Juan Gérvas
Juan Javier Gervas Camacho born in Lorca (Spain) in 1948, is a general practitioner, teacher and researcher in primary care and public health.
Biography
Personal
Juan Gérvas was born in Lorca (Murcia, Spain) on 19 November, 1948. His family of nine brothers comes from the Autonomous Community of Extremadura. He lived with his family in Badajoz, Girona and Valladolid.
He married Mercedes Pérez Fernandez in 1970, who is also a general practitioner. He has four sons, and eight grandchildren.
He is enthusiastic about mountaineering, swimming and hunting. He is an avid reader of novels and poetry, and enjoys cinema, specially in its original version. He is interested about upholding human rights and the environment. He can speak and write in English, has a reasonable knowledge of French, and understands Portuguese and Italian.
Professional
He studied Medicine at the University of Valladolid, and graduated in 1971, with 22 honours and one outstanding award. He obtained his doctorate degree in 1973, with a “cum laude” distinction. He succeeded in recognising his medical degree in the United States in 1972 (Educational Council for Foreing Medical Graduates exam).
He was a Scholar of several organizations: Patronato de Igualdad de Oportunidades, Dirección General de Universidades e Investigación, IBM, European Council, Fulbright Program / Ministry of Health and Fondo de Investigaciones Sanitarias.
He has lectured in several Universities and Public Health Schools in Spain and in the United States.
He is a general practitioner with a permanent contract in the Spanish National Health System following a national competition in 1974. Since then, he has worked in Madrid, first in an office of the García de Paredes street, and since 1981, in the Moscardó street. In 2000, he became a member of the primary health care team of the Buitrago del Lozoya Health Centre (Madrid), and has worked permanently in the towns of Canencia de la Sierra, Garganta de los Montes and El Cuadrón. He retired from clinical practice along with his wife, on 15 January 2010.
He has been the Coordinator of Team CESCA (a multidisciplinary research and teaching group).
He has been a researcher in projects with national and international funding since 1984.
He is a member of WONCA (World Organization of Family Doctors) Classification International Committee since 1986, which develops classifications, definitions and norms in General Practice/Family Medicine.
He co-founded the scientific society Spanish Primary Care Network (REAP – Red Española de Atención Primaria) in 1987.
He was the President of The European General Practice Research Network from 1991 to 1995, and a member of the group since 1986.
He has been the Coordinator of the Primary Care Innovation Seminars since 2005.
He belongs to the Editorial Committee/Expert Committee of several journals: Gaceta Sanitaria de Bilbao, Gaceta Sanitaria de Barcelona, Medicina Clínica, Revista Española de Salud Pública, Revista Portuguesa de Clínica Geral and Gestión Clínica y Sanitaria.
Teaching
He was a Professor from 1971 to 2003 in the University of Valladolid, of the Spanish National University of Distance Education and of the Public Health School of John Hopkins University, in Baltimore (United States). He has been a Professor of Primary Care since 1991 in the Spanish National Health School (Escuela Nacional de Sanidad), in Madrid. He also lectures at the Autonomous University of Madrid.
He has been a tutor of medical students, and general practice trainees, and has carried out continuous professional development activities in his health centre.
He has made oral presentations in many congresses, seminars, and national and international scientific meetings.
Research
He has carried out several research projects on:
- dissemination of knowledge in primary care (from the Science and Technology Assessment Committee).
- The Impact of the primary care reform (from the Health Research Fund and the Ministry of Health).
- Computers and information in ambulatory medicine, of the European Program "Advanced Informatics in Medicine".
- Health reform in Bulgaria (Spanish Agency of International Cooperation) and in Georgia (UK Government).
- Collaboration between General Practice and Public Health (Andorrean Government).
Publications
He has published more than 400 articles, most of them being about health organization, in both Spanish and international journals. His proposals are innovative and rational.
- References on Google Scholar
Scientific articles
A select few:
- Gervas JJ, García Olmos L, Pérez Fernández MM, Abraira V, Gil Sanz Cruzado JL. El coste económico de la medicina ambulatoria. Estudio de una consulta de medicina general en la Seguridad Social. Med Clin (Barc). 1984; 82(3):97-101.
- Gervas JJ, Pérez Fernández MM, Abraira V, Zaplana J. Concordancia entre médico y paciente en una consulta de medicina general. Med Clin (Barc) 1985; 84(10): 400-4.
- Gervas JJ, García Sagredo P, Estevez A, Pérez Fernández MM, Elvira P, Hernández Monsalve LM. ¿Quién toma medicamentos habitualmente? Un estudio por encuesta en Medicina General. Aten Primaria. 1986; 3(6):357-2.
- Gérvas JJ. El derecho del paciente al acceso a su historia clínica. Med Clin (Barc) 1987; 89(9): 398.
- Gérvas J, Forés M, Bonet M, Jiménez Villa J, Sagués A, Sánchez Rodríguez F, Tomás P. La clasificación internacional en atención primaria. Aten Primaria. 1988; 5(3):164-70.
- Gervas J. Rediscovering lost vocations. World Health Forum (WHO). 1989; 10(3-4):464-6.
- Gérvas JJ, Hernández LM, Martí A, García Sagredo P, Elvira P, Estevez A, Salcedo JA, Pérez Fernández MM. La comunicación médico-paciente y la educación para la salud. Aten Primaria. 1991; 8(3):202-5.
- Gérvas J, López Miras A, Pastor Sánchez R. Atención primaria en Europa. Aten Primaria 1993; 12(5): 294-300.
- Gérvas J, Pérez Fernández M, Starfield BH. Primary care, financing and gatekeeping in western Europe. Fam Pract 1994; 11(3): 307-17.
