SciELO - Scientific Electronic Library Online

vol.83 número6Influencia de las características individuales y de las condiciones laborales en la gravedad de las lesiones por accidente de trabajo registradas en Andalucía en 2003Uso del casco en adolescentes usuarios de ciclomotores en la ciudad de Gerona, 2006 índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados




Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google


Revista Española de Salud Pública

versão On-line ISSN 2173-9110versão impressa ISSN 1135-5727


ALAMEDA CUESTA, Almudena  e  PAZOS GARCIANDIA, Álvaro. Qualitative Research on the Conceptualization around the Frequent Attendance by Primary Medical Staff. Rev. Esp. Salud Publica [online]. 2009, vol.83, n.6, pp.863-875. ISSN 2173-9110.

Background: The frequent attendance is a worrying phenomenon for the health systems of Western countries, due the high work load it generates and its high costs in material and human resources. This work aims to study the meanings, categories and practices that general practitioners build around the frecuent attendance. Methods: Qualitative study, based on a sociosubjective approximation, through in-depth interviews. Eight interviews were conducted with Primary Health Care physicians in Madrid. The discourses were examined from a pragmatist perspective. Results: The figure of the Primary Health Care physician is at the intersection of professional and institutional contradictory logics, which generates high levels of professional malaise. The social and psychological aspects appear in a confused way, due the consideration of the non-physical aspects as outside the realm of medicine. Frequent attendance is problematic because: it is situated in the center of the sign-symptom dichotomy. its management requires so much time. it requires a comprehensive approach. it avoids the medical performance as a professional who diagnosed and establishes an etiological treatment. These problems eventually can lead to conflict in the professional-patient relationship. Conclusions: The meanings for the frequent attendance will vary significantly depending on the sociosubjetive positions, so the approach proposed here could help to understand the complexity of a problem that is built within the relationships between particular subjects crossed by different institutional dynamics, labour disputes, career paths and ideologies.

Palavras-chave : Health services misuse; Primary Health Care; Physician-patient relations; Qualitative research.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )


Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons