Atencion Primaria最新文献

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[Initiation of breastfeeding and skin-to-skin contact in Latin American countries]. [拉丁美洲国家开始母乳喂养和皮肤接触]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-06 DOI: 10.1016/j.aprim.2025.103429

Karina Gutiérrez-Fragoso, Clara Luz Sampieri

Objective: To assess whether there is an association between immediate skin-to-skin contact (ISSC) and breastfeeding in the first hour of life (BF1H). This study also determined the association of other factors, such as prenatal and delivery care, with initiating BF1H.

Design: Retrospective and observational using data from the UNICEF Multiple Indicator Cluster Survey (MICS). UNICEF databases from Mexico, Costa Rica, Cuba, the Dominican Republic, Honduras, and Argentina were employed. Participants were women (15-49 years) and their infants.

Results: In all countries, the lack of ISSC was associated with not initiating BF1H. In Cuba, Argentina, Costa Rica, Honduras, and the Dominican Republic, lack of prenatal care, cesarean delivery, introduction of commercial infant formula (CIF) within 3 days of life, and failure to observe breastfeeding within 2 days of life were associated with not initiating BF1H. In Mexico, introduction of CIF within 3 days of life was associated with not initiating BF1H.

Conclusions: Regardless of the health context and the MICS survey period, CIF was associated with the initiation of breastfeeding in all countries. In all countries, failure to initiate BF1H was associated with the introduction of CIF in the first 3 days of life. These findings may support the planning of interventions to promote breastfeeding.

目的：探讨直接皮肤接触（ISSC）与出生后1小时母乳喂养（BF1H）之间是否存在关联。本研究还确定了其他因素（如产前和分娩护理）与启动BF1H的关联。设计：采用联合国儿童基金会多指标类集调查（MICS）的数据进行回顾性和观察性研究。使用了来自墨西哥、哥斯达黎加、古巴、多米尼加共和国、洪都拉斯和阿根廷的儿童基金会数据库。参与者为妇女（15-49岁）及其婴儿。结果：在所有国家，ISSC的缺乏与未启动BF1H相关。在古巴、阿根廷、哥斯达黎加、洪都拉斯和多米尼加共和国，缺乏产前护理、剖宫产、出生后3天内引入商业婴儿配方奶粉（CIF）以及出生后2天内未观察母乳喂养与未启动BF1H相关。在墨西哥，生命3天内引入CIF与未启动BF1H相关。结论：无论健康状况和多指标类集调查期间如何，CIF都与所有国家开始母乳喂养有关。在所有国家，未启动BF1H与出生后3天内引入CIF有关。这些发现可能为促进母乳喂养的干预计划提供支持。

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引用次数: 0

[Consumption of ultra-processed foods in the diabetic population. Study of food frequency in the diabetic population of Onda]. 糖尿病人群中超加工食品的消费。翁达地区糖尿病人群饮食频率研究[j]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-05 DOI: 10.1016/j.aprim.2026.103446

María Civera Matamoros, Nuria Franch Broch, Rocío Pitarch Sáez, Paula Marco Pérez

引用次数: 0

El Programa Oficial de Medicina Familiar y Comunitaria no ha cambiado para que todo siga igual 政府的家庭和社区医学计划没有改变，所以一切都是一样的。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-04 DOI: 10.1016/j.aprim.2026.103448

José Ramón Vázquez Díaz, Miguel García Hernández

引用次数: 0

Sedentary behavior and mental health assessment in advanced stage cancer patients. 晚期癌症患者久坐行为与心理健康评估

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-03 DOI: 10.1016/j.aprim.2026.103444

Huberney Sepulveda, Daniel Alejandro Rodríguez Cruz, Jhonatan González-Santamaria, Andrés M García

引用次数: 0

Assessing the impact of socioeconomic determinants and management models on primary health care in Catalonia. 评估社会经济决定因素和管理模式对加泰罗尼亚初级保健的影响。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-03 DOI: 10.1016/j.aprim.2026.103452

Rafael Manzanera, Antoni Iruela, Irene Moral, Ricard Armengol, Gloria Gálvez, Maria Lourdes Jiménez

Objective: To assess the influence of management model and population's socioeconomic profile on two key outcomes in Catalonia's primary care: patient satisfaction and drug cost per user, aiming to support evidence-based reforms of the regional health system.

Design: Cross-sectional observational study. SITE: Primary care centers.

Participants: People attended in primary care in Catalonia.

Interventions: None.

