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Bartolomé-Moreno C, Córdoba R, Melús-Palazón E. [Social, commercial and environmental determinants of health: The challenge of promotion and prevention]. Aten Primaria 2024; 56:102852. [PMID: 38241855 PMCID: PMC10825482 DOI: 10.1016/j.aprim.2023.102852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2024] Open
Affiliation(s)
- Cruz Bartolomé-Moreno
- Medicina de familia del Centro de Salud Parque Goya, Servicio Aragonés de Salud. Unidad Docente Multiprofesional de Atención Familiar y Comunitaria del sector Zaragoza 1. Grupo cáncer del PAPPS, Zaragoza, España.
| | - Rodrigo Córdoba
- Medicina de familia, Servicio Aragonés de Salud. Grupo estilos de vida del PAPPSS, Zaragoza, España
| | - Elena Melús-Palazón
- Medicina de familia del Centro de Salud Actur Oeste, Servicio Aragonés de Salud. Unidad Docente Multiprofesional de Atención Familiar y Comunitaria del sector Zaragoza 1. Grupo cáncer del PAPPS, Zaragoza, España
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Pola-Garcia M, Carrera Noguero AM, Astier-Peña MP, Mira JJ, Guilabert-Mora M, Cassetti V, Melús-Palazón E, Gasch-Gallén A, Benedé Azagra CB. Social Prescribing Schemes in Primary Care in Spain (EvalRA Project): a mixed-method study protocol to build an evaluation model. BMC Prim Care 2023; 24:220. [PMID: 37880601 PMCID: PMC10598937 DOI: 10.1186/s12875-023-02164-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 09/28/2023] [Indexed: 10/27/2023]
Abstract
BACKGROUND Social Prescribing is a Primary Health Care service that provides people with non-clinical care alternatives that may have an impact on their health. Social Prescribing can be more or less formal and structured. Social Prescribing Schemes are formal Social Prescribing of health assets by Primary Health Care teams in coordination and follow-up of patients with providers. The emerging evidence suggests that this service can improve people's health and well-being, create value and provide sustainability for the healthcare system. However, some evaluations note that the current evidence regarding social prescribing is insufficient and needs further investigation. The EvaLRA project aims to elaborate an evaluation model of Social Prescribing Schemes in Primary Health Care based on a set of structure, process, and outcomes indicators. METHODS In the region of Aragon, the Community Health Care Strategy aims to promote the development of social prescription schemes in Primary Health Care teams. This study is divided into two stages. Stage 1: identification of primary health care teams that implement social prescribing schemes and establish a first set of indicators to evaluate social prescribing using qualitative consensus techniques with experts. Stage 2 evaluation of the relevance, feasibility and sensitivity of selected indicators after 6 and 12 months in primary health care teams. The results will provide a set of indicators considering structure, process and outcomes for social prescribing schemes. DISCUSSION Current evaluations of the application of social prescribing schemes use different criteria and indicators. A set of agreed indicators and its piloting in primary health care teams will provide a tool to evaluate the implementation of social prescription schemes. In addition, the scorecard created could be of interest to other health systems in order to assess the service and improve its information system, deployment and safety.
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Affiliation(s)
- M Pola-Garcia
- Servicio Aragonés de Salud, Zaragoza, Spain.
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain.
