Atencion Primaria最新文献

英文中文

Salud pública y cáncer cervicouterino en América Latina: impacto del gasto y legislación en la prevención en tres países 拉丁美洲的公共卫生和宫颈癌：支出和立法对三个国家预防工作的影响

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.aprim.2025.103427

Camilo Andrés Estupiñan Ruiz , Rubén Darío Morales Doncel , Jeisson Andrés Hincapié-Carvajal

Objective

To assess the association between public health expenditure, legal frameworks, and indicators of cervical cancer incidence, mortality, and female life expectancy in Chile, Colombia, and Nicaragua from 2012 to 2022.

Design

Descriptive and correlational ecological study based on nationally aggregated data.

Setting

Three Latin American countries with information from the Pan American Health Organization (PAHO).

Participants

General female population.

Interventions

Review of national health legislation and policies, including screening, vaccination, and financing mechanisms.

Main measurements

Public health expenditure (% GDP), female life expectancy at birth, and cervical cancer incidence and mortality rates per 100,000 women. Ten-year averages and Pearson correlation coefficients were calculated.

Results

In 2022, Chile showed the highest life expectancy (82.0 years) and the lowest mortality (11.3/100,000) with spending of 8.9% of GDP. Colombia reached 79.6 years of life expectancy, mortality of 12.7/100,000, and spending of 6.4%, while Nicaragua had the lowest investment (5.8%), lowest life expectancy (74.8 years), and highest incidence (20.6) and mortality (11.5). Strong negative correlations were found between life expectancy and incidence (r = −0.97) and mortality (r = −0.81), but weak correlation with public spending (r ≈ −0.13).

Conclusions

The effectiveness of cervical cancer prevention programs depends less on investment volume than on legal strength and strategic direction. Strengthening legislation, prioritizing primary care, and expanding screening and vaccination are key to eliminating this preventable disease in Latin America.

目的评估2012年至2022年智利、哥伦比亚和尼加拉瓜的公共卫生支出、法律框架、宫颈癌发病率、死亡率和女性预期寿命指标之间的关系。设计基于全国汇总数据的描述性和相关性生态学研究。设置三个拉丁美洲国家，提供来自泛美卫生组织的信息。参与者：一般女性人群。干预措施审查国家卫生立法和政策，包括筛查、疫苗接种和筹资机制。主要衡量指标：公共卫生支出（国内生产总值百分比）、女性出生时预期寿命、每10万名妇女的宫颈癌发病率和死亡率。计算十年平均值和Pearson相关系数。结果2022年，智利人均预期寿命最高（82.0岁），死亡率最低（11.3/10万），支出占GDP的8.9%。哥伦比亚的预期寿命为79.6岁，死亡率为12.7/10万，支出为6.4%，而尼加拉瓜的投资最低（5.8%），预期寿命最低（74.8岁），发病率最高（20.6岁），死亡率最高（11.5岁）。预期寿命与发病率（r = - 0.97）和死亡率（r = - 0.81）呈显著负相关，但与公共支出呈弱相关（r≈- 0.13）。结论宫颈癌预防项目的有效性主要取决于法律力量和战略方向，而不是投资规模。加强立法、优先考虑初级保健以及扩大筛查和疫苗接种是在拉丁美洲消除这一可预防疾病的关键。

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引用次数: 0

La prescripción de medicamentos en los equipos de atención primaria: el reto de la multidisciplinariedad y la seguridad del paciente 初级保健小组开药：多学科和患者安全的挑战

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1016/j.aprim.2026.103449

Lourdes Luzón-Oliver , María Pilar Astier-Peña

引用次数: 0

¿Es viable el modelo de realización de actividades preventivas en atención primaria en el contexto actual? [初级保健中的预防活动模式在当前情况下可行吗？］

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-02-10 DOI: 10.1016/j.aprim.2026.103461

Rosa María Añel Rodríguez , Asensio López Santiago , Verónica Casado Vicente

引用次数: 0

County-specific HPV epidemiology and risk factors in remote Northwestern China: A community-based study 中国西北偏远地区县域HPV流行病学及危险因素：一项基于社区的研究

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.1016/j.aprim.2025.103417

Tali Hayuehashi , Yan Wang

引用次数: 0

Atención primaria ante la epidemia de obesidad y diabetes: un reto integral y preventivo [面对肥胖和糖尿病流行的初级保健：一个综合和预防性的挑战]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aprim.2025.103330

Teresa Lagrú Romero , Cinthya Lorena Machado Pérez

引用次数: 0

La mirada del alumnado de medicina hacia la tutorización longitudinal en atención primaria 医学学生对初级保健纵向辅导的看法

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.1016/j.aprim.2025.103394

Yoseba Cánovas Zaldúa , Francesc Alòs , Silvia Güell Parnau , Raquel Gayarre Aguado

引用次数: 0

Trombosis venosa superficial, una imagen necesaria [浅静脉血栓形成，必要影像]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aprim.2025.103338

