Panorama de la investigación en atención primaria en salud en Colombia
DOI:
https://doi.org/10.18270/rsb.v13i2.4398Palabras clave:
atención primaria en salud, Colombia, investigación, países en desarrollo, factores socioeconómicos, personal de salud, apoyo comunitarioResumen
Introducción. La investigación en Atención Primaria en Salud (APS) abarca una gran variedad de temas, métodos, disciplinas, usuarios; necesita reflejar las prioridades en política pública y responder a las necesidades de la población. Se considera que en Colombia existen dificultades para concebir e implementar la APS dado que no se cuenta con una política pública de investigación científica en APS, haciendo necesario comprender los esfuerzos que se están realizando en esta materia.
Objetivo. Realizar una revisión de la literatura que permita explorar el panorama de la investigación científica en APS en Colombia mediante la identificación de las áreas temáticas y los componentes de estas, abordados para contribuir con su sustentación como pilar del acceso universal.
Materiales y métodos. Se realizó una revisión de la literatura científica, en el portal Pubmed de la National Library of Medicine (NLM), mediante herramientas para análisis automático de texto. Los artículos seleccionados fueron resumidos, clasificados según el tipo de artículo, las áreas temáticas y los componentes de APS.
Resultados. Se identificaron 111 artículos, se descartaron 28 (25,2%) y se revisaron 83. La mayoría fueron artículos de investigación; ningún artículo abordó los tres componentes de la APS simultáneamente; los servicios de salud fueron examinados en 76 artículos; la comunidad en 15 y los determinantes sociales en diez. Se identificaron 51 áreas temáticas y las más frecuentes fueron el consumo nocivo de alcohol, la depresión y el talento humano.
Conclusiones. Se aporta a la discusión académica y científica sobre el panorama actual de la investigación en APS por ser un tema de actualidad e interés en países de ingresos bajos y medios como Colombia. Los resultados del estudio sugieren avances hacia la comprensión de la APS como una estrategia amplia que abarca los determinantes sociales de la salud, la comunidad y los servicios de salud.
Descargas
Referencias bibliográficas
World Health Organization, United Nations Children’s Fund (UNICEF). A vision for primary health care in the 21st century: towards universal health coverage and the Sustainable Development Goals [Internet]. Geneva: World Health Organization; 2018. License: CC BY-NC-SA 3.0 IGO
Phillips WR, Louden DN, Sturgiss E. Mapping the literature on primary care research reporting: a scoping review. Fam Pract. 2021;38(4):495–508. DOI: https://doi.org/10.1093/fampra/cmaa143
Organización Panamericana de la Salud/Organización Mundial de la Salud. La renovación de la Atención Primaria de Salud en las Américas. Documento de Posición de la Organización Panamericana de la Salud/Organización Mundial de la Salud (OPS/OMS). Washington DC: OPS/OMS; 2007.
Montesanti S, Robinson-Vollman A, Green LA. Designing a framework for primary health care research in Canada: a scoping literature review. BMC Fam Pract. 2018; 19(1):144. DOI: https://doi.org/10.1186/s12875-018-0839-x
Crabtree BF, Nutting PA, Miller WL, McDaniel RR, Stange KC, Jaen CR, Stewart E. Primary care practice transformation is hard work: insights from a 15-year developmental program of research. Med Care. 2011;49 Suppl (Suppl): S28-35. DOI: https://doi.org/10.1097/MLR.0b013e3181cad65c
Ponka D, Coffman M, Fraser-Barclay KE, Fortier RDW, Howe A, Kidd M, et al. Fostering global primary care research: a capacity-building approach. BMJ Glob Health. julio de 2020;5(7).
