Atencion Primaria最新文献_第3页

La telemedicina y el acceso a la salud: ventajas e inconvenientes en la era digital 远程医疗与健康获取：数字时代的利弊

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-17 DOI: 10.1016/j.aprim.2025.103258

Carme Saperas Pérez , Ethel Sequeira Aymar , Nuria Barlam Torres

引用次数: 0

Evaluación del proceso de incapacidad temporal por contingencias comunes en el periodo prepandemia por COVID-19 (bienio 2018 y 2019) 对2019冠状病毒病大流行前常见突发事件临时残疾过程的评估（2018 - 2019两年期）

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-17 DOI: 10.1016/j.aprim.2025.103282

Ángel Carlos Matía Cubillo , Francisco Casanova Gómez , María Esther Cubo Delgado , Juan Valencia Ramos , Miren Elízari Roncal , Belén Angulo Fernández de Larrea

{"title":"Evaluación del proceso de incapacidad temporal por contingencias comunes en el periodo prepandemia por COVID-19 (bienio 2018 y 2019)","authors":"Ángel Carlos Matía Cubillo , Francisco Casanova Gómez , María Esther Cubo Delgado , Juan Valencia Ramos , Miren Elízari Roncal , Belén Angulo Fernández de Larrea","doi":"10.1016/j.aprim.2025.103282","DOIUrl":"10.1016/j.aprim.2025.103282","url":null,"abstract":"<div><h3>Objectives</h3><div>To know the characteristics of the sick leave (SL) process, reasons, actual and estimated duration, and related factors.</div></div><div><h3>Design</h3><div>Descriptive, cross-sectional, retrospective study.</div></div><div><h3>Setting</h3><div>Health Centers of Burgos's Health Area.</div></div><div><h3>Participants</h3><div>Active workers, selected by simple random sampling, among those who had a SL process in 2018 and 2019.</div></div><div><h3>Main measurements</h3><div>Sociodemographic variables; related to SL reasons, estimated and observed duration and job position; clinical variables: habits, comorbidities, polypharmacy and copayment.</div></div><div><h3>Results</h3><div>Nine hundred thirty-three workers, 52.4% men, age 43.6±11.4 years. The processes with the greatest difference between observed and estimated duration were neoplasms, circulatory system diseases, mental disorders, nervous system and musculoskeletal disorders. Significant difference for previous comorbidities, polypharmacy, no copayment and >55 years. 31.8% requested additional tests, 3.1% were done in mutual insurance companies; and 33.3% consultations. Higher percentage of SL in unskilled jobs and longer duration in skilled jobs.</div></div><div><h3>Conclusions</h3><div>Primary care assumed the treatment in >90% of the SL processes. Referral to another level of care for tests or consultations may lead to a longer duration of leave given the usual delays in the health system; the percentage of tests carried out at a mutual insurance company is low. The duration of the process included the observed and estimated. The longest duration of SL corresponds to the most qualified workers and to musculoskeletal and mental disorders, and the delay, comorbidity and socio-occupational factors may have an influence.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"Article 103282"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308027","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

Análisis de las visitas en la unidad de urgencias hospitalaria y de los conocimientos de la población sobre atención primaria 对医院急诊科就诊次数和民众对初级保健的了解情况进行分析

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-17 DOI: 10.1016/j.aprim.2025.103291

Anna Balsells-Roig , Mireia Llaurado-Serra

{"title":"Análisis de las visitas en la unidad de urgencias hospitalaria y de los conocimientos de la población sobre atención primaria","authors":"Anna Balsells-Roig , Mireia Llaurado-Serra","doi":"10.1016/j.aprim.2025.103291","DOIUrl":"10.1016/j.aprim.2025.103291","url":null,"abstract":"<div><h3>Objectives</h3><div>To analyse less urgent and non-urgent visits to the hospital emergency department (ED) and their characteristics, and to determine the knowledge of the Catalan population about primary care (PC) services and the concepts of emergencies.</div></div><div><h3>Design</h3><div>It is divided into 2 parts: 1) descriptive, retrospective study in which ED visits were investigated, and 2) observational, prospective and cross-sectional study through an anonymous and voluntary <em>ad hoc</em> survey.</div></div><div><h3>Location</h3><div>The visits analysed were from an ED of a third-level referral hospital in Catalonia, Spain. The survey was distributed electronically to the Catalan population.</div></div><div><h3>Participants</h3><div>1) Visits to the ED made in 2018 and 2021 that were categorised at a triage level, and 2) residents in Catalonia excluding those who only had private health insurance and minors.</div></div><div><h3>Main measurements</h3><div>1) Triage level and variables associated with visits to the ED, and 2) knowledge about their PC area and 4 scenarios in which they had to determine whether they would go to the ED or PC.</div></div><div><h3>Results</h3><div>1) A total of 219,454 visits were analysed, and 50% were less urgent or non-urgent, and 2) 270 people were analysed. Despite being familiar with the PC area, 67% stated they would go to the ED if it were closed. In the scenarios, correct responses ranged from 46,7% to 86,3%.</div></div><div><h3>Conclusions</h3><div>The need to open future lines of research on the management of the population in non-urgent health situations and the appropriate use of health resources is demonstrated.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"Article 103291"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298117","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

Determinantes del acceso a la salud dental en España 西班牙获得牙科保健的决定因素

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-17 DOI: 10.1016/j.aprim.2025.103264

