[Additional question ("is there anything else...?") in primary health care].
OBJECTIVE
To assess in two General Medicine clinics the use of the formula "Was there anything else?" in connection with patients' additional requests and the question's possible association with other variables.


METHODS
Quasi-experimental.


METHODS
Urban Health Centre.


METHODS
Patients from two lists attending over a two-month period, with the exclusion of scheduled patients without appointments.


METHODS
For one of the months patients were asked: "Was there anything else?" (intervention group) and for the other month, they were not (control group). On each visit variables were recorded: list, doctor (tutor/intern), age, gender, reason for consultation (pathology/burocratic), whether accompanied, waiting time and additional requests (new problems raised at the end of the visit). A bivariant analysis of each of the variables with the variable 'intervention' was made and, after a prior transformation of the variable 'additional requests' into two, was adjusted to a multiple logistic regression model in order to control the confusion.


RESULTS
2,657 attendances were analysed. The variables which were significant for the prediction of additional requests were: intervention, list, age, gender and reason for consultation.


CONCLUSIONS
The intervention of the doctor may generate additional requests, although whether this means that the consultation is better organised remains to be assessed.
Peláez Fernández
C
C
Centro de Salud de Natahoyo (Gijón), Unidad Docente de Medicina de Familia y Comunitaria de Asturias.
Fernández Rodríguez
M I
MI
Suárez Gil
P
P
Malo de Molina Martínez
A
A
Díaz Alvarez
A
A
D000328:Adult; D000368:Aged; D005260:Female; D006769:Hospitals, General; D006801:Humans; D008297:Male; D008487:Medical History Taking / Q000379:methods; D008875:Middle Aged; D010817:Physician-Patient Relations; D011320:Primary Health Care; D013030:Spain; D014504:Urban Health
Las demandas adicionales ("ya que...") en atención primaria.