Trastornos somatomorfos en la atención primaria: Características psicosociales y resultados de una propuesta de consejería familiar

Y, Nieves Schade; C, Angélica González; Beyebach, Mark; C, Patricio Torres

doi:10.4067/s0717-92272010000200003

Cited by 8 publications

(20 citation statements)

References 10 publications

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“…There is no polyconsultant patient homogeneous pro le. However, several studies agree that poly-consultant users correspond mostly to women who own a home (without "formal" paid work), with an average age of 42 years, incomplete primary or average education, married, and with some chronic disease (22).…”

Section: -Results and Discussionmentioning

confidence: 99%

“…As well as the epistemological problem that affects the care, diagnosis and treatment of conditions classi ed as somatization disorders, the literature reports, with a full agreement level, that such bene ts generate economic disadvantages, make public care systems more expensive and more burdensome, reaching an international prevalence in primary care around 15-22% (3) (22). This global observation is particularly sensitive to Chile due to the conditions of its public health system.…”

Section: -The Chilean Healthcare System's Transformationsmentioning

confidence: 99%

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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: -Results and Discussionmentioning

confidence: 99%

Section: -The Chilean Healthcare System's Transformationsmentioning

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

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“…Recientemente, se implementó un modelo de consejería familiar, denominado Abordaje Familiar Breve, evaluando sus resultados en 128 / 122 / Revista de Psicología de la Universidad de Chile pacientes con trastornos somatomorfos atendidos en siete Centros de Salud Familiar de la red de atención primaria, región del bio-bío (Schade et al, 2010). el modelo recoge las premisas del enfoque de salud familiar, trabajando con el supuesto de que los pacientes tienen recursos y fuerzas suficientes para resolver sus problemas.…”

Section: Familias Con Un Hijo Autistaunclassified

“…aunque comparten estos núcleos teóricos que dan cuerpo a la noción de resiliencia, la resiliencia individual tiene sus raíces en el estudio de la psicopatología evolutiva versus el desarrollo exitoso (luthar et al, 2000), mientras que la resiliencia familiar se ancla en los estudios de terapia familiar y afrontamiento del estrés familiar (Kalil, 2003), mostrando un elevado potencial heurístico para la articulación teórica en la intervención clínica y psicosocial con familias altamente vulnerables (gómez, Muñoz & Haz, 2007;Sousa, 2008) y en el enriquecimiento de los nuevos modelos de atención en salud familiar (Schade, gonzález, beyebach, & torres, 2010).…”

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Resiliencia Familiar: un enfoque de investigación e intervención con familias multiproblemáticas

Gómez¹,

Kotliarenco²

2010

RevPsicología

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Resumen en este artículo se presenta el concepto resiliencia familiar, revisando sus antecedentes históricos, desarrollos actuales y posibles aplicaciones en el campo de la intervención clínica, psicosocial y de salud con familias altamente vulnerables. este enfoque permite articular los aportes teóricos y empíricos de campos hasta ahora inconexos, como las ciencias del desarrollo, la terapia familiar y la intervención biopsicosocial con familias y niños vulnerables. Se distingue entre el riesgo crónico, la crisis significativa o la tensión familiar, en cuya presencia se activan procesos de resiliencia diferentes. la resiliencia familiar se define como el conjunto de procesos de reorganización de significados y comportamientos que activa una familia sometida a estrés para recuperar y mantener niveles óptimos de funcionamiento y bienestar, equilibrando sus recursos y necesidades familiares. Quedan numerosos aspectos metodológicos que resolver, como evaluar familias integralmente, la necesidad de estudios longitudinales y de investigación especialmente diseñada a partir de este enfoque.Palabras Clave: resiliencia familiar, estrés familiar, crisis familiar, familias multiproblemáticas, intervención.

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“…Estos pacientes son considerados como "hiperfrecuentadores" o "policonsultantes", ya que asisten y utilizan los servicios de salud en forma frecuente, gastando importantes cantidades de hora profesional y recursos económicos significativos. Un 30% del total de pacientes consume un 80% de las consultas de los centros de salud 6,7 .…”

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Trastorno somatomorfo: resolutividad en la atención primaria

Riquelme¹,

Y²

2013

Rev. chil. neuro-psiquiatr.

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This paper aims to describe the response capacity of primary care to meet the needs that patients with somatoform disorders. Knowing the type of care delivered and the perception that these patients have about the care provided. The sample consists of 25 patients from three primary care centers in the commune of Chillán. Patients perceive that their health claims are resolved only sometimes in the primary care center, despite considerable human resource costs, and drug tests. The results are discussed in relation to the limitations presented and projections.

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Trastornos somatomorfos en la atención primaria: Características psicosociales y resultados de una propuesta de consejería familiar

Cited by 8 publications

References 10 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

Resiliencia Familiar: un enfoque de investigación e intervención con familias multiproblemáticas

Trastorno somatomorfo: resolutividad en la atención primaria

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