Pub Date : 2025-02-16DOI: 10.1016/j.aprim.2025.103233
Henry César Rivas Sucari
{"title":"Ciberseguridad y salud, riesgos en el siglo xxi","authors":"Henry César Rivas Sucari","doi":"10.1016/j.aprim.2025.103233","DOIUrl":"10.1016/j.aprim.2025.103233","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103233"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419203","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}
Pub Date : 2025-02-16DOI: 10.1016/j.aprim.2025.103228
Tiago Cunha Reis
The rapid evolution of telemedicine has revealed significant documentation and workflow challenges. Clinicians often struggle with the administrative burdens of telehealth visits, sacrificing valuable time better spent in direct patient interaction. This issue is further compounded by the need to maintain accurate and comprehensive records, which can be time-consuming and prone to error when approached manually. In this context, integrating artificial intelligence (AI) and natural language processing (NLP) technologies presents a transformative opportunity. Automating documentation and enhancing workflow efficiency can revolutionize healthcare delivery, alleviating clinician workloads and improving clinical quality and patient safety. Therefore, examining the application of these cutting-edge technologies becomes imperative in addressing the pressing needs of modern healthcare and optimizing health outcomes. The significance of integrating AI and NLP technologies in clinical remote practice cannot be overstated. Hence, this article aims to inspire and motivate healthcare professionals to embrace these transformative changes.
{"title":"Artificial intelligence and natural language processing for improved telemedicine: Before, during and after remote consultation","authors":"Tiago Cunha Reis","doi":"10.1016/j.aprim.2025.103228","DOIUrl":"10.1016/j.aprim.2025.103228","url":null,"abstract":"<div><div>The rapid evolution of telemedicine has revealed significant documentation and workflow challenges. Clinicians often struggle with the administrative burdens of telehealth visits, sacrificing valuable time better spent in direct patient interaction. This issue is further compounded by the need to maintain accurate and comprehensive records, which can be time-consuming and prone to error when approached manually. In this context, integrating artificial intelligence (AI) and natural language processing (NLP) technologies presents a transformative opportunity. Automating documentation and enhancing workflow efficiency can revolutionize healthcare delivery, alleviating clinician workloads and improving clinical quality and patient safety. Therefore, examining the application of these cutting-edge technologies becomes imperative in addressing the pressing needs of modern healthcare and optimizing health outcomes. The significance of integrating AI and NLP technologies in clinical remote practice cannot be overstated. Hence, this article aims to inspire and motivate healthcare professionals to embrace these transformative changes.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103228"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420023","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}
Pub Date : 2025-02-12DOI: 10.1016/j.aprim.2025.103234
Antonio José Madueño-Caro , Gonzalo Berro-Ramírez , Luis Chávez-Gata , Rubén Torrescusa-Camisón , José Antonio Climent-Rodríguez , Yolanda Navarro-Abal , Juan Gómez-Salgado
Objective
To determine the variables associated with the prescription of long-term antidepressants (more than three years) to patients in a primary health area.
Design
Descriptive observational study.
Site
Basic health area of primary care.
Participants
A sample of 315 participants assigned to a basic health area, who have been prescribed at least one antidepressant during a calendar year.
Interventions
Institutional information sources.
Main measurements
Those variables that can be associated with a prolonged prescription of antidepressants. The selection of the patients was carried out by simple random sampling. Analysis using Chi-Square contrast for the comparison of proportions. Multivariate binary logistic regression to observe possible associations in the set of variables.
Results
The study analyzed a majority of women (75.2%) with a mean age of 61.7 years (SD = 38.18). SSRIs (Selective Serotonin Reuptake Inhibitors) were the most commonly used antidepressants (50.5%), especially sertraline. Dysthymia was the main diagnosis (17%). Prolonged duration of treatment was associated with SSRIs and dysthymia. Logistic regression showed relevant factors: dysthymia, age, number of antidepressants, and SSRI use.
Conclusion
There is a high prevalence of prescription beyond three years. It is observed how dysthymic disorder is associated with a prolonged duration of treatment, as well as age, SSRI use, antidepressant change, and the total number of antidepressants prescribed.