Main measurements: Aggregated data about health and quality results summarized in a total of 19 indicators extracted from the 2023 Catalan Results Center dataset were analyzed. Descriptive, comparative, and multivariate linear regression analyses were applied.

Results: No significant associations were found between satisfaction or pharmaceutical spending and the management model or socioeconomic index. Patient satisfaction was primarily explained by experience-related variables, including accessibility, personal care, loyalty, and home care provision (adjusted R²=0.87). Pharmaceutical spending was associated with care intensity, as measured by the number of visits, polypharmacy, hypertension control, flu vaccination, and prescriptions per user (adjusted R²=0.73).

Conclusions: The findings suggest that clinical and organizational factors are more influential than population characteristics or management models in determining outcomes in primary care. Reforms should focus on enhancing the patient experience, improving clinical efficiency, and adopting a humanistic approach to care delivery.

目的：评估管理模式和人口社会经济状况对加泰罗尼亚初级保健两项关键结果的影响：患者满意度和人均用药成本，旨在支持该地区卫生系统的循证改革。设计：横断面观察性研究。地点：初级保健中心。参与者：参加加泰罗尼亚初级保健的人。干预措施:没有。主要测量：对从2023年加泰罗尼亚结果中心数据集中提取的共19个指标汇总的健康和质量结果汇总数据进行了分析。采用描述性、比较性和多元线性回归分析。结果：满意度、药品支出与管理模式、社会经济指标无显著相关。患者满意度主要由经验相关变量解释，包括可及性、个人护理、忠诚度和家庭护理提供（调整后R2=0.87）。通过就诊次数、多种用药、高血压控制、流感疫苗接种和每位用户的处方来衡量，药品支出与护理强度相关（调整后R2=0.73）。结论：研究结果表明，在决定初级保健结果方面，临床和组织因素比人口特征或管理模式更有影响力。改革应侧重于改善患者体验，提高临床效率，并采用人性化的方式提供护理。

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引用次数: 0

[Teacher training and the perception of ADHD in the school setting]. [教师培训和学校环境中ADHD的认知]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-03 DOI: 10.1016/j.aprim.2026.103451

Edwin Gustavo Estrada-Araoz

引用次数: 0

[Mental health literacy as a pillar of primary care]. [心理健康素养作为初级保健的支柱]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-03 DOI: 10.1016/j.aprim.2026.103443

Edwin Gustavo Estrada-Araoz

引用次数: 0

[Editorial of the XLV SEMFYC Congress]. [第十五届SEMFYC代表大会社论]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-01 DOI: 10.1016/j.aprim.2026.103453

Maria Del Pino Calderin Morales, Ana Isabel Gonzalez González, Alberto Cotillas Rodero

引用次数: 0

Salud planetaria: el rol ineludible de la medicina de familia 地球健康：家庭医学不可避免的作用

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-29 DOI: 10.1016/j.aprim.2025.103326

Gisela Galindo Ortega , María del Campo Giménez , Beatriz Gutiérrez Muñoz , Miriam Navarro Beltrá , María Cristina Almécija Pérez

引用次数: 0

Salud Planetaria desde una perspectiva de prevención y promoción de la salud 从预防和促进健康的角度看地球健康

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-28 DOI: 10.1016/j.aprim.2025.103373

María del Campo Giménez , Hadasa Gallor Bohórquez , Ana Egea-Ronda , Francisco Camarelles Guillem , Lucía Jiménez Ochando

Planetary health, understood as the achievement of the maximum level of health, well-being and equity, respecting the limits of the planet's natural systems, is a concept that has acquired great relevance, given the context of climate and environmental emergency in which we find ourselves. Knowing the impact of our lifestyles on the health of the planet will provide us with additional arguments that can motivate individuals and populations to opt for more sustainable and healthy choices. As specialists in Family and Community Medicine and thanks to the continuous presence of prevention and health promotion in Primary Care, we have the opportunity to advise patients on the benefits and importance of their daily choices in improving their own health and the environment.

地球健康被理解为在尊重地球自然系统极限的情况下实现最大程度的健康、福祉和平等，鉴于我们所处的气候和环境紧急情况，这是一个具有重大意义的概念。了解我们的生活方式对地球健康的影响将为我们提供更多的论据，可以激励个人和人群选择更可持续和更健康的选择。作为家庭和社区医学专家，由于在初级保健中不断开展预防和健康促进工作，我们有机会向患者提供建议，说明他们日常选择对改善自身健康和环境的好处和重要性。

引用次数: 0

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