| | - A M Carrera Noguero
- Servicio Aragonés de Salud, Zaragoza, Spain
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Programa Actividades Comunitarias en Atención Primaria (PACAP), Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC), Barcelona, Spain
| | - M P Astier-Peña
- Servicio Aragonés de Salud, Zaragoza, Spain
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Unidad Territorial de Calidad, Dirección Territorial del Camp de Tarragona, Institut Català De La Salut, Tarragona, Spain
- FEPS, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Wonca World Executive Board, Brussels, Belgium
- Grupo de trabajo de Seguridad del Paciente, Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC), Barcelona, Spain
| | - J J Mira
- Departmento Psicología de la Salud, Universidad Miguel Hernandez, Alicante, Spain
- Grupo de Investigación Atenea, Fundación para la Investigación Biomédica de la Comunidad Valenciana (FISABIO), Alicante, Spain
- Calité Investigación, Universidad Miguel Hernandez, Alicante, Spain
- Departamento de Salud Alicante-San Juan de Alicante, Alicante, Spain
| | - M Guilabert-Mora
- Departmento Psicología de la Salud, Universidad Miguel Hernandez, Alicante, Spain
- Calité Investigación, Universidad Miguel Hernandez, Alicante, Spain
| | - V Cassetti
- Universidad Internacional de Valencia (VIU), Valencia, Spain
- Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Indepent research, Affiliated researcher to the Unesco Chair in Global Health and Education, London, UK
| | - E Melús-Palazón
- Servicio Aragonés de Salud, Zaragoza, Spain
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Grupo Aragonés de Investigación en Atención Primaria B21_23R, Gobierno de Aragón, Zaragoza, Spain
- Departamento de Medicina, Psiquiatría y Dermatología, Universidad de Zaragoza, Zaragoza, Spain
| | - A Gasch-Gallén
- Grupo Aragonés de Investigación en Atención Primaria B21_23R, Gobierno de Aragón, Zaragoza, Spain
- Departamento de Fisiatria y Enfermería, Universidad de Zaragoza, Zaragoza, Spain
- Grupo GIIS094, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
| | - C B Benedé Azagra
- Servicio Aragonés de Salud, Zaragoza, Spain
- Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain
- Programa Actividades Comunitarias en Atención Primaria (PACAP), Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC), Barcelona, Spain
- Grupo Aragonés de Investigación en Atención Primaria B21_23R, Gobierno de Aragón, Zaragoza, Spain
- Estrategia de Atencion Comunitaria en el Sistema de Salud de Aragon Atencion Primaria. Servicio Aragones de Salud, Departamento de Sanidad, Gobierno de Aragon, Zaragoza, Spain
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3
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Marzo-Castillejo M, Bartolomé-Moreno C, Bellas-Beceiro B, Melús-Palazón E, Vela-Vallespín C. [PAPPS Expert Groups. Cancer prevention recommendations: Update 2022]. Aten Primaria 2022; 54 Suppl 1:102440. [PMID: 36435580 PMCID: PMC9705215 DOI: 10.1016/j.aprim.2022.102440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Accepted: 06/28/2022] [Indexed: 11/24/2022] Open
Abstract
Cancer is a major cause of morbidity and mortality. Tobacco use, unhealthy diet, and physical inactivity are some of the lifestyle risk factors that have led to an increase in cancer. This article updates the evidence and includes recommendations for prevention strategies for each of the cancers with the highest incidence. These are based on the reduction of risk factors (primary prevention) and early diagnosis of cancer through screening and early detection of signs and symptoms, in medium-risk and high-risk populations. This update of the 2022 PAPPS has taken into account the vision of the National Health System Cancer Strategy, an update approved by the Interterritorial Council of the National Health System on January 2021 and the European Strategy (Europe's Beating Cancer Plan) presented on 4 February 2021.
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Affiliation(s)
- Mercè Marzo-Castillejo
- Unitat de Suport a la Recerca Metropolitana Sud, IDIAP Jordi Gol, Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, Barcelona, España.
