Atención primaria en el domicilio en el marco de la pandemia COVID-19

Cortés, Juan José Baztán; Sánchez, Carolina Mir; Pajares, Pilar Regato

doi:10.1016/j.aprim.2020.12.004

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…Presently, a great number of the notified COVID-19 cases are mild. Therefore, the diagnosis and follow-up of the mild cases, as well as their epidemiological monitoring, must be conducted in PC, in a coordinated manner with public health and preventive medicine services [ 11 ]. The PC professionals have made great efforts to monitor the community cases, as well as those from residential homes [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Telephone-Based Structured Communication Simulation Program for the Follow-Up of COVID-19 Cases and Contacts in Primary Care

Adánez-Martínez

Jiménez‐Ruiz

Carrillo‐Garcia

et al. 2022

IJERPH

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(1) The COVID-19 pandemic has had many consequences on health systems worldwide. In the Spanish health system, telephone-based consultations were coupled to in-person consultations. This type of consultation was mainly a challenge for the primary care teams, who had to assume the greatest load of care provision. The objective of the present study was to discover the satisfaction and perception of health professionals related to a training program on efficient communication based on high-fidelity simulation. (2) Methods: A cross-sectional descriptive study based on a convergent and parallel mixed method. The satisfaction and perception of 275 health professionals associated with COVID-19 training based on the structured communication model CERCAR© was analyzed. (3) Results: The assessment of the satisfaction with the training and methodology was high. With respect to the transfer of information, the participants gave a high score to the categories of consolidation of learning, applicability to their work, and benefits for the institution. The qualitative results supported these findings. (4) Conclusions: The training program and its virtual modality were well received, and had a high degree of transference. The application of active, online learning methodologies is a relevant format for continuous education.

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Section: Introductionmentioning

confidence: 99%

Telephone-Based Structured Communication Simulation Program for the Follow-Up of COVID-19 Cases and Contacts in Primary Care

Adánez-Martínez

Jiménez‐Ruiz

Carrillo‐Garcia

et al. 2022

IJERPH

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show abstract

“…These forms of contact have demonstrated to be effective and necessary in order to improve patient care, especially those who have more risk and complexity. However, face to face primary and hospital care contacts have been reduced during pandemic times, although they have remained high and experiencing huge backlogs as observed in more recent studies [ 57 – 59 ].…”

Section: Discussionmentioning

confidence: 99%

Comorbidities and use of health services in people with diabetes mellitus according to risk levels by adjusted morbidity groups

Barrio-Cortes,

Mateos-Carchenilla,

Martínez-Cuevas

et al. 2024

BMC Endocr Disord

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Background People with diabetes mellitus frequently have other comorbidities and involve greater use of primary and hospital care services. The aim of this study was to describe the comorbidities and use of primary and hospital care services of people with diabetes according to their risk level by adjusted morbidity groups (AMG) and to analyse the factors associated with the utilisation of these services. Methods Cross-sectional study. People with diabetes were identified within the population of patients with chronic conditions of an urban health care centre by the AMG stratification tool integrated into the primary health care electronic clinical record of the Community of Madrid. Sociodemographic, functional, clinical characteristics and annual health care services utilisation variables were collected. Univariate, bivariate and Poisson regression analyses were performed. Results A total of 1,063 people with diabetes were identified, representing 10.8% of patients with chronic conditions within the health centre. A total of 51.4% were female, the mean age was 70 years, 94.4% had multimorbidity. According to their risk level, 17.8% were high-risk, 40.6% were medium-risk and 41.6% were low-risk. The most prevalent comorbidities were hypertension (70%), dyslipidaemia (67%) and obesity (32.4%). Almost 50% were polymedicated. Regarding health services utilisation, 94% were users of primary care, and 59.3% were users of hospital care. Among the main factors associated with the utilisation of both primary and hospital care services were AMG risk level and complexity index. In primary care, utilisation was also associated with the need for primary caregivers, palliative care and comorbidities such as chronic heart failure and polymedication, while in hospital care, utilisation was also associated with comorbidities such as cancer, chronic obstructive pulmonary disease or depression. Conclusions People with diabetes were older, with important needs for care, many associated comorbidities and polypharmacy that increased in parallel with the patient’s risk level and complexity. The utilisation of primary and hospital care services was very high, being more frequent in primary care. Health services utilization were principally associated with functional factors related to the need of care and with clinical factors such as AMG medium and high-risk level, more complexity index, some serious comorbidities and polymedication.

