Enfermedades&#46; Publicado&#58; 29&#47;02&#47;2004 &#40;citado 7 Mar 2005&#41;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.msc.es/Diseno/sns/sns_sistemas_informacion.htm">http&#58;&#47;&#47;www&#46;msc&#46;es&#47;Diseno&#47;sns&#47;sns&#95;sistemas&#95;informacion&#46;htm</a>"
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ambulatory care groups&#58; a categorization of diagnoses for research and management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "B&#46; Starfield"
                            1 => "J&#46; Weiner"
                            2 => "L&#46; 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&#46;"
              "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&#46;P&#46; Weiner"
                            1 => "B&#46;H&#46; Starfield"
                            2 => "D&#46;M&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Health Services Research &#38; Development Center&#46; The Johns Hopkins ACG Case-Mix System&#46; Documentation &#38; Application Manual&#46; PC &#40;DOS&#47;WIN&#47;NT&#41; Version 5&#46;0&#46; Baltimore&#58; The Johns Hopkins University&#59; 2001&#46;"
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "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&#58; does it work&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;F&#46; Orueta"
                            1 => "J&#46; L&#243;pez-De-Munain"
                            2 => "K&#46; Baez"
                            3 => "J&#46;M&#46; Aiarzaguena"
                            4 => "J&#46;I&#46; Aranguren"
                            5 => "E&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Epi Info for Windows &#40;programa inform&#225;tico&#41; Atlanta&#44; Georgia&#58; Centers for Disease Control and Prevention &#40;CDC&#41;&#46; Division of Public Health Surveillance and Informatics&#46; Epidemiology Program Office&#44; MS K74&#46;"
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computerisation&#44; coding&#44; 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&#46; Nilsson"
                            1 => "H&#46; Ahlfeldt"
                            2 => "L&#46;E&#46; 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&#46;"
              "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&#46;J&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Antecedentes hist&#243;ricos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "K&#46;L&#46; White"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "CIAP-Clasificaci&#243;n Internacional en Atenci&#243;n Primaria"
                        "paginaInicial" => "13"
                        "paginaFinal" => "17"
                        "serieFecha" => "1990"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sistemas de informaci&#243;n en atenci&#243;n primaria&#58; &#191;debemos codificar con la CIE-9-MC&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "E&#46; Gos&#225;lbez Pastor"
                            1 => "I&#46; P&#233;rez-Salinas"
                            2 => "J&#46; D&#237;ez-Domingo"
                            3 => "A&#46; Ballester Sanz"
                            4 => "A&#46;M&#46; 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&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Los sistemas de <span class="elsevierStyleItalic">case-mix</span> en atenci&#243;n primaria&#58; desde los estudios de investigaci&#243;n hasta su implantaci&#243;n en el mundo real"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;F&#46; 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"
]
Información del artículo
ISSN: 02139111
Idioma original: Español
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 4 0 4
2024 Octubre 63 42 105
2024 Septiembre 44 23 67
2024 Agosto 56 28 84
2024 Julio 36 19 55
2024 Junio 36 21 57
2024 Mayo 35 20 55
2024 Abril 35 15 50
2024 Marzo 37 19 56
2024 Febrero 40 27 67
2024 Enero 33 19 52
2023 Diciembre 20 16 36
2023 Noviembre 25 17 42
2023 Octubre 23 23 46
2023 Septiembre 35 18 53
2023 Agosto 28 13 41
2023 Julio 25 28 53
2023 Junio 35 12 47
2023 Mayo 20 5 25
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Gaceta Sanitaria
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?