| | - Cruz Bartolomé-Moreno
- Centro de Salud Parque Goya de Zaragoza y Unidad Docente de Atención Familiar y Comunitaria Sector Zaragoza I, Servicio Aragonés de Salud, Zaragoza, España
| | - Begoña Bellas-Beceiro
- Unidad Docente de Atención Familiar y Comunitaria La Laguna-Tenerife Norte, Complejo Hospitalario Universitario de Canarias, La Laguna, Santa Cruz de Tenerife, España
| | - Elena Melús-Palazón
- Centro de Salud Actur Oeste de Zaragoza y Unidad Docente de Atención Familiar y Comunitaria Sector Zaragoza I, Servicio Aragonés de Salud, Zaragoza, España
| | - Carmen Vela-Vallespín
- ABS del Riu Nord i Riu Sud, Institut Català de la Salut, Santa Coloma de Gramenet, Barcelona, España
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Pérula-de Torres LÁ, Verdes-Montenegro-Atalaya JC, Melús-Palazón E, García-de Vinuesa L, Valverde FJ, Rodríguez LA, Lietor-Villajos N, Bartolomé-Moreno C, Moreno-Martos H, García-Campayo J, González-Santos J, Rodríguez-Fernández P, León-del-Barco B, Soto-Cámara R, González-Bernal JJ. Comparison of the Effectiveness of an Abbreviated Program versus a Standard Program in Mindfulness, Self-Compassion and Self-Perceived Empathy in Tutors and Resident Intern Specialists of Family and Community Medicine and Nursing in Spain. Int J Environ Res Public Health 2021; 18:4340. [PMID: 33923868 PMCID: PMC8073262 DOI: 10.3390/ijerph18084340] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 04/12/2021] [Accepted: 04/14/2021] [Indexed: 11/16/2022]
Abstract
Health professionals are among the most vulnerable to work stress and emotional exhaustion problems. These health professionals include tutors and resident intern specialists, due to the growing demand for the former and the high work overload of the latter. Mindfulness training programs can support these professionals during times of crisis, such as the current global pandemic caused by the coronavirus-19 disease. The objective of this study was to compare the effectiveness of an abbreviated Mindfulness-Based Stress Reduction (MBSR) and Mindful Self-Compassion (MSC) training program in relation to a standard training program on the levels of mindfulness, self-compassion, and self-perceived empathy in tutors and resident intern specialists of Family and Community Medicine and Nursing. A total of 112 professionals attached to six Spanish National Health System teaching units (TUs) participated in this randomized and controlled clinical trial. Experimental Group (GE) participants were included in the standard or abbreviated MBSR programs. The Five Facet Mindfulness Questionnaire (FFMQ), the Self-Compassion Scale short form (SCS-SF), and the Jefferson Scale of Physician Empathy (JSPE) were administered three times during the study: before, immediately after, and 3 months after the intervention. Adjusted covariance analysis (ANCOVA), using pretest scores as the covariate, showed a significant increase in mindfulness (F(2,91) = 3.271; p = 0.042; η2 = 0.067) and self-compassion (F(2,91) = 6.046; p = 0.003; η2 = 0.117) in the post-test visit, and in self-compassion (F(2,79) = 3.880; p = 0.025; η2 = 0.089) in the follow-up visit, attributable to the implementation of the standard training program. The standard MBSR and MSC training program improves levels of mindfulness and self-compassion, and promotes long-lasting effects in tutors and resident intern specialists. New studies are needed to demonstrate the effectiveness of abbreviated training programs.
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Affiliation(s)
- Luis Ángel Pérula-de Torres
- Multi-Professional Teaching Unit for Family and Community Care of Córdoba, Healthcare District of Córdoba and Guadalquivir, Institute Maimónides of Research Córdoba (Imibic), Reina Sofía University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | | | - Elena Melús-Palazón
- Family and Community Medicine Teaching Department of Zaragoza Sector 1, 5018 Zaragoza, Spain; (E.M.-P.); (C.B.-M.)
| | - Leonor García-de Vinuesa
- Multi-Professional Teaching Unit for Family and Community Care of Córdoba, Healthcare District of Córdoba and Guadalquivir, 14001 Córdoba, Spain;
| | | | - Luis Alberto Rodríguez
- Family and Community Medicine Teaching Department of Ponferrada, Ponferrada, 24400 León, Spain;
| | - Norberto Lietor-Villajos
- Family and Community Medicine Teaching Department of Jaen, 23007 Jaen, Spain; (F.J.V.); (N.L.-V.)
| | - Cruz Bartolomé-Moreno
- Family and Community Medicine Teaching Department of Zaragoza Sector 1, 5018 Zaragoza, Spain; (E.M.-P.); (C.B.-M.)
| | - Herminia Moreno-Martos
- Multi-Professional Teaching Unit for Family and Community Care of Almería, 04009 Almería, Spain;
| | | | - Josefa González-Santos
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (P.R.-F.); (J.J.G.-B.)
| | | | - Benito León-del-Barco
- Department of Psychology, Faculty of Teacher Training College, University of Extremadura, 10071 Caceres, Spain;
| | - Raúl Soto-Cámara
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (P.R.-F.); (J.J.G.-B.)
