Atencion Primaria最新文献

{"title":"Riesgo y vulnerabilidad de los profesionales de la salud ante la pandemia de COVID-19","authors":"Diana L. Reartes-Peñafiel ,&nbsp;Clara Juárez-Ramírez ,&nbsp;Hortensia Reyes-Morales ,&nbsp;Gaudencio Gutiérrez-Alba ,&nbsp;José A. Muños-Hernández","doi":"10.1016/j.aprim.2024.103206","DOIUrl":"10.1016/j.aprim.2024.103206","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the categories of risk and vulnerability based on the experience of health professionals who attended SARS-CoV-2.</div></div><div><h3>Design</h3><div>Exploratory research. It was developed in different phases during 2020-2021, using concurrent mixed methods and pursuing multiple objectives. This article reports findings from a qualitative section, derived from the analysis of a subsample of participants.</div></div><div><h3>Setting</h3><div>First-level medical units in rural areas of five states in Mexico.</div></div><div><h3>Participants</h3><div>Thirty-two health care professionals were included: doctors, nurses and health promoters.</div></div><div><h3>Methods</h3><div>Three emergent categories were inferentially analyzed based on some constructivist grounded theory assumptions: a) harm reduction strategies used, b) perception of own vulnerability to SARS-CoV-2 and c) impact on personal life.</div></div><div><h3>Results</h3><div>Perceptions of risk and vulnerability are two interdependent domains constructed from lived experience of health care professionals, meanings were developed as negative attributes were socially assigned: the cause of the infection was unknown, but it was a dangerous virus that caused the deaths of colleagues. A new risk culture for COVID-19 was constructed.</div></div><div><h3>Conclusions</h3><div>Subjective perceptions of risk perception and vulnerability correspond with objective perceptions and opportunities to implement coping strategies and risk reduction, including at the family level. To support health professionals in the face of future health emergencies, it is necessary to guarantee them job security.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 7","pages":"Article 103206"},"PeriodicalIF":1.8,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973431","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":"In memoriam: Dr. Julio Ceitlin","authors":"","doi":"10.1016/j.aprim.2024.103198","DOIUrl":"10.1016/j.aprim.2024.103198","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 1","pages":"Article 103198"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143099005","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":"Recomendaciones AMFE para la asignatura de Medicina Familiar y Comunitaria","authors":"Verónica Casado Vicente (presidenta AMFE),&nbsp;Antoni Sisó-Almirall (Vocalia academica),&nbsp;Remedios Martín Álvarez,&nbsp;Susana Aldecoa Landesa,&nbsp;Rosa Magallón Botaya,&nbsp;Guillermo García Velasco","doi":"10.1016/j.aprim.2024.103212","DOIUrl":"10.1016/j.aprim.2024.103212","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 1","pages":"Article 103212"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967383","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":"Analysis of the population served by the Street Clinic in Suzano","authors":"Chennyfer Dobbins Abi Rached,&nbsp;Juliana Pereira Tavares,&nbsp;Mirella Nathalia Silva,&nbsp;Ana Paula Souza","doi":"10.1016/j.aprim.2024.103203","DOIUrl":"10.1016/j.aprim.2024.103203","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 5","pages":"Article 103203"},"PeriodicalIF":1.8,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900653","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":"Validación de la herramienta SERVPERF para el análisis de calidad en la atención en urgencias con la ecografía clínica","authors":"Laura Carbajo Martín ,&nbsp;Ignacio Párraga-Martínez ,&nbsp;Juan Jesús Rosado Cabral ,&nbsp;Luis Matías Beltrán Romero ,&nbsp;Máximo Bernabeu Wittel ,&nbsp;Grupo de Investigación AGS Norte de Huelva. Hospital de Riotinto","doi":"10.1016/j.aprim.2024.103204","DOIUrl":"10.1016/j.aprim.2024.103204","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the reliability and validity of the SERVPERF questionnaire for assessing the quality of care from the patient's perspective in emergency departments for abdominal pain patients undergoing clinical ultrasound, as well as the influence of sex.</div></div><div><h3>Design</h3><div>Prospective study from March 2023 to April 2024 involving patients treated for abdominal pain who underwent clinical ultrasound.</div></div><div><h3>Setting</h3><div>Emergency department.</div></div><div><h3>Participants</h3><div>Adults over 18 years old with abdominal pain.</div></div><div><h3>Interventions</h3><div>Conducting clinical ultrasound and collecting the adapted SERVPERF questionnaire.</div></div><div><h3>Main measurements</h3><div>Overall score of the questionnaire, sex, age, length of stay in the emergency department, referral origin, discharge destination, ultrasound results.</div></div><div><h3>Results</h3><div>A total of 115 patients were included, with a mean age of 58.2 years (SD: 19.4) and 66.1% being women. To validate the questionnaire, the Bartlett's test of sphericity yielded a value of 0.000 (<em>P</em>&lt;.05) and the KMO (Kaiser-Meyer-Olkin) test resulted in a value of 0.855 (&gt;0.5). The reliability of the questionnaire was assessed using Cronbach's alpha: 0.928 (95% CI: 0.908-0.946). The mean score on the scale was 124.57<!--> <!-->±<!--> <!-->9.30. Men showed a higher overall mean score than women, approaching statistical significance (<em>P</em>=.05). Using multiple linear regression, no variable was independently associated with a higher perception of quality in care, although sex was marginally significant.