Molano-Builes PE, Mejía-Ortega LM, Gómez-Granada JA, Vargas-Betancourt ML, Cuellar-Bravo K. Conceptos y directrices que orientan la atención primaria en salud en diversos territorios colombianos (2017) Rev Salud Pública (Bogotá). 2020;22(5):513-520. DOI: https://doi.org/10.15446/rsap.V22n5.90114
Mosquera PA, Hernández J, Vega R, Martínez J, Labonte R, Sanders D, San Sebastián M. Primary health care contribution to improve health outcomes in Bogota-Colombia: a longitudinal ecological analysis. BMC Fam Pract. 2012; 13:84. DOI: https://doi.org/10.1186/1471-2296-13-84
Walsh JA, Warren KS. Selective primary health care: an interim strategy for disease control in developing countries. N Engl J Med. 1979; 301(18):967-74. DOI: https://doi.org/10.1056/NEJM197911013011804
Cueto M. The origins of primary health care and selective primary health care. Am J Public Health. 2004;94(11):1864–74. DOI: https://doi.org/10.2105/ajph.94.11.1864
Colciencias. Documento Guía - Servicio permanente de indexación de revistas de ciencia, tecnología e innovación colombianas. Bogotá DC: Colciencias; 2010. Código: M304PR02G01
R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing [base de datos en internet]. Vienna: The R Foundation; 2022. https://www.R-project.org/
Feinerer I; Hornik K. Artifex Software, Inc. Text Mining Package [base de datos en internet]. UK; Comprehensive R Archive Network .2023. Disponible en: https://CRAN.R-project.org/package=tm
Giorgi FM, Ceraolo C, Mercatelli D. The R Language: An Engine for Bioinformatics and Data Science. Life (Basel). 2022;12(5):648. DOI: https://doi.org/10.3390/life12050648
Gómez-Restrepo C, Cepeda M, Torrey W, Castro S, Uribe-Restrepo JM, Suárez-Obando F, Marsch LA. The DIADA project: A technology-based model of care for depression and risky alcohol use in primary care centers in Colombia. Rev Colomb Psiquiatr (Engl Ed). 2021; 50 Suppl 1(Suppl 1):4-12. DOI: https://doi.org/10.1016/j.rcpeng.2020.11.005
Marsch LA, Gómez-Restrepo C, Bartels SM, Bell K, Camblor PM, Castro S, Cárdenas Charry MP, Cepeda M, Cubillos L, John D, Jassir MP, Lemley SM, Suárez-Obando F, Torrey WC, Uribe JM, Williams MJ. Scaling up science-based care for depression and unhealthy alcohol use in Colombia: an implementation science project. Psychiatr Serv. 2022;73(2):196-205. DOI: https://doi.org/10.1176/appi.ps.202000041.
Torrey WC, Cepeda M, Castro S, Bartels SM, Cubillos L, Obando FS, Camblor PM, Uribe-Restrepo JM, Williams M, Gómez-Restrepo C, Marsch LA. Implementing technology-supported care for depression and alcohol use disorder in primary care in Colombia: Preliminary findings. Psychiatr Serv 2020;71(7):678–83. DOI: https://doi.org/10.1176/appi.ps.201900457
Cárdenas P, Bartels SM, Cruz V, Gáfaro L, Uribe-Restrepo JM, Torrey WC, Castro SM, Cubillos L, Williams MJ, Marsch LA, Oviedo-Manrique DG, Gómez-Restrepo C. Perspectives, experiences, and practices in the use of digital information technologies in the management of depression and alcohol use disorder in health care systems in Colombia. Qual Health Res. 2020;30(6):906–16. DOI: https://doi.org/10.1177/1049732320902460.
Starfield B. Primary care: balancing health needs, services and technology. New York: Oxford University Press; 1998.
Ruiz-Rodríguez M, Sánchez-Martínez Y, Ramírez-Muñoz PC, Camargo-Lemos DM. Recommendations of physical activity and rest in a Colombian prenatal control program. Rev Saude Publica. 2019; 53:41. DOI: https://doi.org/10.11606/S1518-8787.2019053000934.