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Marzo-Castillejo M, Vela-Vallespín C, Bellas-Beceiro B, Bartolomé-Moreno C, Ginés-Díaz Y, Melús-Palazón E. [PAPPS Cancer Expert Group. Cancer Prevention Recommendations. 2020 PAPPS update]. Aten Primaria 2021; 52 Suppl 2:44-69. [PMID: 33388117 PMCID: PMC7801199 DOI: 10.1016/j.aprim.2020.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 09/09/2020] [Indexed: 02/07/2023] Open
Abstract
El cáncer es una de las principales causas de morbilidad y mortalidad. El consumo de tabaco, la dieta poco saludable, la inactividad física son algunos de los factores de riesgo que forman parte del estilo de vida y que han provocado un aumento del cáncer. En este artículo se actualizan las evidencias y recomendaciones de las estrategias de prevención para cada uno de los cánceres con mayor incidencia, con base en la disminución de los factores de riesgo (prevención primaria) y en el diagnóstico precoz del cáncer, a través del cribado y la detección temprana de los signos y síntomas, en población de riesgo medio y de riesgo elevado.
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Affiliation(s)
- Mercè Marzo-Castillejo
- Unitat de Suport a la Recerca Metropolitana Sud, IDIAP Jordi Gol, Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, Barcelona, España.
| | - Carmen Vela-Vallespín
- ABS del Riu Nord i Riu Sud, Institut Català de la Salut, Santa Coloma de Gramenet, Barcelona, España
| | - Begoña Bellas-Beceiro
- Unidad Docente de Atención Familiar y Comunitaria La Laguna-Tenerife Norte, Complejo Hospitalario Universitario de Canarias, Santa Cruz de Tenerife, España
| | - Cruz Bartolomé-Moreno
- Centro de Salud Parque Goya de Zaragoza y Unidad Docente de Atención Familiar y Comunitaria Sector Zaragoza I, Servicio Aragonés de Salud, Zaragoza, España
| | | | - Elena Melús-Palazón
- Centro de Salud Actur Oeste de Zaragoza y Unidad Docente de Atención Familiar y Comunitaria Sector Zaragoza I, Servicio Aragonés de Salud, Zaragoza, España
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Pérula-de Torres LA, Atalaya JCVM, García-Campayo J, Roldán-Villalobos A, Magallón-Botaya R, Bartolomé-Moreno C, Moreno-Martos H, Melús-Palazón E, Liétor-Villajos N, Valverde-Bolívar FJ, Hachem-Salas N, Rodríguez LA, Navarro-Gil M, Epstein R, Cabezón-Crespo A, Moreno CMV. Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol. BMC Fam Pract 2019; 20:24. [PMID: 30727962 PMCID: PMC6364464 DOI: 10.1186/s12875-019-0913-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Accepted: 01/25/2019] [Indexed: 12/16/2022]
Abstract
BACKGROUND Health personnel are susceptible to high levels of work stress and burnout due to the psychological and emotional demands of their work, as well as to other aspects related to the organisation of that work. This paper describes the rationale and design of the MINDUUDD study, the aim of which is to evaluate the effectiveness of a mindfulness and self-compassion 4-session programme versus the standard 8-session programme to reduce work stress and burnout in Family and Community Medicine and Nursing tutors and residents. METHODS The MINDUDD study is a multicentre cluster randomised controlled trial with three parallel arms. Six Teaching Units will be randomised to one of the three study groups: 1) Experimental Group-8 (EG8); 2) Experimental Group-4 (EG4) Control group (CG). At least 132 subjects will participate (66 tutors/66 residents), 44 in the EG8, 44 in the EG4, and 44 in the CG. Interventions will be based on the Mindfulness-Based Stress Reduction (MBSR) program, including some self-compassion practices of the Mindful Self-Compassion (MSC) programme. The EG8 intervention will be implemented during 8 weekly face-to-face sessions of 2.5 h each, while the EG4 intervention will consist of 4 sessions of 2.5 h each. The participants will have to practice at home for 30 min/day in the EG8 and 15 min/day in the EG4. The Five Facet Mindfulness Questionnaire (FFMQ), Self-Compassion Scale (SCS), Perceived Stress Questionnaire (PSQ), Maslach Burnout Inventory (MBI), Jefferson Scale of Physician Empathy (JSPE), and Goldberg Anxiety-Depression Scale (GADS) will be administered. Measurements will be taken at baseline, at the end of the programs, and at three months after completion. The effect of the interventions will be evaluated by bivariate and multivariate analyses (Multiple Linear Regression). DISCUSSION If the abbreviated mindfulness programme is at least as effective as the standard program, its incorporation into the curriculum and training plans will be easier and more appropriate. It will also be more easily applied and accepted by primary care professionals because of the reduced resources and means required for its implementation, and it may also extend beyond care settings to academic and teaching environments as well. TRIAL REGISTRATION The study has been registered at ClinicalTrials.gov ( NCT03629457 ; date of registration: 13.08.2018).
