[Evaluation of the primary health care reform: preventive practices and inequalities].
OBJECTIVE
To evaluate primary care reform (PCR) in Barcelona during the year 2000 using 3 preventive practices: anti-smoking advice, blood pressure measurement, and flu vaccination. Any inequalities of gender, age, or social class in receiving these practices are also assessed.


METHODS
Cross-sectional, descriptive, observational study.


METHODS
Barcelona Health Survey, primary health care, Spain, year 2000.


METHODS
Non-institutionalised residents of the city of Barcelona over 15 years old in the year 2000 (N=10,000 people).


METHODS
The indicators used were the prevalences of receiving the 3 practices. Descriptive and multivariate logistic regression analyses were performed.


RESULTS
Receiving the preventive practices studied is greater in areas where PCR was established longer, compared to the centres that had not begun the reforms (63.7% as opposed to 53.2%, respectively). Anti-smoking advice, for women, is less frequent in the more disadvantaged classes (odds ratio [OR] =0.72; 95% confidence interval [CI], 0.55-1).


CONCLUSIONS
PCR is a factor associated with carrying out preventive practices. No significant disparities between social class or gender were found for those who received the preventive practices.
Daban
Ferran
F
Agència de Salut Pública de Barcelona, Barcelona, Spain.
Pasarín
M Isabel
MI
Rodríguez-Sanz
Maica
M
García-Altés
Anna
A
Villalbí
Joan R
JR
Cano-Serral
Gemma
G
Borrell
Carme
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D001795:Blood Pressure Determination; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D018166:Health Care Reform; D006306:Health Surveys; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011320:Primary Health Care; D012737:Sex Factors; D000074606:Smoking Prevention; D012923:Social Class; D012959:Socioeconomic Factors; D013030:Spain; D013997:Time Factors
D007252:Influenza Vaccines