Clima laboral en atención primaria: ¿qué hay que mejorar?
Working atmosphere in primary care: what needs improving?
J.A. Cortés Rubioa,
, J. Martín Fernándezb, M. Morente Páezc, M. Caboblanco Muñozd, J. Garijo Coboe, A. Rodríguez Baloa
Autor para correspondencia
a España Médico de Familia. Subdirector Médico. Madrid. España
b Médico de Familia. Unidad Docente de Medicina de Familia y Comunitaria. Madrid. España
c Médico de Familia. Centro de Salud de San Andrés. Madrid. España
d Auxiliar Administrativo. Responsable de la Secretaría de Técnicos de la Gerencia. Madrid. España
e Médico de Familia. Centro de Salud de Abrantes. Madrid. España
Leído
1597
Vecesse ha leído el artículo
794
Total PDF
803
Total HTML
Compartir estadísticas
array:24 [ "pii" => "S0212656703792774" "issn" => "02126567" "doi" => "10.1016/S0212-6567(03)79277-4" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "79277" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2003" "documento" => "article" "crossmark" => 0 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Aten Primaria. 2003;32:288-95" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 26 "HTML" => 26 ] "itemSiguiente" => array:19 [ "pii" => "S0212656703792786" "issn" => "02126567" "doi" => "10.1016/S0212-6567(03)79278-6" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "79278" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Aten Primaria. 2003;32:296-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2 "HTML" => 2 ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Apuntes sobre la «resolutividad» y la «cura» en la medicina de familia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "296" "paginaFinal" => "299" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.L. Turabián Fernández, B. Pérez Franco" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.L." "apellidos" => "Turabián Fernández" ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Pérez Franco" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0212656703792786?idApp=UINPBA00004N" "url" => "/02126567/0000003200000005/v2_202107020632/S0212656703792786/v2_202107020632/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0212656703792762" "issn" => "02126567" "doi" => "10.1016/S0212-6567(03)79276-2" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "79276" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Aten Primaria. 2003;32:282-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 10 "HTML" => 10 ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Factores predictores del deterioro funcional geriátrico" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "282" "paginaFinal" => "288" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Predictors factors about functional decline in community-dwelling older persons" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "X. Mundet Tuduri" "autores" => array:1 [ 0 => array:2 [ "nombre" => "X." "apellidos" => "Mundet Tuduri" ] ] ] 1 => array:2 [ "autoresLista" => "E. Sitjas Molina, A. San José Laporte, L. Armadans Gil, M. Vilardell Tarrés" "autores" => array:4 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Sitjas Molina" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "San José Laporte" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Armadans Gil" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Vilardell Tarrés" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0212656703792762?idApp=UINPBA00004N" "url" => "/02126567/0000003200000005/v2_202107020632/S0212656703792762/v2_202107020632/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Clima laboral en atención primaria: ¿qué hay que mejorar?" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "288" "paginaFinal" => "295" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.A. Cortés Rubio, J. Martín Fernández, M. Morente Páez, M. Caboblanco Muñoz, J. Garijo Cobo, A. Rodríguez Balo" "autores" => array:6 [ 0 => array:4 [ "nombre" => "J.A." "apellidos" => "Cortés Rubio" "email" => array:1 [ 0 => "jcortesr@inicia.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Martín Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Morente Páez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "M." "apellidos" => "Caboblanco Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Garijo Cobo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] 5 => array:3 [ "nombre" => "A." "apellidos" => "Rodríguez Balo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "España Médico de Familia. Subdirector Médico. Madrid. España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Médico de Familia. Unidad Docente de Medicina de Familia y Comunitaria. Madrid. España" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Médico de Familia. Centro de Salud de San Andrés. Madrid. España" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Auxiliar Administrativo. Responsable de la Secretaría de Técnicos de la Gerencia. Madrid. España" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Médico de Familia. Centro de Salud de Abrantes. Madrid. España" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Viñegra, 6-8, portal B, 2.º A.28047 Madrid. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Working atmosphere in primary care: what needs improving?" