¿Sería útil la depuración de los trastornos mentales comunes en pacientes hiperfrecuentadores de servicios de salud en cuidado primario?

Rincón-Hoyos, Hernán G.; Rodríguez-López, Mérida; Ruiz, Ana María Villa; Hernández, Carlos Martínez

doi:10.1016/s0034-7450(14)60051-2

Cited by 7 publications

(7 citation statements)

References 27 publications

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“…In the same sense, when analyzing the most frequent mental disorders present in PC, it could be inferred that they are under-diagnosed in the clinic. This, if we by contrast patients diagnosed with depression, anxiety, or mixed anxiety-depressive disorder records, 5.6% had been diagnosed with depression, 6.3% with anxiety in the clinical history, and 8.5% with mixed anxiety-depressive disorders (23).…”

Section: Discussionmentioning

confidence: 88%

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Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study.

Sánchez

López

Retamales

et al. 2020

Preprint

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Background: In Europe, Latin-America, and Asia, poly-consultation has become a complex problem for the management of different healthcare systems. However, in the current literature, little attention has been paid to exploring perspectives of territorial and critical analysis to manage unexplained symptoms.The purpose of this study is to analyze the socio-structural elements that underlie the users’ phenomenon of poly-consultation or hyperfrequency in the Chilean primary healthcare system (PHCS). Methods: This paper represents qualitative data collected as part of an exploratory study that used mixed methods across three metropolitan areas of Santiago, Valparaíso, and Concepción, Chile. The study involved a sample of 24 subjects from administrative and management positions in PHC who were recruited from Family Health Care Centers, considering urban municipalities from the low, medium, and high stratum.The study collected data using one set of semi-standardized interviews during a year. Data analysis used an qualitative content analysis. Results: This article shows that poly-consultant patients provide a critical clinic category to management and mental health model (foreshadowing a social topology base that promotes a determinate unspecific and diffuse experience on users) that cannot be cover by current biomedical models. Data showed the strain of a somatoform clinic category, especially in the clinic and epistemological exercise, and, also, the relevance of particularities of Chile, a country with a mixed health system characteristics and their effects: the naturalization of collective problems managed as individual problems. Conclusions: Results from the study have the potential to inform healthcare professionals and managers of strategies for developing effective and territorially based. We conclude that hyperfrequency and poly-consultation in Chile reveal relevant stratification in the territory who has particularities than could be studied from a quantitative perspective.

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Section: Discussionmentioning

confidence: 88%

“…Anxiety also occurred as a symptom or syndrome in 13.3% of the cases. On this basis, 55.2% of patients tested positive for mental symptoms or syndromes that had not presented in clinical history (23). Clara Han (24), relates this as depression from time to time, thinking from a socio-structural perspective.…”

Section: Discussionmentioning

confidence: 99%

Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study.

Sánchez

López

Retamales

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Together, these three factors would explain two-thirds of the total phenomenon. In the very same sense, when analyzing most frequent mental disorders present in PC, it could be inferred that these are under-diagnosed in the clinic, by contrasting patients diagnosed with depression, anxiety or mixed anxiety-depressive disorder records, 5.6% had been diagnosed with depression, 6.3% with anxiety in the clinical history and 8.5% with mixed anxietydepressive disorders (19).…”

Section: -Results and Discussionmentioning

confidence: 98%

“…Anxiety also occurred as a symptom or syndrome in 13.3% of the cases. On this basis, 55.2% of patients tested positive for mental symptoms or syndromes that had not been reported in clinical history (19). Clara Han (20), relates this as a depression to time to time, thinking in socio-structural perspective.…”

Section: -Results and Discussionmentioning

confidence: 99%

Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study

Sánchez

López

Retamales

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: In Europe, Latin-America, and Asia, poly-consultation has become a complex problem for the management of different healthcare systems. However, in the current literature, little attention has been paid to exploring perspectives of territorial and critical analysis to manage unexplained symptoms.The purpose of this study is to analyze the socio-structural elements that underlie the users’ phenomenon of poly-consultation or hyperfrequency in the Chilean primary healthcare system (PHCS). Methods: This paper represents qualitative data collected as part of an exploratory study that used mixed methods across three metropolitan areas of Santiago, Valparaíso, and Concepción, Chile. The study involved a sample of 24 subjects from administrative and management positions in PHC who were recruited from Family Health Care Centers, considering urban municipalities from the low, medium, and high stratum.The study collected data using one set of semi-standardized interviews during a year. Data analysis used an qualitative content analysis.Results: This article shows that poly-consultant patients provide a critical clinic category to management and mental health model (foreshadowing a social topology base that promotes a determinate unspecific and diffuse experience on users) that cannot be cover by current biomedical models. Data showed the strain of a somatoform clinic category, especially in the clinic and epistemological exercise, and, also, the relevance of particularities of Chile, a country with a mixed health system characteristics and their effects: the naturalization of collective problems managed as individual problems. Conclusions: Results from the study have the potential to inform healthcare professionals and managers of strategies for developing effective and territorially based. We conclude that hyperfrequency and poly-consultation in Chile reveal relevant stratification in the territory who has particularities than could be studied from a quantitative perspective.

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“…En cuanto a la asociación de la ansiedad-depresión con la hiperfrecuentación, nuestros resultados son similares a reportes previos internacionales (1,8,26,27) . Así mismo, una alta prevalencia de estos trastornos se observó en casos de la misma institución en 2007 (28) , aunque aquel estudio no tuvo grupo control para determinar medidas de riesgo. Es posible que la presencia de ansiedaddepresión produzca cambios en la autopercepción de salud y que al percibirse muy enfermos, estos pacientes decidan superar sus barreras de acceso.…”

Section: Discussionunclassified

Perfil del paciente hiperfrecuentador y su asociación con el trastorno ansioso depresivo en servicios de atención primaria de Cali, Colombia

Rodríguez-López

Arrivillaga

Holguín

et al. 2016

Rev Peru Med Exp Salud Publica

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¿Sería útil la depuración de los trastornos mentales comunes en pacientes hiperfrecuentadores de servicios de salud en cuidado primario?

Abstract: Considering hyper-frequenters in health care services as a risk group in terms of common mental disorders involves screening as an efficient strategy to prevent abuse in service use and to improve satisfaction with the attention received.

Cited by 7 publications

References 27 publications

Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study.

Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study.

Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study

Perfil del paciente hiperfrecuentador y su asociación con el trastorno ansioso depresivo en servicios de atención primaria de Cali, Colombia

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