Revista Panamericana De Salud Publica-pan American Journal of Public Health最新文献

{"title":"Improving cardiovascular care in a resource-limited setting through the HEARTS initiative in Suriname, 2022 to 2025.","authors":"Ritesh Dhanpat, Robbert Bipat, Aloysius Koendjbiharie, Rakesh Gajadhar Sukul, Marina Bersaoui, Johanna Lakhisaran, Jerry Toelsie","doi":"10.26633/RPSP.2026.88","DOIUrl":"https://doi.org/10.26633/RPSP.2026.88","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate early implementation of the HEARTS initiative in Suriname (2022-2025), identify key barriers and facilitators, and assess initial program performance.</p><p><strong>Methods: </strong>A mixed-methods implementation evaluation was conducted using the Consolidated Framework for Implementation Research (CFIR) and the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework (RE-AIM). Qualitative data were collected through structured monitoring, training and workshop feedback, and stakeholder consultations from December 2021 to December 2025, and analyzed deductively using predefined CFIR constructs. Quantitative indicators were assessed across RE-AIM domains, including reach, adoption, implementation fidelity, and early maintenance.</p><p><strong>Results: </strong>HEARTS was implemented in 56 primary health care facilities, involving 460 health care workers and 11 187 patients. Scale-up was rapid, with facilities increasing from 21 to 56 over six semesters. Among patients with follow-up measurements, blood pressure control improved from 47.0% to 56.2%. However, only 52.6% had at least one follow-up visit, indicating suboptimal continuity of care. Key facilitators included strong political commitment, standardized treatment protocols, and a real-time digital monitoring system. Major barriers were limited workforce capacity, infrastructure variability, and financial constraints affecting access to essential medications and equipment.</p><p><strong>Conclusions: </strong>Early HEARTS implementation in Suriname shows that rapid scale-up of standardized cardiovascular care is feasible in a mixed public-private system. Strengthening follow-up, workforce capacity, and sustainable financing are essential to achieve long-term effectiveness and population-level impact.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e88"},"PeriodicalIF":1.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13678511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Preparedness for summer illnesses and emergencies in Chile, 2024-2025: lessons from an innovative policyPreparação para doenças e emergências no verão de 2024-2025 no Chile: lições de uma política inovadora].","authors":"Jorge Ramírez, Alberto Inzulza, Maritza Labraña, Jorge Vilches, Jorge Pacheco, Paola Pontoni, Renato Calcagno, Patricia Cerda, Miguel Paredes, Patricia Contreras, Guido Martínez, Valentina Pino, Ester Aylwin, Andrea Albagli, Ximena Aguilera","doi":"10.26633/RPSP.2026.75","DOIUrl":"10.26633/RPSP.2026.75","url":null,"abstract":"<p><p>Climate change and the increasing frequency of extreme heat events have heightened the importance of health issues during the summer season. This season is also associated with greater population mobility, outdoor recreational activities, and exposure to biological and environmental risks, all of which require coordinated responses from health systems. Within this context, the Ministry of Health of Chile implemented the summer seasonal illness and emergency preparedness plan 2024-2025, with the goal of strengthening surveillance, intersectoral coordination, and risk communication in response to priority threats to population health.This article describes the design, implementation, and key results of this first national initiative to prepare for diseases occurring during the summer season. The strategy was based on a multilevel governance model that liaised between the central, regional, and local levels of the health system through national coordination meetings, integrated surveillance, strengthening of technical capacities, and public communications. During the season covered by the plan, detection of <i>Aedes aegypti</i> remained confined to areas where it was previously known to occur; 395 outbreaks of foodborne illnesses affecting 2618 people were investigated; 8 cases of hantavirus were reported, with no deaths; and environmental risks and emergencies were monitored, including 4330 forest fires, none of which affected health facilities.This experience demonstrates the feasibility of implementing integrated disease preparedness strategies during the summer season and provides lessons for their consolidation as public policy, including the formalization of coordination mechanisms, the systematic assessment of implementation, and the incorporation of new hazards, such as drowning and injuries associated with recreational water activities.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e75"},"PeriodicalIF":1.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Sociodemographic factors associated with yellow fever mortality in Colombia, 2024-2026Fatores sociodemográficos associados à letalidade por febre amarela na Colômbia, 2024-2026].","authors":"Heriberto Vásquez-Serna, Carlos Alexander Huertas-Caro, Diana Urrego-Ricaurte, Johan Estiven Vargas-Vargas, Myriam Andrea Ruiz Dionisio, Octavio Henao Orrego, Pablo Chaparro-Narváez, Nataly Báez Cortes, Mauricio Javier Vera Soto, Diego Montenegro, Carlos Eduardo Jiménez Canizales","doi":"10.26633/RPSP.2026.92","DOIUrl":"10.26633/RPSP.2026.92","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the sociodemographic factors associated with case fatality rates for yellow fever in Colombia between January 2024 and January 2026.