Atencion PrimariaPub Date : 2025-06-09DOI: 10.1016/j.aprim.2025.103301
Francesc Alòs , Montserrat Romaguera , Francesc Xavier Cos Claramunt , Francesc Orfila , David Aldon Mínguez , Anna Puig-Ribera
{"title":"Actividad física en la era digital: retos y oportunidades para la atención primaria","authors":"Francesc Alòs , Montserrat Romaguera , Francesc Xavier Cos Claramunt , Francesc Orfila , David Aldon Mínguez , Anna Puig-Ribera","doi":"10.1016/j.aprim.2025.103301","DOIUrl":"10.1016/j.aprim.2025.103301","url":null,"abstract":"<div><div>Primary Care is undergoing a profound transformation driven by demographic, social, and technological changes. In this context, the integration of physical activity into clinical practice and the development of digital health strategies emerge as key approaches to addressing physical inactivity and sedentary behavior, particularly in situations of chronic conditions, aging, and frailty. This article analyzes how technologies such as mobile applications, wearable devices, and digital platforms can enable more personalized physical activity prescription, remote monitoring, and community connection. It reviews the opportunities offered by these tools, based on the WHO's 5<!--> <!-->A brief intervention model, as well as barriers such as the digital divide and care overload. The article emphasizes the need to align digital health initiatives with ethical principles, community engagement, and person-centered care, strengthening rather than replacing the human connection.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103301"},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243247","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}
Atencion PrimariaPub Date : 2025-06-06DOI: 10.1016/j.aprim.2025.103224
Muhammet Damar , Thiago Gomes da Trindade , Andrew D. Pinto
{"title":"Scientific production in primary health care in Latin American and Caribbean Countries (1980–2024): A web of science perspective","authors":"Muhammet Damar , Thiago Gomes da Trindade , Andrew D. Pinto","doi":"10.1016/j.aprim.2025.103224","DOIUrl":"10.1016/j.aprim.2025.103224","url":null,"abstract":"<div><h3>Objectives</h3><div>To analyze the scientific production of primary care research in Latin American and Caribbean (LAC) countries from 1980 to 2024 and to provide recommendations for improvement.</div></div><div><h3>Design</h3><div>Observational, machine learning-based bibliometric study.</div></div><div><h3>Data sources</h3><div>Review and research articles indexed in the Web of Science database.</div></div><div><h3>Selection of studies</h3><div>Bibliometric analysis was performed on data from 33 LAC countries, retrieved from the Web of Science as of April 15, 2024.</div></div><div><h3>Data extraction</h3><div>For each record, data on the journal, year of publication, article title, abstract, keywords, authors, affiliations, countries, cited sources, cited first authors, and references were extracted for bibliometric and text mining analyses. We used a form of machine learning, Latent Dirichlet Allocation topic modeling, to identify the key topics of research.</div></div><div><h3>Results</h3><div>LAC countries contributed only 0.83% of the global literature on primary health care, with just 0.98% of this output comprising research and review articles. The majority of research originated from Brazil, Mexico, Colombia, and Chile, while many LAC countries produced little to no output. LAC countries frequently collaborated with the United States, Spain, Canada, and England. Research topics in the region predominantly focused on cancer, obesity, COVID-19, nutritional disorders, and food safety within the primary health care field.</div></div><div><h3>Conclusions</h3><div>The findings highlight significant potential for growth in primary health care research in LAC countries. Strengthening individual and collective strategies to build research capacity and fostering collaborations with global academic networks are recommended to enhance research output and impact.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103224"},"PeriodicalIF":1.8,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221686","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}
Atencion PrimariaPub Date : 2025-05-30DOI: 10.1016/j.aprim.2025.103302
Daniel Manzur-Sandoval
{"title":"Síndrome de Horner y plexopatía braquial en el contexto de una masa apical vascular: diagnóstico diferencial del síndrome de Pancoast","authors":"Daniel Manzur-Sandoval","doi":"10.1016/j.aprim.2025.103302","DOIUrl":"10.1016/j.aprim.2025.103302","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103302"},"PeriodicalIF":1.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169307","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}