Sofía Ruiz-Campo , Sergio Zuniga-Jara , Karla Soria-Barreto

{"title":"Determinantes del acceso a la salud dental en España","authors":"Sofía Ruiz-Campo , Sergio Zuniga-Jara , Karla Soria-Barreto","doi":"10.1016/j.aprim.2025.103264","DOIUrl":"10.1016/j.aprim.2025.103264","url":null,"abstract":"<div><h3>Objective</h3><div>This study analyzed the relationship between demographic and socioeconomic factors with access to dental services in Spanish adults.</div></div><div><h3>Design</h3><div>Descriptive, cross-sectional, observational study.</div></div><div><h3>Site</h3><div>The 2023 Spanish Living Conditions Survey was used, with national coverage of the adult population.</div></div><div><h3>Participants</h3><div>27,227 households and 56,532 adults were included, of whom 48.0% were men and 52.0% were women between 18 and 85 years of age (by 2023), and an average age of 50 years.</div></div><div><h3>Interventions</h3><div>Not required.</div></div><div><h3>Main measurements</h3><div>A logistic model was estimated to analyze the determinants of the probability of consulting a dentist when needed. The main variables considered were access to dental health, income, meeting with friends and/or family, general health status, participating in leisure activities, and spending money on oneself.</div></div><div><h3>Results</h3><div>The results suggested that higher income, lack of social interaction, poor general health status, lack of participation in leisure activities and inability to spend money on oneself were the five main factors explaining the lack of access to dental care in Spain.</div></div><div><h3>Conclusions</h3><div>The results allow to conclude that access to dental health in Spain is strongly influenced by socioeconomic factors, such as income, social interaction and spending capacity, suggesting a need to address these inequalities to ensure equitable access to dental care for the entire population.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"Article 103264"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308025","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

Fumar y trabajar: percepciones y riesgos del tabaquismo en estudiantes y profesionales 吸烟和工作：学生和专业人士对吸烟的看法和风险

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-17 DOI: 10.1016/j.aprim.2025.103265

Mario García-Suárez , Beatriz Ordás-Campos , Juan Gómez-Salgado , Daniel Fernández-García

引用次数: 0

Variaciones sobre un síndrome de Brugada 布鲁加达综合症的变异

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-16 DOI: 10.1016/j.aprim.2025.103307

Salvador Labrador-Descalzo , Maria José Arqués-Pérez , Marta Pastrana-Franco

引用次数: 0

Fisioterapia en el complejo médico-industrial 医疗-工业综合企业的物理治疗

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-14 DOI: 10.1016/j.aprim.2025.103314

Camilo Andres Estupiñan Ruiz

引用次数: 0

The physical activity and sedentary behavior of pregnant women with gestational diabetes mellitus: A cross-sectional study 妊娠期糖尿病孕妇的身体活动和久坐行为：一项横断面研究

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-13 DOI: 10.1016/j.aprim.2025.103312

Yan Wang , Yue Peng , Yuyang Wang , Yan Pu , Biru Luo

{"title":"The physical activity and sedentary behavior of pregnant women with gestational diabetes mellitus: A cross-sectional study","authors":"Yan Wang , Yue Peng , Yuyang Wang , Yan Pu , Biru Luo","doi":"10.1016/j.aprim.2025.103312","DOIUrl":"10.1016/j.aprim.2025.103312","url":null,"abstract":"<div><h3>Background</h3><div>Although physical activity is recommended as a measure for treatment and management of gestational diabetes mellitus (GDM), little is known about the status of sedentary behavior, barriers and enablers to exercise, and the needs for exercise guidance in pregnant women with GDM.</div></div><div><h3>Aim</h3><div>The objectives of this study were to investigate the status of physical activity, sedentary behaviors and needs for exercise guidance in pregnant women with GDM, and explore its barriers, enablers and determinants.</div></div><div><h3>Method</h3><div>A cross-sectional study was conducted. A self-designed questionnaire was used to collect the data of exercise, sedentary behavior and barriers/enablers to exercise. Pregnancy Physical Activity Questionnaire was used to evaluate the physical activity. A stepwise multivariate logistic regression was conducted to analyze the determinants of exercise among pregnant women with GDM.</div></div><div><h3>Findings</h3><div>A total of 371 questionnaires were collected. The exercise compliance rate was only 27.42%. 41% of pregnant women with GDM had sedentary time more than 6h per day. 50.9% of participants had sedentary lifestyle. The most common barriers and enablers to physical activity were pregnancy symptoms or discomfort (32.1%) and easier glycemic control (88.9%), respectively. Advanced age (≥35 years old), low capita monthly family income, and the number of sedentary-lifestyle days (<em>OR</em>  =0.001) were the independent risk factors for failing to meet exercise standard among pregnant women.</div></div><div><h3>Discussion/Conclusion</h3><div>Health care providers should provide interventions based on reducing sedentary behavior and increasing moderate physical activity to minimize the potential health problems in pregnant women with GDM.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103312"},"PeriodicalIF":1.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280075","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

Artritis secundaria a tirzepatida. Informe de caso 继发性关节炎至甲状腺炎。案例报告

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-12 DOI: 10.1016/j.aprim.2025.103313

Esperanza Martín Correa , M. Estrella Barceló Colomer , Eva Martín Morata

引用次数: 0

Overdiagnosis of community-acquired pneumonia in primary care. Comparison across five European countries 初级保健中社区获得性肺炎的过度诊断。五个欧洲国家的比较

IF 1.8 4区医学

Atencion Primaria Pub Date : 2025-06-12 DOI: 10.1016/j.aprim.2025.103273

Carl Llor , Malene Plejdrup Hansen , Jesper Lykkegaard , Bent Håkan Lindberg

引用次数: 0