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Affiliation(s)
- Luis-Angel Pérula-de Torres
- Clinical and Epidemiological Research Group in Primary Care (GICEAP), IMIBIC/Reina Sofía University Hospital/University of Córdoba, Primary Care Prevention and Health Promotion Research Network (RedIAPP), Family and Community Medicine Teaching Unit of Córdoba, Córdoba, Spain
| | | | - Javier García-Campayo
- Primary Care Prevention and Health Promotion Research Network (RedIAPP), Centre for Biomedical Research Network on Mental Health, Zaragoza, Spain
- Miguel Servet Hospital, University of Zaragoza, Zaragoza, Spain
| | - Ana Roldán-Villalobos
- Clinical and Epidemiological Research Group in Primary Care (GICEAP), IMIBIC/Reina Sofía University Hospital/University of Córdoba. Family and Community Medicine Teaching Unit of Córdoba, Córdoba, Spain
| | - Rosa Magallón-Botaya
- Arrabal Health Centre. Primary Care Prevention and Health Promotion Research Network (RedIAPP), University of Zaragoza, Health Research Institute of Aragón, Zaragoza, Spain
| | | | - Herminia Moreno-Martos
- UGC Almería Periphery. Retamar Health Center, Research Network on Communication and Health (RICyS) of the Program Communication and Health (semFYC), Almería, Spain
| | - Elena Melús-Palazón
- Family and Community Care Teaching Unit of Zaragoza Sector I, Zaragoza, Spain
| | | | | | | | - Luis-Alberto Rodríguez
- Familiar and Community Attention Multiprofessional Teaching Unit of León II, Ponferrada, León, Spain
| | - Mayte Navarro-Gil
- Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain
| | | | | | | | - the collaborative group of the MINDUUDD study
- Clinical and Epidemiological Research Group in Primary Care (GICEAP), IMIBIC/Reina Sofía University Hospital/University of Córdoba, Primary Care Prevention and Health Promotion Research Network (RedIAPP), Family and Community Medicine Teaching Unit of Córdoba, Córdoba, Spain
- Comuneros Health Center, Research Network on Communication and Health (RICyS) of the Communication and Health program (semFYC), Burgos, Spain
- Primary Care Prevention and Health Promotion Research Network (RedIAPP), Centre for Biomedical Research Network on Mental Health, Zaragoza, Spain
- Miguel Servet Hospital, University of Zaragoza, Zaragoza, Spain
- Clinical and Epidemiological Research Group in Primary Care (GICEAP), IMIBIC/Reina Sofía University Hospital/University of Córdoba. Family and Community Medicine Teaching Unit of Córdoba, Córdoba, Spain
- Arrabal Health Centre. Primary Care Prevention and Health Promotion Research Network (RedIAPP), University of Zaragoza, Health Research Institute of Aragón, Zaragoza, Spain
- Family and Community Care Teaching Unit of Zaragoza Sector I, Zaragoza, Spain
- UGC Almería Periphery. Retamar Health Center, Research Network on Communication and Health (RICyS) of the Program Communication and Health (semFYC), Almería, Spain
- Belén Health Centre, Jaén, Spain
- Family and Community Medicine Teaching Unit of Jaén, Jaén, Spain
- Mediterranean Health Centre, Torrecárdenas, Almería, Spain
- Familiar and Community Attention Multiprofessional Teaching Unit of León II, Ponferrada, León, Spain
- Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain
- University of Rochester Medical Center, New York, USA
- Family and Community Medicine Teaching Unit of Burgos, Burgos, Spain
- Family and Community Medicine Teaching Unit of Córdoba. Lucena II Health Centre, Córdoba, Spain