{"title":"Prescripción prolongada de antidepresivos en atención primaria. Impacto en la salud pública","authors":"Antonio José Madueño-Caro , Gonzalo Berro-Ramírez , Luis Chávez-Gata , Rubén Torrescusa-Camisón , José Antonio Climent-Rodríguez , Yolanda Navarro-Abal , Juan Gómez-Salgado","doi":"10.1016/j.aprim.2025.103234","DOIUrl":"10.1016/j.aprim.2025.103234","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the variables associated with the prescription of long-term antidepressants (more than three years) to patients in a primary health area.</div></div><div><h3>Design</h3><div>Descriptive observational study.</div></div><div><h3>Site</h3><div>Basic health area of primary care.</div></div><div><h3>Participants</h3><div>A sample of 315 participants assigned to a basic health area, who have been prescribed at least one antidepressant during a calendar year.</div></div><div><h3>Interventions</h3><div>Institutional information sources.</div></div><div><h3>Main measurements</h3><div>Those variables that can be associated with a prolonged prescription of antidepressants. The selection of the patients was carried out by simple random sampling. Analysis using Chi-Square contrast for the comparison of proportions. Multivariate binary logistic regression to observe possible associations in the set of variables.</div></div><div><h3>Results</h3><div>The study analyzed a majority of women (75.2%) with a mean age of 61.7 years (SD<!--> <!-->=<!--> <!-->38.18). SSRIs (Selective Serotonin Reuptake Inhibitors) were the most commonly used antidepressants (50.5%), especially sertraline. Dysthymia was the main diagnosis (17%). Prolonged duration of treatment was associated with SSRIs and dysthymia. Logistic regression showed relevant factors: dysthymia, age, number of antidepressants, and SSRI use.</div></div><div><h3>Conclusion</h3><div>There is a high prevalence of prescription beyond three years. It is observed how dysthymic disorder is associated with a prolonged duration of treatment, as well as age, SSRI use, antidepressant change, and the total number of antidepressants prescribed.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103234"},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386440","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}
Pub Date : 2025-02-12DOI: 10.1016/j.aprim.2025.103231
Miguel Angel María Tablado
{"title":"Riesgo continuo vascular con cifras de presión arterial altas. Comentario sobre recomendaciones vasculares y HTA PAPPS 2024","authors":"Miguel Angel María Tablado","doi":"10.1016/j.aprim.2025.103231","DOIUrl":"10.1016/j.aprim.2025.103231","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103231"},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388392","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}
Pub Date : 2025-02-12DOI: 10.1016/j.aprim.2025.103230
Carlos Castro , Patrícia Costa , Marta Alvarez
{"title":"Cuando la mascarilla esconde un diagnóstico: carcinoma de células escamosas","authors":"Carlos Castro , Patrícia Costa , Marta Alvarez","doi":"10.1016/j.aprim.2025.103230","DOIUrl":"10.1016/j.aprim.2025.103230","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103230"},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386970","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}
Pub Date : 2025-02-11DOI: 10.1016/j.aprim.2025.103220
Shugang Li, Hao Wu
{"title":"The collaborative mechanism of multiple subjects participating in community epidemic prevention and control","authors":"Shugang Li, Hao Wu","doi":"10.1016/j.aprim.2025.103220","DOIUrl":"10.1016/j.aprim.2025.103220","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103220"},"PeriodicalIF":1.8,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377911","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}
Pub Date : 2025-02-04DOI: 10.1016/j.aprim.2025.103222
Mariona Pons-Vigués , Cristina Casanovas-Guitart , Olga Correcher Aventin , Mireia Leal Negre , Albert Boada Valmaseda , Manel Pérez Quirós , Conxa Castell Abat
In 2009, the Catalan Health Service (Servei Català de la Salut) introduced community podiatric care for people with diabetes mellitus and chronic vascular or neuropathic conditions as part of its service portfolio. After 10 years, an evaluation, review, and improvement of the service was promoted, carrying out various actions between 2018 and 2024. The improvement process was carried out collaboratively and participatively, involving multiple stakeholders. The main agreed changes include setting the number of visits based on the person's clinical profile and complexity, and the establishment of electronic communication and coordination channels between primary care and community podiatry. The redesign of the service has allowed for better alignment with the level of risk and intensity required by the individual, ensuring accessibility and equity in care. Connectivity improves the safety and traceability of care, as well as promotes de-bureaucratization and digitalization.
