Atencion Primaria最新文献_第2页

[Analysis of the choice of the specialty of Family and Community Medicine among MIR candidates in the period 2020 to 2024: Competitive preference index]. [分析 2020 至 2024 年医学研究院考生对家庭和社区医学专业的选择：竞争偏好指数]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-12-16 DOI: 10.1016/j.aprim.2024.103150

Yoseba Cánovas Zaldúa, Remedios Martín Álvarez, Aina Mas Tena, Jorge Lema Bartolomé, Ermengol Coma, Núria Nadal Braqué

{"title":"[Analysis of the choice of the specialty of Family and Community Medicine among MIR candidates in the period 2020 to 2024: Competitive preference index].","authors":"Yoseba Cánovas Zaldúa, Remedios Martín Álvarez, Aina Mas Tena, Jorge Lema Bartolomé, Ermengol Coma, Núria Nadal Braqué","doi":"10.1016/j.aprim.2024.103150","DOIUrl":"https://doi.org/10.1016/j.aprim.2024.103150","url":null,"abstract":"<p><strong>Objective: </strong>To know the degree of attraction towards Family and Community Medicine (MFyC) among MIR candidates by calculating the Competitive Preference Index (CPI) in the 2020 to 2024 calls.</p><p><strong>Design: </strong>Observational study of analysis of secondary sources based on information from the website of the Ministry of Health.</p><p><strong>Site and participants: </strong>The MIR squares of the 5 most populated Spanish cities were chosen.</p><p><strong>Interventions and main measurements: </strong>The construction of the CPI is based on the comparison of MFyC with each specialty, taking into account the equal opportunity to choose MFyC or another specialty, and takes into account the percentage of choice of MFyC at the time in which the choice has been finalized of that other specialty.</p><p><strong>Results: </strong>In relation to the specialties of laboratories and central services, the average CPI of MFyC has been positive with respect to all specialties, in all the cities analyzed, with the exception of radiodiagnosis. In relation to medical specialties, the CPI is positive in all the cities analyzed with respect to 8 specialties (allergology, geriatrics, occupational medicine, physical medicine and rehabilitation, preventive medicine, nephrology, radiation oncology and rheumatology). In relation to surgical specialties, it is positive in all the cities analyzed with respect to 3 specialties (vascular surgery, cardiovascular surgery and thoracic surgery).</p><p><strong>Conclusions: </strong>The MFyC specialty presents notable attractiveness among MIR candidates, since positive results are obtained in comparison with the majority of specialties, and in the majority of the cities analyzed.</p>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"103150"},"PeriodicalIF":1.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Perception of telework as an instrument to improve burnout in family doctors].

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-12-16 DOI: 10.1016/j.aprim.2024.103175

Luis Mifsud Grau, María Del Carmen de Mingo Alemany, Tatiana Fernández Portillo, Carmen Rubio Martinez

引用次数: 0

[Time intervals for diagnosis and treatment in breast cancer patients].

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-12-07 DOI: 10.1016/j.aprim.2024.103153

Blanca Sánchez Galindo, Jesús López-Torres Hidalgo, Ángel López González, Carmen María Sánchez Martínez, Marta Castaño Díaz, Joseba Rabanales Sotos

{"title":"[Time intervals for diagnosis and treatment in breast cancer patients].","authors":"Blanca Sánchez Galindo, Jesús López-Torres Hidalgo, Ángel López González, Carmen María Sánchez Martínez, Marta Castaño Díaz, Joseba Rabanales Sotos","doi":"10.1016/j.aprim.2024.103153","DOIUrl":"10.1016/j.aprim.2024.103153","url":null,"abstract":"<p><strong>Objective: </strong>To describe the delay in the diagnosis of breast cancer in primary care and to identify the patient, care process and disease variables involved in the delay to diagnosis and treatment.</p><p><strong>Design: </strong>Retrospective study with follow-up of a cohort of women with breast cancer, from the first symptoms to the start of treatment. SITE: In total 24 family medicine practices with information from both primary care and hospital settings.</p><p><strong>Participants: </strong>446 women were evaluated (period 2014-2023).</p><p><strong>Main measurements: </strong>Patient characteristics (age, history and comorbidity), care process (screening, consultation site and referral priority) and disease characteristics (stage, presentation and risk factors) were included. Time intervals considered included, among others, «primary care interval», «health system interval», «diagnosis interval» and «treatment interval».</p><p><strong>Results: </strong>The mean value of the «primary care interval» was 24.7days (median: 16); that of the «hospital care interval», 77.2days (median: 68); and that of the «health system interval», 93.6days (median: 83). Multiple linear regression showed a significantly shorter duration of the interval in women referred preferentially, in advanced stages, with a breast lump at presentation and with risk factors.</p><p><strong>Conclusions: </strong>Most are diagnosed in early stages at the health centre. The duration of the «health system interval» is shorter in preferential referrals, when the form of presentation is a breast lump, with risk factors and in advanced stages.</p>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"103153"},"PeriodicalIF":1.8,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796615","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}

引用次数: 0

One hundred eighty days maintenance of information in basic life support training in primary education in a rural environment.