</p><p><strong>Methods: </strong>A retrospective observational analytical cohort study was conducted based on records from the national public health surveillance system (Sivigila). Probable and confirmed cases of yellow fever reported between 1 January 2024 and 31 January 2026 were included. Quantitative variables were described using the median and interquartile range, and categorical variables using absolute and relative frequencies. Cumulative survival was estimated using Kaplan-Meier curves, and factors associated with case fatality were evaluated using Cox proportional hazards models.</p><p><strong>Results: </strong>A total of 164 cases were included, with a predominance of men and a median age of 45 years. There were 70 deaths attributable to yellow fever, with a case fatality rate of 42.7%, showing a marked geographical concentration in the department of Tolima and a higher incidence among men, older adults, and people involved in agricultural and livestock activities. Age over 60 years was associated with a higher risk of death (adjusted HR = 5.45; CI 95%: 1.13-26.2.).</p><p><strong>Conclusions: </strong>Yellow fever had a high case-fatality rate among cases reported as probable and confirmed in Colombia, in particular among older adults. The findings support the need to strengthen vaccination strategies, epidemiological surveillance, and early detection in areas with active virus circulation.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e92"},"PeriodicalIF":1.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HEARTS Accreditation: institutionalizing quality improvement of integrated cardiovascular, kidney, and metabolic services in primary care.","authors":"Esteban Londoño, Grace Ku, Reena Gupta, Ricardo Rodríguez-Buño, Laura Cortés, Pedro Bernal, Natasha Sobers, Lila Estephan, Andrew Moran, Marc Jaffe, Yamilé Valdés, Salvador Tamayo, Marcela Rivera, Jerry Toelsie, Carmen Guerrero, Matías Villatoro, María Xochil Pérez, Alied Bencomo, Vhania Batista, Andrés Rosende, Vannesa Morales, Ana Gutiérrez, Pedro Ordunez","doi":"10.26633/RPSP.2026.101","DOIUrl":"10.26633/RPSP.2026.101","url":null,"abstract":"<p><p>Cardiovascular diseases are the leading cause of death in the World Health Organization (WHO) Region of the Americas, with uncontrolled hypertension as the main modifiable risk factor. Their frequent coexistence with kidney and metabolic conditions creates an interconnected cardiovascular, kidney, and metabolic burden and highlights gaps in prevention, detection, continuity, integration, and quality of care. HEARTS in the Americas is one of the largest regional implementations of the WHO's Global HEARTS initiative and a central platform for strengthening primary care. Building on the HEARTS quality improvement model and HEARTS 2.0 clinical pathway, this report presents a service-oriented accreditation framework for integrated cardiovascular, kidney, and metabolic care delivered in primary care. Rather than accrediting facilities as institutions, the model focuses on the capacity of primary care services to deliver high-quality integrated cardiovascular, kidney, and metabolic care. Developed by the Pan American Health Organization's HEARTS in the Americas team, thematic experts, and country implementers, the framework conceives accreditation as an elevated stage of continuous quality improvement rather than a stand-alone inspection. It combines self-assessment, external assessment, maturity and performance appraisal, review of organizational quality processes, improvement plans, and renewable accreditation. Based on maturity and performance results, services are classified as accredited, progressing towards accreditation, or not yet accredited, with findings linked to improvement actions, technical assistance, governance, and resource allocation. The framework offers a pragmatic pathway for strengthening cardiovascular, kidney, and metabolic services in primary care and a scalable model for extending quality improvement to other priority health services.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e101"},"PeriodicalIF":1.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tracking human New World screwworm in the Americas: burden, spread, and knowledge gaps.","authors":"Baldomero Molina-Flores, Fernando Tortosa, Rebecca J Chancey, Paul Cantey, Marck Fox, Kerry Gainor, Marco A N Vigilato, Ludovic Reveiz","doi":"10.26633/RPSP.2026.100","DOIUrl":"10.26633/RPSP.2026.100","url":null,"abstract":"<p><strong>Objectives: </strong>To map the available evidence on human cases of New World screwworm across the Americas and identify guidance relevant to surveillance and management.</p><p><strong>Methods: </strong>Searches were conducted in bibliographic databases (PubMed/MEDLINE, EMBASE, LILACS, Epistemonikos, Google Scholar, La Referencia, and OpenAlex), gray literature sources, and clinical trial registries. Searches were made in English, Spanish, and Portuguese. Eligible sources included peer-reviewed articles, case reports, case series, observational studies, reviews, guidelines, and technical documents addressing human infestation in the Americas.