{"title":"Health education experiences of older adults with chronic disease","authors":"Lina Trigos-Carrillo , Diana Cristina Angarita-Rodriguez , Maria Claudia Uribe-Ruiz , Natalia Canchon-Bello , Margareth Alfonso-Mora","doi":"10.1016/j.aprim.2025.103267","DOIUrl":"10.1016/j.aprim.2025.103267","url":null,"abstract":"<div><h3>Objective</h3><div>This study describes the health education experiences of older adults with chronic disease (CD).</div></div><div><h3>Design</h3><div>A qualitative study employing a phenomenological approach.</div></div><div><h3>Setting</h3><div>Municipalities of Central Region of Cundinamarca Colombia.</div></div><div><h3>Participants</h3><div>The study was conducted through face-to-face semi-structured interviews. A total of 40 older adults participated in the study.</div></div><div><h3>Methods</h3><div>Data were collected through interviews, which were then coded and analyzed using ATLAS.ti software.</div></div><div><h3>Results</h3><div>The analysis revealed three main themes: Older adults became aware of their CD through initial signs and symptoms and reflections on previous lifestyle habits. After diagnosis, they managed CD through new activities and routines including pharmacologic treatment, health check-ups, and regular clinical tests. Treatment adherence was influenced by personal experiences and the adoption of new lifestyle habits.</div></div><div><h3>Conclusions</h3><div>The changes experienced by older adults implied a learning process influenced by their individual history, experiences, and external factors like family support. The findings provide valuable insights for designing health education strategies aimed at improving the empowerment of older adults in their healthcare process.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103267"},"PeriodicalIF":1.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169889","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}
Atencion PrimariaPub Date : 2025-05-30DOI: 10.1016/j.aprim.2025.103298
José Joaquín Mira , Clara Pérez-Esteve , Mercedes Guilabert , Concepción Carratalá , Virtudes Pérez-Jover
{"title":"Reattendances in primary care and their association with patient safety events: A cohort study in Spain","authors":"José Joaquín Mira , Clara Pérez-Esteve , Mercedes Guilabert , Concepción Carratalá , Virtudes Pérez-Jover","doi":"10.1016/j.aprim.2025.103298","DOIUrl":"10.1016/j.aprim.2025.103298","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the frequency of reattendances in PC and their association with adverse events, considering sex-based differences.</div></div><div><h3>Design</h3><div>A retrospective observational study.</div></div><div><h3>Site</h3><div>Five primary care centres in the Valencia Region (Spain).</div></div><div><h3>Participants</h3><div>Patients over 50 years old attended in between 2019 and 2024.</div></div><div><h3>Main measurements</h3><div>A review of 541 electronic health records of patients was conducted to identify reattendances occurring within 20 days after an index visit Associated AEs were assessed as well.</div></div><div><h3>Results</h3><div>A total of 2077 reattendances were recorded (0.77 per patient-year), with significantly higher frequency among men (1601 in men vs. 476 in women; <em>P</em> <!--><<!--> <!-->0.001). Eighty-five AEs were identified (annual incidence: 3.1; 95% CI: 2.5–3.8), with women experiencing an 18% higher incidence compared to men (OR<!--> <!-->=<!--> <!-->1.18; 95% CI: 1.13–1.24; <em>P</em> <!--><<!--> <!-->0.001). No significant sex-based differences were observed in the severity of harm (<em>P</em> <!-->=<!--> <!-->0.713). Reattendances were associated with AEs (OR<!--> <!-->=<!--> <!-->7.04; <em>P</em> <!--><<!--> <!-->0.001), as was cognitive impairment, measured using the Pfeiffer Index (OR<!--> <!-->=<!--> <!-->1.21; <em>P</em> <!-->=<!--> <!-->0.033). In contrast, low and medium PC utilization were associated with a lower probability of AEs (OR<!--> <!-->=<!--> <!-->0.22 and 0.45; <em>P</em> <!-->=<!--> <!-->0.003 and 0.043, respectively).</div></div><div><h3>Conclusions</h3><div>Reattendances in PC are frequent and significantly associated with the occurrence of preventable AEs. Sex-based differences and individual patient factors, such as cognitive status and care utilization patterns, should be considered in patient safety strategies.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103298"},"PeriodicalIF":1.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169888","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}
Atencion PrimariaPub Date : 2025-05-30DOI: 10.1016/j.aprim.2025.103299
Mar Ferrés Font , Rosario Salas
{"title":"Impacto en Ecuador de la COVID-19 en la dislipidemia","authors":"Mar Ferrés Font , Rosario Salas","doi":"10.1016/j.aprim.2025.103299","DOIUrl":"10.1016/j.aprim.2025.103299","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"Article 103299"},"PeriodicalIF":1.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167658","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}
Atencion PrimariaPub Date : 2025-05-27DOI: 10.1016/j.aprim.2025.103304
Óscar Esteban-Jiméne , Miguel Ángel Hernández-Rodríguez
{"title":"El desabastecimiento de fármacos en la consulta de Medicina de Familia","authors":"Óscar Esteban-Jiméne , Miguel Ángel Hernández-Rodríguez","doi":"10.1016/j.aprim.2025.103304","DOIUrl":"10.1016/j.aprim.2025.103304","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103304"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138744","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}
Atencion PrimariaPub Date : 2025-05-23DOI: 10.1016/j.aprim.2025.103303
Eva Peguero-Rodríguez , Begoña Roman Maestre , Carmen M. Prieto Villanueva
{"title":"Experiencia de la eutanasia en los equipos de atención primaria","authors":"Eva Peguero-Rodríguez , Begoña Roman Maestre , Carmen M. Prieto Villanueva","doi":"10.1016/j.aprim.2025.103303","DOIUrl":"10.1016/j.aprim.2025.103303","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103303"},"PeriodicalIF":1.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116672","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}