- Garcia Olmos L, Abraira V, Gérvas J, Otero A, Perez Fernández M. Variability in GPs' referral rates in Spain. Fam Pract. 1995; 12(2):159-62.
- Parkerson GR, Bridges-Webb C, Gervas J, Hofmans-Okkes I, Lamberts H, Froom J, Fischer G, Meyboom-de Jong B, Bentsen B, Klinkman M, de Maeseneer J. Classification of severity of health problems in family/general practice: an international field trial. Fam Pract 1996; 13(3):303-9.
- Westbury RC, Rogers TB, Briggs TE, Allison DJ, Gervas J, Shigemoto H, Elford W. A multinational study of the factorial structure and other characteristics of the Dartmouth COOP Functional Health Assessment Charts/WONCA. Fam Pract 1997; 14(6): 478-85.
- Gérvas J, Carra B, Fernández Camacho MT, Pérez Fernández M. La docencia en un centro de salud no docente. Med Clín (Barc). 1998; 111(6): 218-21.
- Pérez Fernández M, Gérvas J. Encarnizamiento diagnóstico y terapéutico con las mujeres. SEMERGEN 1999; 25(3):239-48.
- Gérvas J. Supply and distribution of family physicians [letter]. Can Fam Physician. 2000; 46:39-40 (Eng)
- Gérvas J. La resistencia a los antibióticos, un problema de salud pública. Aten Primaria. 2000; 25(8):589-96.
- Gérvas J, Álvarez de Toledo F, Eyaralar MT. Limitaciones clave de la Atención Farmacéutica como respuesta a los problemas relacionados con los medicamentos. Pharm Care Esp. 2003; 5(1):55-8.
- Gérvas J. Oportunidades clínicas para compensar el impacto de las diferencias sociales en salud. Salud 2000. 2004; (98): 9-12.
- Gérvas J, Pérez Fernández M. Aventuras y desventuras de los navegantes solitarios en el Mar de la Incertidumbre. Aten Primaria. 2005; 35(2): 95-8.
- Gérvas J, Pérez Fernández M. Western European best practice in primary healthcare. Eur J Gen Pract. 2006; 12(1): 30-3.
- Gérvas J, Starfield B, Heath I. Is clinical prevention better than cure?. Lancet. 2008; 372(9654):1997-9.
Books
- Gérvas J. Coordinador. Los sistemas de registro en la atención primaria de salud. Madrid: Díaz de Santos; 1987.
- Casajuana J, Alonso F, Aracil J, Barrios L, Carmenado T, Gérvas J, et al. Actividad burocrática en la consulta del médico de atención primaria. Grupos de trabajo SEMFYC - SEMERGEN (nº2); 1996.
- Gérvas J, Pastor Sánchez R, López Miras A, Pérez Fernández M. La organización y la práctica de la medicina general/de familia en Europa. En: Porta Serra M, Álvarez-Dardet C, Fernández Muñoz E. Editores. Revisiones en Salud Pública. Volumen 5. Barcelona: Masson; 1997. p.33-48.
- Comité Internacional de Clasificación de la WONCA. Clasificación Internacional de la Atención Primaria Segunda Edición CIAP-2. Barcelona: MASSON; 1999.
- Freire JM, Gérvas J. La Atención Primaria en el Sistema Nacional de Salud Español. En: García-Peña C, Muñoz O, Durán L, Vázquez F. Editores. La medicina familiar en los albores del siglo XXI. México: Instituto Mexicano del Seguro Social; 2006. p.477-503.
- Gérvas J, coordinador. Tres décadas de evolución de la Atención Primaria en España (1976-2006). Madrid: Fundación Ciencias de la Salud; 2006.
- Starfield B, Gérvas J. Family Medicine should Encourage its Clinicians to Subspecialize: Negative Position. In: Buetow S, Kenealy T. Editors. Ideological Debates in Family Medicine. New York, NY: Nova Publishing; 2007.
Presentations
He has given many presentations and talks in congresses, meetings, as well as national and international seminars.
Review and opinion
He has reviewed and commented scientific articles, books and doctoral thesis in: Alerta SEMG, Boletín Bibliográfico CESCA (BBC), Eur J Gen Pract, Gestión Clínica y Sanitaria (GCS) y SEMERGEN Biblio.
He has published opinion articles in: Acta Sanitaria, BMJ, CMAJ, Correo Farmacéutico, Diario Médico, El Farmacéutico, El Médico, Escuela Médica, Jano, Medical Economics, Medicina General y de Familia, Mujer y Salud, Noticias Médicas, OMC, Portales Médicos, Profesión Médica, Puntexpress Sanidad.
He currently writes a weekly opinion column in the diary Acta Sanitaria called “El Mirador”, and a monthly opinion column in the journal Medicina General y de Familia: General y Médico.
Promotion
He has published articles about relevant health issues in the mainstream press: Cinco Días, El Mundo, El País, Expansión, La Razón, Público, REVCYL.
See also
- Cascade effect
- Family Physician
- General Practitioner
- Health centre
- International Classification of Primary Care (ICPC – 2)
- Inverse care law
- Medicalization
- Personal physician
- Primary Care
- Primary care physician
- Rural health
- Spanish Primary Care Network
- Team CESCA
Links
- Team CESCA
- Fundación de Ciencias de la Salud
- Healthy Skepticism
- Red Española de Atención Primaria
- Sociedad Española de Medicina Familiar y Comunitaria
- Sociedad Española de Medicina General y de Familia
- Sociedad Española de Médicos de Atención Primaria
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