</p><p><strong>Results: </strong>From 2 332 records identified, 75 studies met the inclusion criteria and were included in the review. Clinical presentations varied and included oral and maxillofacial, cutaneous and wound-associated, otic, nasal, orbital, and cervicofacial infestations. Management generally relied on prompt mechanical larval removal, wound care, and, when required, surgical debridement. Ivermectin was the most used antiparasitic treatment, although no robust comparative evidence was identified. National guidance documents broadly agreed on the importance of larval extraction, case notification, and intersectoral coordination, but differed in their clinical recommendations and the role of ivermectin.</p><p><strong>Conclusions: </strong>The available evidence is sparse, fragmented, and predominantly descriptive. The findings describe patterns in the published literature and should not be interpreted as estimates of population-level frequency or risk. Nevertheless, recurrent clinical patterns, vulnerable populations, and key public health priorities emerged and can support preparedness, surveillance, and the harmonization of guidance across the region.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e100"},"PeriodicalIF":1.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laboratory-based trends in dengue and other arboviruses in the Caribbean: Analysis of surveillance data, 2018-2024.","authors":"SueMin Nathaniel, Whitney Arneaud, Nikhella Winter-Reece, Carlos Rampersad, Risha Singh, Danielle Gordon-John, Chariesse Dos Santos, Neeta Oudit, Gabriel Gonzalez-Escobar","doi":"10.26633/RPSP.2026.73","DOIUrl":"10.26633/RPSP.2026.73","url":null,"abstract":"<p><strong>Objective: </strong>To describe laboratory-based patterns of arboviral circulation, including serotype distribution and temporal trends, and their contribution to regional situational awareness in the Caribbean.</p><p><strong>Methods: </strong>This was a retrospective analysis using clinical samples submitted to the Caribbean Public Health Agency Medical Microbiology Laboratory for suspected arboviral infection. Samples were tested using Trioplex real-time reverse transcription polymerase chain reaction and immunoglobulin M and G enzyme-linked immunosorbent assays. Data were analyzed by virus type, serotype, age group, sex, and seasonality. Statistical associations were assessed using Pearson's chi-square tests. Because the dataset is based on submitted samples, findings are presented as proportions among tested samples rather than population-level estimates.</p><p><strong>Results: </strong>Dengue virus (DENV) accounted for the largest proportion of confirmed arboviral infections (34.7%) among tested samples, with DENV-3 as the most frequently detected serotype (65.5%), followed by DENV-2 (26.8%), DENV-1 (4.3%), and DENV-4 (0.17%). Significant associations were observed between serotype and age group (χ² = 201.88; <i>P</i> < 0.001) and sex (χ² = 22.15; <i>P</i> = 0.036). Seasonal peaks were observed primarily between August and November, although an atypical increase in early 2024 was noted. Chikungunya (0.2%) and Zika (0.1%) viruses were infrequently detected.</p><p><strong>Conclusions: </strong>In this retrospective analysis, DENV was the most frequently detected arbovirus among tested samples in the Caribbean, with dynamic serotype distribution and marked seasonal variability. These findings highlight the value of laboratory-based surveillance in strengthening regional situational awareness and informing public health responses, while recognizing limitations related to representativeness and the absence of population denominators.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e73"},"PeriodicalIF":1.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Body weight perception and body self-esteem in adolescents with overweight or obesity in Costa Rica: challenges for public health policy.","authors":"Rafael Monge-Rojas, Vanessa Smith-Castro, Rulamán Vargas-Quesada","doi":"10.26633/RPSP.2026.80","DOIUrl":"https://doi.org/10.26633/RPSP.2026.80","url":null,"abstract":"<p><strong>Objective: </strong>This study estimates the prevalence of weight misperception among Costa Rican adolescents in general and examines its association with body esteem and weight-control behaviors to inform public health policy.</p><p><strong>Methods: </strong>The authors analyzed cross-sectional data collected in 2017 from a probabilistic sample of 818 adolescents aged 13-18 years enrolled in public and private secondary schools in urban and rural areas of the province of San José, Costa Rica. Weight and height were measured by trained nutritionists and classified using World Health Organization body mass index (BMI)-for-age standards. Perceived weight status was assessed using culturally appropriate response categories adapted from the Youth Risk Behavior Survey and refined through a pilot study. Body esteem and weight-control behaviors were measured using validated survey instruments.</p><p><strong>Results: </strong>Among adolescents with overweight or obesity, 59% underestimated their weight, most commonly perceiving themselves as having an \"adequate weight.\" Weight underestimation was associated with higher body esteem and lower engagement in weight-control behaviors after adjustment for key sociodemographic characteristics.