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-11-06" "fechaAceptado" => "2003-04-23" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1394889" "palabras" => array:3 [ 0 => "Satisfacción laboral" 1 => "Atención primaria de salud" 2 => "Cuestionario" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec1394890" "palabras" => array:3 [ 0 => "Work satisfaction" 1 => "Primary health care" 2 => "Questionnaire" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span><span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar los factores asociados a la percepción de la calidad de vida professional (CVP) en un área de salud</p></span> <span><span class="elsevierStyleSectionTitle">Diseño</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal analítico</p></span> <span><span class="elsevierStyleSectionTitle">Ámbito</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Área 11 de Atención Primaria de Madrid</p></span> <span><span class="elsevierStyleSectionTitle">Participantes</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los profesionales del área (1.436) fueron estratificados en tres grupos: I) médicos, farmacéuticos y psicólogos; II) enfermeras, matronas, fisioterapeutas y trabajadores sociales, y III) auxiliaries administrativos y de enfermería y celadores</p></span> <span><span class="elsevierStyleSectionTitle">Intervenciones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se envió un cuestionario de satisfacción (CVP-35) a 450 profesionales seleccionados por azar y se obtuvieron 282 contestaciones (62,7%). Se presentan las estimaciones con intervalos de confianza (IC) del 95%</p></span> <span><span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La puntuación media de CVP (escala de 1 a 10) fue de 5,14 (4,90-5,37), la motivación intrínseca (MI) de 7,41 (7,26-7,53), el apoyo directivo (AD) de 4,80 (4,64-4,96) y las cargas de trabajo (CT) de 6,06 (5,91-6,21). La percepción de CVP era más alta en las mujeres, el grupo II y los profesionales con menores demandas de trabajo. La mejor percepción de AD se dio en mujeres, centros urbanos y responsables de áreas administrativas. Las mujeres y los trabajadores interinos mostraron una MI más alta. La percepción de CT fue mayor en los grupos I y III. La edad, el estado civil, el turno de trabajo, la duración de empleo, el número de compañeros y la pertenencia a comisiones directivas no se relacionaron con la CVP. En el análisis multivariante el AD se mostró como el factor más influyente en la CVP</p></span> <span><span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La percepción de CVP es medio-baja, con una adecuada MI pero con cierto escontento relacionado con una alta CT y una escasa percepción de AD</p></span>" ] "en" => array:1 [ "resumen" => "<span><span class="elsevierStyleSectionTitle">Objective</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">To evaluate the factors linked to the perception of professional quality of life (PQL) in a health area</p></span> <span><span class="elsevierStyleSectionTitle">Design</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Analytical cross-sectional study</p></span> <span><span class="elsevierStyleSectionTitle">Setting</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Area 11, primary care, Madrid</p></span> <span><span class="elsevierStyleSectionTitle">Participants</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">The professionals in the area (1436) were stratified into three groups: I) doctors, harmacists and psychologists; II) nurses, midwives, physiotherapists and social workers, and III) administrative and nursing assistants and caretakers</p></span> <span><span class="elsevierStyleSectionTitle">Interventions</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">A satisfaction questionnaire (PQL-35) was sent out to 450 professionals selected at random. 282 replies were received (62.7%). All calculations used 95% confidence intervals</p></span> <span><span class="elsevierStyleSectionTitle">Results</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">The mean PQL score (scale from 1 to 10) was 5.14 (4.90-5.37); for intrinsic motivation (IM), 7.41 (7.26-7.53); for management support (MS), 4.80 (4.64-4.96); and for work-loads (WL), 6.06 (5.91-6.21). Perception of PQL was higher in women, group II and professionals with fewer work demands. erception of best MS was in women, urban centres and people in charge of administrative areas. Women and temporary workers had higher IM. WL perception was higher in groups I and III. Age, marital status, work shift, length of employment, number of companions and belonging to management committees were not related to PQL. In the multi-variate analysis MS was found to be the factor most affecting PQL</p></span> <span><span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Perception of PQL is medium-low, with adequate intrinsic motivation but a certain iscontent related to high work-loads and perception of scant management support</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La calidad de la atención médica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Varo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "1995" "volumen" => "104" "paginaInicial" => "538" "paginaFinal" => "540" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La satisfacción profesional en el equipo de atención primaria: oportunidades de mejora" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.E. Villares" 1 => "A. Ruiz" 2 => "M.P. López" 3 => "R. Sáinz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Cuadernos de Gestión" "fecha" => "2000" "volumen" => "6" "paginaInicial" => "60" "paginaFinal" => "67" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "GP job satisfaction in 1987, 1990, and 1998: lessons for the futureα" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "B. Sibbald" 1 => "I. Enzer" 2 => "C. Cooper" 3 => "U. Routh" 4 => "V. Sutherland" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/fampra/17.5.364" "Revista" => array:6 [ "tituloSerie" => "Fam Pract" "fecha" => "2000" "volumen" => "17" "paginaInicial" => "364" "paginaFinal" => "371" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11021893" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La calidad de vida de los profesionales" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C. Cabezas Peña" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Fmc" "fecha" => "2000" "volumen" => "7" "numero" => "Supl 7" "paginaInicial" => "53" "paginaFinal" => "68" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Staff burnout" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. Freudenberger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Soc