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Marzo-Castillejo M, Vela-Vallespín C, Bellas-Beceiro B, Bartolomé-Moreno C, Melús-Palazón E, Vilarrubí-Estrella M, Nuin-Villanueva M. Recomendaciones de prevención del cáncer. Actualización PAPPS 2018. Aten Primaria 2018; 50 Suppl 1:41-65. [PMID: 29866358 PMCID: PMC6837141 DOI: 10.1016/s0212-6567(18)30362-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Affiliation(s)
- Mercè Marzo-Castillejo
- Especialista en Medicina Familiar y Comunitaria y especialista en Medicina Preventiva y Salud Pública, Unitat de Suport a la Recerca de Costa de Ponent, IDIAP Jordi Gol, Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, Barcelona
| | - Carmen Vela-Vallespín
- Especialista en Medicina Familiar y Comunitaria, EAP Riu Nord i Riu Sud, Santa Coloma de Gramenet, SAP Barcelona Nord i Maresme-ICS, Unitat Docent Metropolitana Nord, Barcelona
| | - Begoña Bellas-Beceiro
- Especialista en Medicina Familiar y Comunitaria, Complejo Hospitalario Universitario de Canarias y Unidad Docente de Atención Familiar y Comunitaria La Laguna-Tenerife Norte, Servicio Canario de Salud, Santa Cruz de Tenerife
| | - Cruz Bartolomé-Moreno
- Especialista en Medicina Familiar y Comunitaria, Centro de Salud Goya de Zaragoza y Unidad Docente de Medicina Familiar y Comunitaria Sector Zaragoza I, Servicio Aragonés de Salud, Zaragoza
| | - Elena Melús-Palazón
- Especialista en Medicina Familiar y Comunitaria, Centro de Salud Actur Oeste, Zaragoza, y Unidad Docente de Medicina Familiar y Comunitaria Sector Zaragoza I, Servicio Aragonés de Salud, Zaragoza
| | - Mercè Vilarrubí-Estrella
- Especialista en Medicina Familiar y Comunitaria, Servicio de Gestión Clínica y Sistemas de Información, Dirección de Atención Primaria, Servicio Navarro de Salud, Pamplona
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Marzo-Castillejo M, Bellas-Beceiro B, Vela-Vallespín C, Nuin-Villanueva M, Bartolomé-Moreno C, Vilarrubí-Estrella M, Melús-Palazón E. [Recommendations for cancer prevention]. Aten Primaria 2014; 46 Suppl 4:24-41. [PMID: 24950629 PMCID: PMC8171448 DOI: 10.1016/s0212-6567(14)70049-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Affiliation(s)
- Mercè Marzo-Castillejo
- Unitat de Suport a la Recerca de Costa de Ponent, IDIAP Jordi Gol, Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut, Barcelona, España
| | | | - Carmen Vela-Vallespín
- ABS del Riu Nord i Sud, Institut Català de la Salut, Santa Coloma de Gramenet, Barcelona, España
| | - Marian Nuin-Villanueva
- Servicio de Gestión Clínica y Sistemas de Información, Dirección Atención Primaria, Servicio Navarro de Salud
| | - Cruz Bartolomé-Moreno
- Unidad Docente de Medicina Familiar y Comunitaria, Sector Zaragoza I, Servicio Aragonés de Salud, Zaragoza, España
| | - Mercè Vilarrubí-Estrella
- ABS del Riu Nord i Sud, Institut Català de la Salut, Santa Coloma de Gramenet, Barcelona, España
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Melús-Palazón E, Bartolomé-Moreno C, Palacín-Arbués JC, Lafuente-Lafuente A, García IG, Guillen S, Esteban AB, Clemente S, Marco ÁM, Gargallo PM, López C, Magallón-Botaya R. Experience with using second life for medical education in a family and community medicine education unit. BMC Med Educ 2012; 12:30. [PMID: 22587562 PMCID: PMC3503549 DOI: 10.1186/1472-6920-12-30] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2011] [Accepted: 04/16/2012] [Indexed: 05/22/2023]
Abstract