</p><p><strong>Conclusion: </strong>By contributing evidence from a Latin American context-where research on adolescent weight perception remains scarce-this study enhances understanding of how excess weight is perceived during adolescence in settings where overweight is highly prevalent and supports public policy approaches that prioritize healthy eating and active living from adolescence.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e80"},"PeriodicalIF":1.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing information sources and preventive behaviors during the COVID-19 pandemic: a cross-sectional study in Antigua and Barbuda.","authors":"Lorraine Francis, Valarie Williams, Gemma Chery, Makella S Coudray","doi":"10.26633/RPSP.2026.67","DOIUrl":"https://doi.org/10.26633/RPSP.2026.67","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate factors associated with the adoption of coronavirus disease 2019 (COVID-19) preventive health behaviors among adults in Antigua and Barbuda.</p><p><strong>Methods: </strong>A nationally representative cross-sectional survey was conducted from September 22 to November 29, 2021. Data were collected via computer-assisted telephone interviewing to (1) assess the COVID-19 information sources utilized and the preventive behaviors adopted by study participants and (2) assess the impact of COVID-19 on noncommunicable diseases (NCDs) and mental health. The survey asked about demographic factors, the use of information sources regarding COVID-19, COVID-19 prevention behaviors, NCD diagnoses, and mental health. Findings for objective 1 are presented. A descriptive analysis for demographic variables and COVID-19 information sources utilized by study participants was performed. A multivariable logistic regression was conducted to investigate factors associated with the adoption of preventive behaviors.</p><p><strong>Results: </strong>Data from 2 001 telephone interviews were used in the analysis. Most participants were female (53.3%), never married (59.2%), and reported being educated beyond secondary school level (75.4%). The main media outlets accessed for COVID-19 prevention information were social networks, television, and radio, respectively. Participants reported that the Ministry of Health, Wellness and the Environment was viewed as the most trusted information source. We found no association with marital status, education level, main source of COVID-19 information, most trusted source that influenced behavior change, and the practicing of social distancing by persons who reported adhering to COVID-19 prevention strategies always or sometimes.</p><p><strong>Conclusion: </strong>Our characterization of information sources utilized and COVID-19 preventive behaviors provides baseline information for the development of future public health prevention and promotional efforts.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e67"},"PeriodicalIF":1.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of the doctorate in public health program, UWI, in strengthening public health capacity in the Caribbean.","authors":"J Peter Figueroa, Jacqueline P Duncan, Michelle A Harris","doi":"10.26633/RPSP.2026.71","DOIUrl":"https://doi.org/10.26633/RPSP.2026.71","url":null,"abstract":"<p><p>This paper describes the Doctor of Public Health (DrPH) program at The University of the West Indies and its role in building public health capacity in the English-speaking Caribbean. DrPH reports, student assessments and external reviews were used to describe the development of the DrPH program. The program was established in 2009 as a part-time competency-based program over 4-7 years delivered by face-to-face and distant learning modules, electives, field placements, and research leading to a thesis. DrPH scholars have made significant contributions to public health in the Caribbean through their assignments, field placements and research, which are designed to address the needs of Caribbean countries while building the students' core competencies in public health. As of May 2025, 83 scholars in 12 cohorts have enrolled with 32 graduates, nearly all of whom have remained in the Caribbean in senior technical positions. A Master of Applied Public Health was approved in 2024 as an exit strategy for students who complete Part 1 courses of the DrPH, the end of year-2 examinations (45 credits), and a 6-month field placement but are unable to complete the research thesis. The high retention of graduates in the Caribbean, their placement in senior positions, and actual policy and system outputs have strengthened the capacity of the public health sector. Caribbean health ministers have recommended that the DrPH, or its equivalent, become the required standard for specialist public health consultant practice in the Caribbean. This requirement needs to be implemented to build effective public health capacity in the Caribbean.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e71"},"PeriodicalIF":1.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HEARTS en las Américas: de la evidencia a una cultura de calidad en la atención primaria.","authors":"Esteban Londoño, Pedro Ordúñez","doi":"10.26633/RPSP.2026.95","DOIUrl":"10.26633/RPSP.2026.95","url":null,"abstract":"","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e95"},"PeriodicalIF":1.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}