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-12-06 DOI: 10.1016/j.aprim.2024.103152

Rebeca Cunha, João Lopes Guedes, Luiz Miguel Santiago

引用次数: 0

[Retrospective analysis of the effectiveness of the REDUCE program in diabetes, hypertension and anthropometric measures].

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-12-04 DOI: 10.1016/j.aprim.2024.103151

Elizabeth Castro Mercado, Cristian Mercado Esquivel, Gloria Idaly Morales Rodriguez, Paulo César Gete Palacios, Aldo Ferreira-Hermosillo

引用次数: 0

[Assessment of satisfaction level with an electronic referral system between Primary Care and Cardiology].

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-12-04 DOI: 10.1016/j.aprim.2024.103154

Noelia Fernández Villa, Alberto Nieto López, María Isabel Sánchez López, Sergio Manzano Fernández

引用次数: 0

Falsas creencias en torno al dolor. Consejos educativos breves en la consulta de atención primaria [关于疼痛的无益观点：初级保健中的简要疼痛建议]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-12-01 DOI: 10.1016/j.aprim.2024.103120

María Victoria García Espinosa , Silvia Fernanda García Vila , María Fernández de Paul , Patricia Moreno Carrero , Isabel Prieto Checa , Gema Izquierdo Enríquez

引用次数: 0

Tratamiento farmacológico de la diabetes mellitus tipo 2 [2 型糖尿病的药物治疗]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-11-19 DOI: 10.1016/j.aprim.2024.103143

Francisco Javier García Soidán , Javier Riveiro Villanueva

引用次数: 0

Prevención del suicidio en el entorno laboral [工作场所的自杀预防]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-11-19 DOI: 10.1016/j.aprim.2024.103145

Israel Macías-Toronjo , Juan Jesús García-Iglesias , Juan Gómez-Salgado

引用次数: 0

Análisis de habilidades y percepciones sobre mHealth en el manejo de pacientes crónicos por profesionales de atención primaria [分析初级保健专业人员在管理慢性病患者时使用移动保健的技能和看法]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-11-18 DOI: 10.1016/j.aprim.2024.103142

Daniel Monasor Ortola , José Joaquín Mira Solves , Antonio Esteve Ríos

{"title":"Análisis de habilidades y percepciones sobre mHealth en el manejo de pacientes crónicos por profesionales de atención primaria","authors":"Daniel Monasor Ortola , José Joaquín Mira Solves , Antonio Esteve Ríos","doi":"10.1016/j.aprim.2024.103142","DOIUrl":"10.1016/j.aprim.2024.103142","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the perceptions of primary care professionals regarding the integration and effectiveness of mHealth in managing patients with chronic conditions, as well as their digital skills.</div></div><div><h3>Design</h3><div>Descriptive cross-sectional observational study conducted from April to November 2023.</div></div><div><h3>Setting</h3><div>Primary care services in the Health Department of Denia, Alicante, Spain.</div></div><div><h3>Participants</h3><div>Professionals in nursing, medicine, and physiotherapy.</div></div><div><h3>Measurements</h3><div>Participants completed an anonymized ad hoc questionnaire divided into two sections: sociodemographic data and questions regarding the use of mobile health technologies and the internet.</div></div><div><h3>Results</h3><div>A total of 181 professionals participated, showing high proficiency in managing mobile applications (median score of 8 out of 10; IQR=2), with higher proficiency observed among younger professionals (P<.001). 56.35% had prescribed official or scientifically endorsed digital information. The primary advantage identified for mHealth was the enhancement of patient self-monitoring and self-control (86.74%). However, 88.95% noted the difficulty of using mobile technologies depending on patient type as a disadvantage. 64.64% believed mHealth should be targeted towards patients or caregivers dealing with cardiometabolic or respiratory chronic conditions.</div></div><div><h3>Conclusions</h3><div>The study underscores a generally positive perception of mHealth among primary care professionals, highlighting their technological competence. It also emphasizes the potential of mHealth to improve patient self-management and enhance electronic documentation of patient follow-up. Addressing the digital divide is critical to ensuring equitable access to mHealth and thereby improving health care and outcomes.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 103142"},"PeriodicalIF":1.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677842","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}

引用次数: 0