Issues" "fecha" => "1974" "volumen" => "30" "paginaInicial" => "159" "paginaFinal" => "165" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Burnout" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C. Maslach" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Hum Behav" "fecha" => "1976" "volumen" => "5" "paginaInicial" => "16" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11661511" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "RodríguezMarín J. Satisfacción y es-trés laboral en médicos generalistas del sistema público de salud" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.J. Mira" 1 => "J. Vitalier" 2 => "J.A. Buil" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "1994" "volumen" => "14" "paginaInicial" => "1135" "paginaFinal" => "1140" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7849215" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Satisfacción de enfermería de atención primaria en las comarcas de Alt y Baix Empordá" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N. Anglada" 1 => "E. Cañadel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0212-6567(00)78513-1" "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "1999" "volumen" => "25" "paginaInicial" => "326" "paginaFinal" => "330" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10853502" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Satisfacción laboral de los profesionales sanitarios en atención primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F. Acámer" 1 => "C. López" 2 => "J. López-Torres" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "1997" "volumen" => "20" "paginaInicial" => "401" "paginaFinal" => "407" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9462933" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La calidad de vida profesional y el orgullo de trabajar en la sanidad pública. Resultados de una encuesta" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.L. Clúa Espuny" 1 => "C. Aguilar Martín" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "1998" "volumen" => "22" "paginaInicial" => "308" "paginaFinal" => "313" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9835138" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Satisfaction and well-being of primary care providers in managed care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.K. Freeborn" 1 => "R.S. Hooker" 2 => "C.R. Pope" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/01678702025002008" "Revista" => array:6 [ "tituloSerie" => "Eval Health Prof" "fecha" => "2002" "volumen" => "25" "paginaInicial" => "239" "paginaFinal" => "254" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12026756" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "Comité director del Plan Estratégico del Área 11 de Atención Primaria de Madrid. El Plan Estratégico en un área de atención primaria: una propuesta metodológica" ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Revista de Administración Sanitaria" "fecha" => "2001" "volumen" => "5" "paginaInicial" => "71" "paginaFinal" => "83" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical research" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.B. Hulley" 1 => "S.R. Cummings" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "An epidemiologic approach" "fecha" => "1993" "editorial" => "Harcourt Brace of Spain" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Work satisfaction of general practitioners and the quality of patient car" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Grol" 1 => "H. Mokkink" 2 => "A. Smits" 3 => "J. Van Eijk" 4 => "P. Mesker" 5 => "J. Mesker-Niesten" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/fampra/2.3.128" "Revista" => array:6 [ "tituloSerie" => "Fam Pract" "fecha" => "1985" "volumen" => "2" "paginaInicial" => "128" "paginaFinal" => "135" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4043602" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Interventions to improve physicians’ well-being and patient-care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Firth-Cozens" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0277-9536(00)00221-5" "Revista" => array:6 [ "tituloSerie" => "Soc Sci Med" "fecha" => "2001" "volumen" => "52" "paginaInicial" => "215" "paginaFinal" => "222" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11144777" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Satisfacción laboral de los profesionales de atención primaria del Área 10 del Insalud de Madrid" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.I. Fernández" 1 => "A. Moinelo" 2 => "A. Villanueva" 3 => "C. Andrade" 4 => "M. Rivera" 5 => "J.M. Gómez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Salud Pública" "fecha" => "2000" "volumen" => "74" "paginaInicial" => "139" "paginaFinal" => "147" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10918805" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Satisfaction with practice in a rural state: perceptions of nurse practitioners and nurse midwives" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.B. Keith" 1 => "A.F. Coburn" 2 => "E. Mahoney" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1745-7599.1998.tb00460.x" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Nurse Pract" "fecha" => "1998" "volumen" => "10" "paginaInicial" => "9" "paginaFinal" => "17" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9616563" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary care physicians' experience of financial incentives in managed-care systems" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K. Grumbach" 1 => "D. Osmond" 2 => "K. Vranizan" 3 => "D. Jaffe" 4 => "A.B. Bindman" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199811193392106" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1998" "volumen" => "339" "paginaInicial" => "1516" "paginaFinal" => "1521" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9819451" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Individual and organizational predictors of depression in general