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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Se describe la posible asociaci&#243;n entre las caracter&#237;sticas demogr&#225;ficas y socioecon&#243;micas de las &#225;reas sanitarias de la Comunidad de Madrid y la frecuentaci&#243;n de las consultas de medicina de familia de atenci&#243;n primaria&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio ecol&#243;gico que utiliza el &#225;rea sanitaria como unidad de an&#225;lisis&#46; Las fuentes de informaci&#243;n fueron los datos oficiales sobre estad&#237;sticas de poblaci&#243;n y las memorias del Instituto Nacional de Salud de los a&#241;os 1996 y 2001&#46; Como indicadores se obtuvieron el nivel de renta&#44; el tama&#241;o medio del hogar&#44; el paro&#44; la poblaci&#243;n dedicada a las labores del hogar y la poblaci&#243;n con estudios superiores&#44; analiz&#225;ndose la asociaci&#243;n con la frecuentaci&#243;n mediante el coeficiente de correlaci&#243;n de Spearman&#46; Se ajust&#243; un modelo multivariante de regresi&#243;n lineal&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La frecuentaci&#243;n a la consulta de medicina de familia se asoci&#243; al porcentaje de personas dedicadas a las labores del hogar &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;44&#41; a la renta &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;69&#41; y a los estudios superiores &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;72&#41;&#46; El modelo multivariante mostr&#243; que la variabilidad de la frecuentaci&#243;n se explica en un 77&#44;5&#37; por la inclusi&#243;n conjunta de la renta &#40;un 48&#37; de la variabilidad&#41;&#44; el porcentaje de personas dedicadas a las labores del hogar &#40;19&#37;&#41; y el tama&#241;o del hogar &#40;9&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Estos resultados muestran la existencia de factores socioecon&#243;micos que explican la utilizaci&#243;n de las consultas de medicina de familia&#46; Los resultados obtenidos aconsejan que la planificaci&#243;n de los servicios de atenci&#243;n primaria incorpore par&#225;metros demogr&#225;ficos y socioecon&#243;micos&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To describe the possible association between demographic&#44; social and economic characteristics of health areas in the autonomous community of Madrid and utilization of public family practice facilities&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">An ecological study was carried out using health areas as the unit of analysis&#46; The information sources were official data on population statistics and the reports of the National Institute of Health for 1996 and 2001&#46; Indicators were income&#44; mean household size&#44; unemployment rate&#44; the percentage of housewives&#44; and the percentage of individuals with university education&#46; The association between these indicators and utilization of public family practice facilities was analyzed using the Spearman correlation coefficient&#46; A multivariate linear regression model was also fitted&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The consultation rate in public family practice facilities in Madrid was directly associated with the percentage of housewives &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;44&#41;&#44; income &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;697&#41;&#44; and the percentage of individuals with university education &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#46;72&#41;&#46; In the multivariate linear regression model&#44; 77&#37; of the variance in utilization was explained by income &#40;48&#37;&#41;&#44; the percentage of housewives &#40;19&#37;&#41;&#44; and average household size &#40;9&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The results show the relationship between social and economic factors and utilization of public family practice facilities and suggest the advisability of including demographic and socioeconomic factors in primary care planning&#46;</p>"
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Originales
Factores socioeconómicos y frecuentación en las consultas de medicina de familia de la red sanitaria pública madrileña
Socioeconomic factors and utilization of public family practice facilities in Madrid
Miguel Ángel García Péreza,
Autor para correspondencia
mangel@cesm.org

Correspondencia: Miguel Ángel García Pérez. Médicos de Madrid-CESM. Galileo, 69, 4.°. 28015 Madrid. España.
, Vicente Martín Morenoa,b, Dulce Ramírez Puertac, Yolanda González Martínezb,d, Inés Hidalgo Vicarioe,f, Eva Escribano Ceruelog, Agustín Gómez de la Cámarah
a Médicos de Madrid CESM-Madrid, Madrid, España
b Centro de Salud Dos de Mayo, Móstoles, Servicio Madrileño de Salud, Área 8 de Atención Primaria, Madrid, España
c Sociedad Madrileña de Médicos de Atención Primaria SEMERGEN, Madrid, España
d Sociedad Madrileña de Medicina de Familia y Comunitaria (SoMaMFYC), Madrid, España
e Centro de Salud Barrio del Pilar, Servicio Madrileño de Salud, Área 5 de Atención Primaria, Madrid, España
f Sociedad Española de Pediatría Extrahospitalaria y de Atención Primaria SEPEAP, Madrid, España
g Centro de Salud Barcelona, Móstoles, Servicio Madrileño de Salud, Área 8 de Atención Primaria, Madrid, España
h Servicio Madrileño de Salud, Unidad de Investigación y Epidemiología Clínica, Hospital Universitario Doce de Octubre, Madrid, España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Se describe la posible asociaci&#243;n entre las caracter&#237;sticas demogr&#225;ficas y socioecon&#243;micas de las &#225;reas sanitarias de la Comunidad de Madrid y la frecuentaci&#243;n de las consultas de medicina de familia de atenci&#243;n primaria&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio ecol&#243;gico que utiliza el &#225;rea sanitaria como unidad de an&#225;lisis&#46; Las fuentes de informaci&#243;n fueron los datos oficiales sobre estad&#237;sticas de poblaci&#243;n y las memorias del Instituto Nacional de Salud de los a&#241;os 1996 y 2001&#46; Como indicadores se obtuvieron el nivel de renta&#44; el tama&#241;o medio del hogar&#44; el paro&#44; la poblaci&#243;n dedicada a las labores del hogar y la poblaci&#243;n con estudios superiores&#44; analiz&#225;ndose la asociaci&#243;n con la frecuentaci&#243;n mediante el coeficiente de correlaci&#243;n de Spearman&#46; Se ajust&#243; un modelo multivariante de regresi&#243;n lineal&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La frecuentaci&#243;n a la consulta de medicina de familia se asoci&#243; al porcentaje de personas dedicadas a las labores del hogar &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;44&#41; a la renta &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;69&#41; y a los estudios superiores &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;72&#41;&#46; El modelo multivariante mostr&#243; que la variabilidad de la frecuentaci&#243;n se explica en un 77&#44;5&#37; por la inclusi&#243;n conjunta de la renta &#40;un 48&#37; de la variabilidad&#41;&#44; el porcentaje de personas dedicadas a las labores del hogar &#40;19&#37;&#41; y el tama&#241;o del hogar &#40;9&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Estos resultados muestran la existencia de factores socioecon&#243;micos que explican la utilizaci&#243;n de las consultas de medicina de familia&#46; Los resultados obtenidos aconsejan que la planificaci&#243;n de los servicios de atenci&#243;n primaria incorpore par&#225;metros demogr&#225;ficos y socioecon&#243;micos&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To describe the possible association between demographic&#44; social and economic characteristics of health areas in the autonomous community of Madrid and utilization of public family practice facilities&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">An ecological study was carried out using health areas as the unit of analysis&#46; The information sources were official data on population statistics and the reports of the National Institute of Health for 1996 and 2001&#46; Indicators were income&#44; mean household size&#44; unemployment rate&#44; the percentage of housewives&#44; and the percentage of individuals with university education&#46; The association between these indicators and utilization of public family practice facilities was analyzed using the Spearman correlation coefficient&#46; A multivariate linear regression model was also fitted&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The consultation rate in public family practice facilities in Madrid was directly associated with the percentage of housewives &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;44&#41;&#44; income &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;697&#41;&#44; and the percentage of individuals with university education &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#46;72&#41;&#46; In the multivariate linear regression model&#44; 77&#37; of the variance in utilization was explained by income &#40;48&#37;&#41;&#44; the percentage of housewives &#40;19&#37;&#41;&#44; and average household size &#40;9&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The results show the relationship between social and economic factors and utilization of public family practice facilities and suggest the advisability of including demographic and socioeconomic factors in primary care planning&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:33 [
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              "etiqueta" => "1&#46;"
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                          "etal" => false
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                          "etal" => false
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                  ]
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                    0 => array:1 [
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                      "autores" => array:1 [
                        0 => array:2 [
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                        ]
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                          "etal" => false
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                        ]
                      ]
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                  ]
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                        0 => array:2 [
                          "etal" => false
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                        0 => array:2 [
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                            0 => "K&#46; Sundquist"
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                        ]
                      ]
                    ]
                  ]
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                        "fecha" => "2003"
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                        ]
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                    ]
                  ]
                ]
              ]
            ]
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                        ]
                      ]
                    ]
                  ]
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            ]
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