La motivación impulsa al profesional en su ejercico diario, tanto en su superación personal como en la mejora de la calidad que presta a sus pacientes. Sin embargo, en atención primaria casi el 90 por ciento de los médicos están hartos de estar hartos.
El Gobierno catalán dice que hay que potenciar la atención primaria, pero su polémica política presupuestaria de este año demuestra que hace justo lo contrario.
El tratamiento multidisciplinar, la coordinación de las especialidades y el diagnóstico precoz son las claves en el abordaje de la enfermedad renal crónica (ERC).
Horas después de que la conferencia del primer nivel echase el cierre, el sector de Primaria de CESM se ha reunido con dos únicos puntos en su orden del día: hacer un balance de la reunión y analizar la información de cada uno de los delegados provinciales sobre el estado actual de los recortes presupuestarios en las regiones.
El Foro de Primaria quiere que las conclusiones de la conferencia del nivel no se queden en agua de borrajas, y espera poder trasladárselas personalmente a todos los grupos parlamentarios antes de las elecciones.
La Comisión Nacional de Familia espera que la rectificación oficial de Sanidad con respecto a la futura configuración de la especialidad de Urgencias no se materialice en el texto final del decreto. Su presidenta recuerda que contraviene la LOPS y mina la sostenibilidad del SNS.
Con el cierre de la atención nocturna en siete ambulatorios del Alto Maresme y La Selva y Playa de Aro, en Gerona, se eleva la cifra final de dispositivos que dejarán de realizar atención 24 horas en Cataluña a un total de 58.
El presidente de la SEMI ha reiterado la necesidad de un modelo sanitario enfocado a crónicos y no a agudos. Javier García Alegría cree que la fragmentación asistencial puede elevar el gasto sanitario.
La Sociedad de Pediatría Extrahospitalaria y de Atención Primaria (Sepeap) ha denunciado durante el congreso nacional que ha celebrado en Santiago de Compostela que las administraciones sanitarias pretenden eliminar a medio plazo la Pediatría de primaria, y que sean los médicos de Familia quienes asuman el cuidado de los niños en el primer nivel.
De la I Conferencia Nacional de Primaria apenas han surgido compromisos concretos de mejora por parte de Sanidad y de las regiones, pero el foro cree que se han sentado las bases para el futuro. Ello no evita que los médicos se quejen de la escasa implicación autonómica en la cita.
La ministra de Sanidad augura que el 25 por ciento del presupuesto sanitario que primaria reclama desde hace tiempo llegará en 4 ó 6 años. La I Conferencia del nivel se salda con escasos o nulos compromisos oficiales.
Study protocol: QUALICOPC, a multi-country study evaluating quality, costs and equity in primary care
20 October 2011, 2:00 am
Background: The QUALICOPC (Quality and Costs of Primary Care in Europe) study aims to evaluate the performance of primary care systems...
Implementing mentor mothers in family practice to support abused mothers: study protocol.
18 October 2011, 2:00 am
Background: Intimate partner violence is highly prevalent and mostly affects women with negative consequences for their physical and mental health. Children...
Comparison of primary care models in the prevention of cardiovascular disease - a cross sectional study
18 October 2011, 2:00 am
Background: Primary care providers play an important role in preventing and managing cardiovascular disease. This study compared the quality of preventive...
A comparison of the workload of rural and urban primary care physicians in Germany: analysis of a questionnaire survey.
11 October 2011, 2:00 am
Background: Many western countries are facing an existing or imminent shortage of primary care physicians especially in rural areas. In Germany,...
Does clinical examination aid in the diagnosis of urinary tract infections in women? A systematic review and meta-analysis.
10 October 2011, 2:00 am
Background: Clinicians should be aware of the diagnostic values of various symptoms, signs and antecedents. This information is particularly important in...
Care coordination: what is it, what are its effects and can it be sustained?
16 September 2011, 3:15 am
European Antibiotic Awareness Day 2011: antibiotics--a powerful tool and a dwindling resource
16 September 2011, 3:15 am
The increasing resistance of microorganisms to a range of antibiotics is of growing concern to healthcare professionals world wide. A...
Toward shared care for people with cancer: developing the model with patients and GPs
16 September 2011, 3:15 am
Background. The number of people surviving cancer for extended periods is increasing. Consequently, due to workload and quality issues, there...
The importance of cardiovascular disease for mortality in patients with COPD: a prognostic cohort study
16 September 2011, 3:15 am
Background. Cardiovascular diseases are the major cause of mortality in patients with chronic obstructive pulmonary disease (COPD), however, are rarely...
Addition of omeprazole to dual antiplatelet therapy with clopidogrel plus aspirin lowers the risk of upper gastrointestinal bleeding
17 September 2011, 8:13 am
ContextAntiplatelet therapy represents the mainstay of treatment for patients undergoing percutaneous coronary intervention.1 However, an increased risk for gastrointestinal bleeding...
Oral antiretroviral pre-exposure prophylaxis reduces the risk of HIV acquisition among men who have sex with men
17 September 2011, 8:13 am
ContextAdditional interventions to combat the HIV/AIDS epidemic are needed urgently. Prevention interventions using antiretroviral agents to prevent sexually acquired HIV...
Purpose and procedure
17 September 2011, 8:13 am
The general purpose of Evidence-Based Medicine is to select from the health-related literature* those articles reporting important advances in internal...
Escitalopram reduced hot flashes in non-depressed perimenopausal and postmenopausal women
17 September 2011, 8:13 am
ContextVasomotor symptoms (VMS – hot flashes, night sweats) are considered the hallmark of the menopausal transition and early postmenopausal years;...
The quadrivalent HPV vaccine is effective prophylaxis against HPV-related external genital lesions in young men
17 September 2011, 8:13 am
ContextAwareness is growing that in developed countries around a quarter of human papillomavirus (HPV) related cancers occur in men and...
Original and REGICOR Framingham Functions in a Nondiabetic Population of a Spanish Health Care Center: A Validation Study [Original Research]
12 September 2011, 11:00 pm
PURPOSE Risk functions can help general practitioners identify patients at high cardiovascular risk, but overprediction inevitably leads to a disproportionate number...
IN PURSUIT OF A TRANSFORMED HEALTH CARE SYSTEM: FROM PATIENT CENTERED MEDICAL HOMES TO ACCOUNTABLE CARE ORGANIZATIONS AND BEYOND [Family Medicine Updates]
12 September 2011, 11:00 pm
Patient and Clinician Openness to Including a Broader Range of Healing Options in Primary Care [Original Research]
12 September 2011, 11:00 pm
PURPOSE We studied the openness of patients and clinicians to introducing a broader range of healing options into primary care. METHODS Focus groups...
Successful Health Information Technology Implementation Requires Practice and Health Care System Transformation [Editorials]
12 September 2011, 11:00 pm
DEALING STRATEGICALLY WITH THE RUC TO BOOST FAMILY PHYSICIAN PAYMENT [Family Medicine Updates]