</div></div><div><h3>Conclusions</h3><div>The SERVPERF questionnaire is shown to be reliable and valid for determining the perceived quality of service. Additionally, the perceived quality of care using clinical ultrasound in the emergency department was very high. No differences based on sex were observed.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103204"},"PeriodicalIF":1.8,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900656","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":"Nivel de conocimientos entre estudiantes y enfermeras en España sobre las consecuencias del consumo de tabaco","authors":"Mario García-Suárez ,&nbsp;Beatriz Ordás-Campos ,&nbsp;Juan Gómez-Salgado ,&nbsp;Daniel Fernández-García","doi":"10.1016/j.aprim.2024.103202","DOIUrl":"10.1016/j.aprim.2024.103202","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103202"},"PeriodicalIF":1.8,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900654","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":"La lumbalgia: ¿el gran enemigo? Consejos breves en dolor en la consulta de atención primaria","authors":"María Fernández de Paúl ,&nbsp;María Victoria García Espinosa ,&nbsp;Isabel Prieto Checa ,&nbsp;Patricia Moreno Carrero ,&nbsp;Gema Izquierdo Enríquez ,&nbsp;Elena Díaz Crespo","doi":"10.1016/j.aprim.2024.103172","DOIUrl":"10.1016/j.aprim.2024.103172","url":null,"abstract":"<div><div>This article rewievs the available evidence on low back pain, one of the most prevalent conditions and the main cause of disability in most countries according to the latest Global Disease Burden 2021 study, which has led entities such as the WHO to recently publish recommendations on low back pain management.</div><div>The causes and associated risk factors are analyzed, with more than 90% of low back pain cases being nonspecific and closely related to biopsychosocial context, as well as the role of imaging tests, whose findings have not been proven to be the source of low back pain.</div><div>Finally, the effectiveness of the different treatments is analyzed, with non pharmacological being the first-line of treatment and pharmacological treatment having a very limited role, despite the excessive use we make of it.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103172"},"PeriodicalIF":1.8,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900652","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":"Percepción de los residentes de Medicina Familiar y Comunitaria y los estudiantes de Medicina y Enfermería, sobre la conveniencia de las pruebas de cribado recogidas en el Código europeo contra el cáncer","authors":"Irish Puértolas Pau ,&nbsp;Belén Baena Morales ,&nbsp;Luis Ángel Pérula de Torres","doi":"10.1016/j.aprim.2024.103105","DOIUrl":"10.1016/j.aprim.2024.103105","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103105"},"PeriodicalIF":1.8,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900655","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":"Supervivientes del cáncer de mama: barreras y necesidades para una buena inserción en la sociedad, una investigación cualitativa (Cohort DAMA)","authors":"Marina Ochoa de Eribe ,&nbsp;Rosa Puigpinós-Riera ,&nbsp;Dolors Rodríguez ,&nbsp;grupo Cohort DAMA","doi":"10.1016/j.aprim.2024.103177","DOIUrl":"10.1016/j.aprim.2024.103177","url":null,"abstract":"<div><h3>Purpose</h3><div>Go deeply into the barriers and problems that long-term surviving breast cancer must face to continue with their lives and what are the demands they suggest to society.</div></div><div><h3>Design</h3><div>Qualitative study of interpretive type with a socio-constructivist perspective within the framework of the DAMA Cohort.</div></div><div><h3>Site</h3><div>the work was carried out in Barcelona.</div></div><div><h3>Participants</h3><div>The design of the sample was theoretical, and the participants were segmented taking into account the socioeconomic level and whether or not they had suffered any relapse.</div></div><div><h3>Method</h3><div>It was set up six discussion groups of 6 to 12 participants each. A thematic analysis of the literal transcription of the audio files of the focus groups was done.</div></div><div><h3>Results</h3><div>It has been found that the consequences of suffering breast cancer are not the same for those women who are self-employed as for those who work for someone else. However, tasks that require physical effort are difficult to continue doing, but those that require concentration and more intellectual effort are also difficult to perform too. Also, a series of aspects have been identified that women believe should be improved in the Health System: the lack or type of information given by professionals, the economic limit of the Health System and its consequences, the lack of medical care when treating something not directly related to the tumour, lack of sensitivity by some professionals and difficulties in accessing social benefits.</div></div><div><h3>Conclusions</h3><div>The results show that the main demands by long-lived breast cancer survivors are: having a balance between breast cancer, working life and a more Comprehensive Health System.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103177"},"PeriodicalIF":1.8,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878650","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":"The evaluation criteria of community protection on children's medical care in major pandemics","authors":"Zhuo Zhao ,&nbsp;Ruitong Liu ,&nbsp;Bingqing Bi ,&nbsp;Shugang Li","doi":"10.1016/j.aprim.2024.103174","DOIUrl":"10.1016/j.aprim.2024.103174","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103174"},"PeriodicalIF":1.8,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873442","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}