BACKGROUND The application of new technologies to the education of health professionals is both a challenge and a necessity. Virtual worlds are increasingly being explored as a support for education. AIM The aim of this work is to study the suitability of Second Life (SL) as an educational tool for primary healthcare professionals. DESIGN Qualitative study of accredited clinical sessions in SL included in a continuing professional development (CPD) programme for primary healthcare professionals. LOCATION Zaragoza I Zone Family and Community Medicine Education Unit (EU) and 9 health centres operated by the Aragonese Health Service, Aragon, Spain. METHOD The EU held two training workshops in SL for 16 healthcare professionals from 9 health centres by means of two workshops, and requested them to facilitate clinical sessions in SL. Attendance was open to all personnel from the EU and the 9 health centres. After a trail period of clinical sessions held at 5 health centres between May and November 2010, the CPD-accredited clinical sessions were held at 9 health centres between February and April 2011. PARTICIPANTS 76 healthcare professionals attended the CPD-accredited clinical sessions in SL. MAIN MEASUREMENTS Questionnaire on completion of the clinical sessions. RESULTS Response rate: 42-100%. Questionnaire completed by each health centre on completion of the CPD-accredited clinical sessions: Access to SL: 2 centres were unable to gain access. Sound problems: 0% (0/9). Image problems: 0% (0/9). Voice/text chat: used in 100% (10/9); 0 incidents. Questionnaire completed by participants in the CPD-accredited clinical sessions: Preference for SL as a tool: 100% (76/76). Strengths of this method: 74% (56/76) considered it eliminated the need to travel; 68% (52/76) believed it made more effective use of educational resources; and 47% (36/76) considered it improved accessibility. Weaknesses: 91% (69/76) experienced technical problems, while; 9% (7/76) thought it was impersonal and with little interaction. 65.79% (50/76) believed it was better than other distance learning methods and 38.16% (29/76) believed it was better than face-to-face learning. CONCLUSIONS SL is a tool that allows educational activities to be designed that involve a number of health centres in different geographical locations, consequently eliminating the need to travel and making more effective use of educational resources.
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Affiliation(s)
- Elena Melús-Palazón
- Family and Community Medicine Education Unit, Aragonese Health Service, Zaragoza I Zone, Eugenio Lucas 31-33, 50018, Zaragoza, Spain
| | - Cruz Bartolomé-Moreno
- Family and Community Medicine Education Unit, Aragonese Health Service, Zaragoza I Zone, Eugenio Lucas 31-33, 50018, Zaragoza, Spain
| | | | | | - Inmaculada García García
- Family and Community Medicine Education Unit, Aragonese Health Service, Zaragoza I Zone, Eugenio Lucas 31-33, 50018, Zaragoza, Spain
| | - Sara Guillen
- Family and Community Medicine Education Unit, Aragonese Health Service, Zaragoza I Zone, Eugenio Lucas 31-33, 50018, Zaragoza, Spain
| | - Ana B Esteban
- Family and Community Medicine Education Unit, Aragonese Health Service, Zaragoza I Zone, Eugenio Lucas 31-33, 50018, Zaragoza, Spain
| | - Silvia Clemente
- Family and Community Medicine Education Unit, Aragonese Health Service, Zaragoza I Zone, Eugenio Lucas 31-33, 50018, Zaragoza, Spain
| | - Ángeles M Marco
- Family and Community Medicine Education Unit, Aragonese Health Service, Zaragoza I Zone, Eugenio Lucas 31-33, 50018, Zaragoza, Spain
| | - Pilar M Gargallo
- Family and Community Medicine Education Unit, Aragonese Health Service, Zaragoza I Zone, Eugenio Lucas 31-33, 50018, Zaragoza, Spain
| | - Carlos López
- Family and Community Medicine Education Unit, Aragonese Health Service, Zaragoza I Zone, Eugenio Lucas 31-33, 50018, Zaragoza, Spain
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