practitioners" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Firth-Cozens" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Gen Pract" "fecha" => "1998" "volumen" => "48" "paginaInicial" => "1647" "paginaFinal" => "1651" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10071396" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Morale among general practitioners: qualitative study exploring relations between partnership arrangements, personal style and workload" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G. Huby" 1 => "M. Gerry" 2 => "B. McKinstry" 3 => "M. Porter" 4 => "J. Shaw" 5 => "R. Wrate" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bmj.325.7356.140" "Revista" => array:6 [ "tituloSerie" => "Bmj" "fecha" => "2002" "volumen" => "325" "paginaInicial" => "140" "paginaFinal" => "144" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12130611" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Why are the doctors so unhappyα" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R. Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bmj.322.7294.1073" "Revista" => array:6 [ "tituloSerie" => "Bmj" "fecha" => "2001" "volumen" => "322" "paginaInicial" => "1073" "paginaFinal" => "1074" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11337419" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.M. Rodríguez Porras" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "El factor humano en la empresa" "fecha" => "2000" "editorial" => "Ediciones Deusto S.A." "editorialLocalizacion" => "Bilbao" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "El modelo de atención primaria de salud: balance y perspectivas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Martín Zurro" 1 => "A. Ledesma" 2 => "A. Sans" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0212-6567(00)78464-2" "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "2000" "volumen" => "25" "paginaInicial" => "48" "paginaFinal" => "58" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10730459" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalencia del síndrome de burnout o desgaste profesional en los médicos de atención primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. De Pablo" 1 => "J.F. Suberviola" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "1998" "volumen" => "22" "paginaInicial" => "580" "paginaFinal" => "584" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9887580" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0125" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalencia y factores asociados al burnouten un área de salud" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.A. Caballero" 1 => "F. Bermejo" 2 => "R. Nieto" 3 => "F. Caballero" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0212-6567(01)79373-0" "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "2001" "volumen" => "27" "paginaInicial" => "313" "paginaFinal" => "317" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11333550" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0130" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La satisfacción laboral y el desgaste profesional de los médicos de atención primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Sobrequés" 1 => "J. Cebriá" 2 => "J. Segura" 3 => "C. Rodríguez" 4 => "M. García" 5 => "S. Junco-sa" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0212-6567(03)79164-1" "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "2003" "volumen" => "31" "paginaInicial" => "227" "paginaFinal" => "233" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12681162" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0135" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Percepción de la calidad de vida profesional en un área sanitaria de Asturias" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Alonso" 1 => "A.I. Iglesias" 2 => "A. Franco" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0212-6567(02)79084-7" "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "2002" "volumen" => "30" "paginaInicial" => "483" "paginaFinal" => "489" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12427371" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02126567/0000003200000005/v2_202107020632/S0212656703792774/v2_202107020632/es/main.assets" "Apartado" => array:4 [ "identificador" => "7267" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02126567/0000003200000005/v2_202107020632/S0212656703792774/v2_202107020632/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0212656703792774?idApp=UINPBA00004N" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 2 | 0 | 2 |
| 2024 Octubre | 12 | 22 | 34 |
| 2024 Septiembre | 16 | 15 | 31 |
| 2024 Agosto | 13 | 9 | 22 |
| 2024 Julio | 19 | 8 | 27 |
| 2024 Junio | 28 | 13 | 41 |
| 2024 Mayo | 39 | 11 | 50 |
| 2024 Abril | 27 | 13 | 40 |
| 2024 Marzo | 24 | 33 | 57 |
| 2024 Febrero | 36 | 17 | 53 |
| 2024 Enero | 20 | 31 | 51 |
| 2023 Diciembre | 25 | 28 | 53 |
| 2023 Noviembre | 27 | 41 | 68 |
| 2023 Octubre | 54 | 57 | 111 |
| 2023 Septiembre | 19 | 15 | 34 |
| 2023 Agosto | 21 | 16 | 37 |
| 2023 Julio | 26 | 49 | 75 |
| 2023 Junio | 46 | 49 | 95 |
| 2023 Mayo | 48 | 14 | 62 |
| 2023 Abril | 18 | 2 | 20 |
| 2023 Marzo | 9 | 7 | 16 |
| 2023 Febrero | 6 | 13 | 19 |
| 2023 Enero | 2 | 9 | 11 |
| 2022 Diciembre | 10 | 8 | 18 |
| 2022 Noviembre | 32 | 33 | 65 |
| 2022 Octubre | 26 | 30 | 56 |
| 2022 Septiembre | 15 | 46 | 61 |
| 2022 Agosto | 28 | 46 | 74 |
| 2022 Julio | 8 | 19 | 27 |
| 2022 Junio | 17 | 14 | 31 |
| 2022 Mayo | 11 | 20 | 31 |
| 2022 Abril | 24 | 39 | 63 |
| 2022 Marzo | 6 | 9 | 15 |
| 2022 Febrero | 8 | 6 | 14 |
| 2022 Enero | 6 | 4 | 10 |
| 2021 Diciembre | 9 | 8 | 17 |
| 2021 Noviembre | 20 | 17 | 37 |
| 2021 Octubre | 5 | 7 | 12 |
| 2021 Septiembre | 2 | 2 | 4 |
| 2021 Agosto | 5 | 9 | 14 |
| 2021 Julio | 7 | 5 | 12 |
| 2021 Junio | 1 | 0 | 1 |
| 2015 Noviembre | 2 | 0 | 2 |
| 2015 Octubre | 7 | 0 | 7 |
| 2015 Septiembre | 5 | 0 | 5 |
| 2015 Agosto | 11 | 0 | 11 |
| 2015 Abril | 1 | 0 | 1 |
Mostrar todo