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“…Sin embargo, es pertinente hacer mención que la atención domiciliaria también cumple otros propósitos descritos en la literatura diferentes a la detección y contención de la enfermedad, a saber: seguimiento de las personas infectadas y sus familias, evaluación de personas mayores, pacientes con enfermedades terminales o con enfermedades crónicas, educación para la salud a los pacientes y la comunidad; disminuyendo las hospitalizaciones y las muertes por COVID-19. 20,21 Finalmente, la investigación encontró que la disponibilidad de centro de triaje propio no fue un factor relacionado a la incidencia acumulada registrada en los municipios de la Región Sanitaria Departamental de Ocotepeque. Estos hallazgos no concordaron con lo esperado teóricamente por la OMS en cuanto al rol de los centros de triaje en la detección de casos de enfermedades infecciosas respiratorias.…”

Section: Discussionunclassified

Relación entre la respuesta de los servicios sanitarios y la incidencia de COVID-19, Ocotepeque, Honduras

Hernández¹,

Valladares²

2022

Rev Méd Hondur

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Antecedentes: La respuesta de los servicios sanitarios es de vital importancia frente a las necesidades emergentes de la población, ya que puede determinar el impacto de una infección de nueva aparición, como la COVID-19. Objetivo: Analizar la respuesta de los servicios de salud públicos ante la pandemia y su relación con la incidencia de COVID-19, Región Sanitaria Departamental de Ocotepeque, Honduras, 2020-2021. Métodos: Estudio cuantitativo, con diseño ecológico. La unidad de análisis incluyó los 16 municipios del Departamento de Ocotepeque. Se obtuvo la información sobre las variables de morbimortalidad, capacidad de detección e infraestructura sanitaria de la base de datos de la Unidad de Vigilancia en Salud Regional. Resultados: La Región Sanitaria Departamental de Ocotepeque presentó una incidencia acumulada de 199.7 casos de COVID-19 por cada 10,000 habitantes en el periodo del estudio. La capacidad de detección laboratorial presentó una correlación positiva fuerte de tipo logarítmica con la incidencia de COVID-19 reportada en los municipios (Rho de Spearman=0.91; p<0.01). La atención domiciliaria (Rho de Spearman=0.09; p=0.729) y la disponibilidad de centro de triaje propio (p=0.181) no fueron factores relacionados con la incidencia de la enfermedad registrada en los municipios. Discusión: Solo la capacidad de detección laboratorial mostró correlación a nivel ecológico con la incidencia por COVID-19 registrada. Es necesario realizar investigaciones adicionales que sostengan o redefinan el rol que desempeñan la atención domiciliaria y los centros de triaje, como estrategias de detección y contención para enfermedades pandémicas en el contexto de países de bajos y medianos ingresos.

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Atención primaria en el domicilio en el marco de la pandemia COVID-19

Cited by 6 publications

References 3 publications

Telephone-Based Structured Communication Simulation Program for the Follow-Up of COVID-19 Cases and Contacts in Primary Care

Telephone-Based Structured Communication Simulation Program for the Follow-Up of COVID-19 Cases and Contacts in Primary Care

Comorbidities and use of health services in people with diabetes mellitus according to risk levels by adjusted morbidity groups

Relación entre la respuesta de los servicios sanitarios y la incidencia de COVID-19, Ocotepeque, Honduras

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