Atención centrada en el paciente: una propuesta de implementación del Plan Anticipado de Atención en Salud (PAS) en trastornos neurocognitivos desde la medicina de familia

IF 0.9 Q4 PRIMARY HEALTH CARE

Medicina de Familia-SEMERGEN Pub Date : 2025-05-12 DOI:10.1016/j.semerg.2025.102517

N.A. Castellanos Quiroga, E.H. Hernández Rincón, M.C. Barrios Martínez

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Abstract

In recent years, the increasing older adult population and the high prevalence of neurocognitive disorders hace led to a significant demographic shift, resulting in greater functional dependence and challenges in end – of – life decision – making. In response to this reality, the importance of Advance Care Planning (ACP) is emphasized as a key strategy to ensure that medical management aligns with patient preferences.

This study aims to analyze ACP from a family medicine perspective, identifying its benefits, barriers and implementation strategies in patients with neurocognitive disorders though an application protocol based on person – centered care and a holistic approach. Through a narrative review, 27 articles on ACP in primary care were selected. The main stakeholders identified include the patient, the surrogate decision maker, and the family physician. Furthermore, the study proposes the development of a protocol to facilitate the integration of ACP into routine medical consultations, ensuring its incorporation into clinical practice.

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以患者为中心的护理：从家庭医学角度实施《神经认知障碍早期保健计划》的建议

近年来，老年人口的增加和神经认知障碍的高流行率导致了显著的人口结构变化，导致更大的功能依赖和临终决策的挑战。针对这一现实，预先护理计划（ACP）的重要性被强调为确保医疗管理与患者偏好保持一致的关键战略。本研究旨在从家庭医学的角度分析ACP，通过基于以人为本的护理和整体方法的应用方案，确定其在神经认知障碍患者中的益处、障碍和实施策略。通过叙述性回顾，我们选择了27篇关于ACP在初级保健中的应用的文章。确定的主要利益相关者包括患者、代理决策者和家庭医生。此外，该研究建议制定一项议定书，以促进将非手术治疗纳入日常医疗咨询，确保将其纳入临床实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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