David Morena López , Laura Calvo Carrasco , María Morena López

引用次数: 0

Inteligencia artificial y desinformación en salud: la necesidad de reeducación desde la atención primaria [卫生领域的人工智能和虚假信息：初级保健再教育的必要性]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-02-16 DOI: 10.1016/j.aprim.2026.103460

Valle Coronado-Vázquez , Regina Allande-Cussó , Rafael A. Caparrós-González , Juan Gómez-Salgado

The use of generative artificial intelligence (AI) is transforming the way people access health information, offering great opportunities but also posing risks related to misinformation. Its impact is particularly evident among individuals with low digital or health literacy, which may exacerbate existing inequalities. A review of recent literature highlights the need for an ethical and critical approach to AI use, driven by Primary Care as a key space for trust and education. Healthcare professionals, together with patients and the community, should engage in training strategies and programs that promote the responsible use of these tools. Although AI enhances accessibility and informational efficiency, it also requires constant oversight to prevent biases and errors. Primary Care is positioned as the central axis for leading an ethical and equitable use of this technology.

生成式人工智能（AI）的使用正在改变人们获取卫生信息的方式，提供了巨大的机会，但也带来了与错误信息相关的风险。其影响在数字或卫生知识普及程度较低的个人中尤为明显，这可能加剧现有的不平等现象。对近期文献的回顾强调，需要在初级保健作为信任和教育的关键领域的推动下，对人工智能的使用采取道德和批判性的方法。医疗保健专业人员，以及患者和社区，应该参与促进负责任地使用这些工具的培训策略和计划。虽然人工智能提高了可访问性和信息效率，但它也需要不断的监督，以防止偏见和错误。初级保健被定位为引导道德和公平使用这项技术的中轴线。

引用次数: 0

Inicio de lactancia materna y contacto piel con piel en países de Latinoamérica [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 : 2026-03-01 Epub 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

Validación del cuestionario de calidad relacional y profesional QRP-45: una nueva herramienta conversacional para una nueva cultura de amabilidad integral en el ámbito sanitario QRP-45关系和专业质量问卷的验证：一种新的对话工具，用于在卫生保健中建立全面友好的新文化

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.aprim.2025.103418

Salvador García-Sánchez , Sara Fernández LLull , Gemma Rodriguez Fuertes , Nuria Prat , Carmen Cabezas , Josep Vidal-Alaball

Objective

The objective of this study is to psychometrically validate the QRP-45 questionnaire to use it in participatory survey-feedback processes in Primary Care Centres.

Design

Cross-sectional psychometric validation study.

Setting

Primary Care Centres in Central Catalonia.

Participants

Healthcare professionals from the primary care centers and professionals from the central support services of the Institut Català de la Salut (ICS), within the Gerència de Atenció Primària i a la Comunitat de la Catalunya Central.

Interventions

Implementation of the QRP-45 questionnaire as part of an intervention aimed at developing organisational culture through four interconnected phases: discover, yearn, act and anchor. The questionnaire was applied in the first and second phases.

Main Measurements

Psychometric evaluation including content analysis (I-CVI and S-CVI-Ave indices), construct validity (exploratory factor analysis), criterion validity (convergent, discriminant, and predictive validity), consistency (Cronbach's alpha and McDonald's omega) and reliability (intraclass correlation coefficient).

Results

The analyses indicate that the QRP-45 has adequate reliability and factorial validity, making it a useful tool for measuring relational and professional quality in healthcare settings. Some limitations and areas for improvement were identified for its interpretation and future development.

Conclusions

The QRP-45 is a suitable and useful questionnaire for use in organisational improvement processes through survey-feedback in Primary Care, contributing to the evaluation of relational and professional quality in this context.

目的本研究的目的是对QRP-45问卷进行心理计量学上的验证，以便在初级保健中心的参与式调查反馈过程中使用。设计横断面心理测量验证研究。在加泰罗尼亚中部设立初级保健中心。参与者：来自初级保健中心的保健专业人员和来自加泰罗尼亚中央政府Atenció Primària内的加泰罗尼亚卫生研究所（ICS）中央支助服务部门的专业人员。干预实施QRP-45问卷，作为干预的一部分，旨在通过四个相互关联的阶段：发现、向往、行动和锚定来发展组织文化。第一阶段和第二阶段采用问卷调查。心理计量学评价包括内容分析（I-CVI和S-CVI-Ave指标）、结构效度（探索性因子分析）、效度（收敛效度、判别效度和预测效度）、一致性（Cronbach’s alpha和McDonald’s omega）和信度（类内相关系数）。结果QRP-45具有足够的信度和析因效度，可作为衡量医疗卫生机构关系质量和专业质量的有效工具。为其解释和未来发展确定了一些限制和需要改进的领域。结论QRP-45是一份适合和有用的问卷，用于通过调查反馈在初级保健组织改进过程中使用，有助于在这种情况下评估关系和专业质量。

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引用次数: 0

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