{"title":"Proceso de mejora de la prestación de atención podológica comunitaria en las personas con diabetes mellitus en Catalunya","authors":"Mariona Pons-Vigués , Cristina Casanovas-Guitart , Olga Correcher Aventin , Mireia Leal Negre , Albert Boada Valmaseda , Manel Pérez Quirós , Conxa Castell Abat","doi":"10.1016/j.aprim.2025.103222","DOIUrl":"10.1016/j.aprim.2025.103222","url":null,"abstract":"<div><div>In 2009, the Catalan Health Service <em>(Servei Català de la Salut)</em> introduced community podiatric care for people with diabetes mellitus and chronic vascular or neuropathic conditions as part of its service portfolio. After 10 years, an evaluation, review, and improvement of the service was promoted, carrying out various actions between 2018 and 2024. The improvement process was carried out collaboratively and participatively, involving multiple stakeholders. The main agreed changes include setting the number of visits based on the person's clinical profile and complexity, and the establishment of electronic communication and coordination channels between primary care and community podiatry. The redesign of the service has allowed for better alignment with the level of risk and intensity required by the individual, ensuring accessibility and equity in care. Connectivity improves the safety and traceability of care, as well as promotes de-bureaucratization and digitalization.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 5","pages":"Article 103222"},"PeriodicalIF":1.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143181361","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}
Pub Date : 2025-02-01DOI: 10.1016/j.aprim.2024.103173
Gema Izquierdo Enríquez , María Victoria García Espinosa , Isabel Prieto Checa , María Fernández de Paúl , Patricia Moreno Carrero , Silvia Fernanda García Vila
Osteoarthritis is a degenerative joint disease and is the most common joint problem worldwide. It is considered a serious disease due to the presence of pain and reduced functional capacity. Moreover, there are no disease-modifying drugs or curative treatment at present; the basic or first-line treatment is non-pharmacological, based on education and physical exercise.
The presence of degenerative changes in imaging tests is present in a high percentage of the general asymptomatic population, i.e. in those who have no pain or functional limitation, and this percentage increases progressively with age. In short, osteoarthritis is part of the normal aging process of the population.
As with low back pain, it is proposed to apply a salutogenic model of health, paying special attention to the terms used when informing and advising patients.
It is proposed a review of the main causes, effectiveness and prognosis of osteoarthritis treatment, in order to provide brief educational advice to patients.
{"title":"Artrosis: ¿cambios degenerativos o cambios adaptativos? Consejos educativos breves en la consulta de atención primaria","authors":"Gema Izquierdo Enríquez , María Victoria García Espinosa , Isabel Prieto Checa , María Fernández de Paúl , Patricia Moreno Carrero , Silvia Fernanda García Vila","doi":"10.1016/j.aprim.2024.103173","DOIUrl":"10.1016/j.aprim.2024.103173","url":null,"abstract":"<div><div>Osteoarthritis is a degenerative joint disease and is the most common joint problem worldwide. It is considered a serious disease due to the presence of pain and reduced functional capacity. Moreover, there are no disease-modifying drugs or curative treatment at present; the basic or first-line treatment is non-pharmacological, based on education and physical exercise.</div><div>The presence of degenerative changes in imaging tests is present in a high percentage of the general asymptomatic population, i.e. in those who have no pain or functional limitation, and this percentage increases progressively with age. In short, osteoarthritis is part of the normal aging process of the population.</div><div>As with low back pain, it is proposed to apply a salutogenic model of health, paying special attention to the terms used when informing and advising patients.</div><div>It is proposed a review of the main causes, effectiveness and prognosis of osteoarthritis treatment, in order to provide brief educational advice to patients.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 103173"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857132","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}
Pub Date : 2025-02-01DOI: 10.1016/j.aprim.2024.103213
Sonia Pérez López
{"title":"XLIV Congreso de la semFYC en Barcelona","authors":"Sonia Pérez López","doi":"10.1016/j.aprim.2024.103213","DOIUrl":"10.1016/j.aprim.2024.103213","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 103213"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016897","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号