Romero Guevara SL, Parra DI, Rojas LZ. “Teaching: Individual” to increase adherence to therapeutic regimen in people with hypertension and type-2 diabetes: protocol of the controlled clinical trial ENURSIN. BMC Nurs. 2019; 18:22. DOI: https://doi.org/10.1186/s12912-019-0344-0
Parra DI, Romero Guevara SL, Rojas LZ. Influential factors in adherence to the therapeutic regime in hypertension and diabetes. Invest Educ Enferm.2019; 37(3): e02. DOI: https://doi.org/10.17533/udea.iee.v37n3e02
Tuesca Molina R, Acosta Vergara T, Domínguez Lozano B, Ricaurte C, Mendoza Charris H, Flórez-Lozano K, Flórez-García V. Diabetes gestacional: implementación de una guía para su detección en la atención primaria de salud. Rev Med Chil. 2019;147(2):190-198. DOI: https://doi.org/10.4067/s0034-98872019000200190
González G, Giraldo LF, DiGirolamo G, Rey CF, Correa LE, Cano AM, Romero-González M. Facing the growing heroin problem in Colombia: the new methadone-assisted treatment programs. Rev Colomb Psiquiatr (Engl Ed). 2019;48(2):96-104. DOI: https://doi.org/10.1016/j.rcp.2017.07.004
Schwalm JD, McCready T, Lopez-Jaramillo P, Yusoff K, Attaran A, Lamelas P, Camacho PA, Majid F, Bangdiwala SI, Thabane L, Islam S, McKee M, Yusuf S. A community-based comprehensive intervention to reduce cardiovascular risk in hypertension (HOPE 4): a cluster-randomised controlled trial. Lancet. 2019;394(10205):1231-1242. DOI: https://doi.org/10.1016/S0140-6736(19)31949-X
Lennon RP, Lopez KCO, Socha JAM, Montealegre FEG, Chandler JW, Sweet NN, Hawley LA, Smith DK, Sanchack KE. Health characteristics of the Wayuu indigenous people. Mil Med. 2019;184(7-8):e230-5. DOI: https://doi.org/10.1093/milmed/usz021
Macinko J, Andrade FCD, Nunes BP, Guanais FC. Primary care and multimorbidity in six Latin American and Caribbean countries. Rev Panam Salud Publica. 2019;43: e8. DOI: https://doi.org/10.26633/RPSP.2019.8
Mejía-Rodríguez D, Rodríguez R, Restrepo D. Sociodemographic characterization and psychiatric symptoms of patients with medically unexplained symptoms in a healthcare institution in Medellin (Colombia). Rev Colomb Psiquiatr (Engl Ed). 2019;48(2):72–9. DOI: https://doi.org/10.1016/j.rcp.2017.08.005
Garay J, Camacho PA, Lopez-Lopez J, Alvernia J, Garcia M, Cohen DD, Calderon C, Lopez-Jaramillo P. Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study. Diabetol Metab Syndr. 2019; 11:102. DOI: https://doi.org/10.1186/s13098-019-0500-4
Brandt AJ, Brown S, De Bortoli-Cassiani SH, Menezes-da Silva FA. Maternal health training priorities for nursing and allied health workers in Colombia, Honduras, and Nicaragua. Rev Panam Salud Publica. 2019;43: e7. DOI: https://doi.org/10.26633/RPSP.2019.7
Castro SM, Cubillos L, Uribe-Restrepo JM, Suárez-Obando F, Meier A, Naslund JA, Bartels SM, Williams MJ, Cepeda M, Torrey WC, Marsch LA, Gómez-Restrepo C. Assessing the integration of behavioral health services in primary care in Colombia. Adm Policy Ment Health. 2020;47(3):435–42. DOI: https://doi.org/10.1007/s10488-019-01002-4
Vargas I, Eguiguren P, Mogollón-Pérez AS, Samico I, Bertolotto F, López-Vázquez J, Vázquez ML. Can care coordination across levels be improved through the implementation of participatory action research interventions? Outcomes and conditions for sustaining changes in five Latin American countries. BMC Health Serv Res. 2020; 20(1):941. DOI: https://doi.org/10.1186/s12913-020-05781-7
Miranda-Mendizábal A, Vargas I, Mogollón-Pérez AS, Eguiguren P, Ferreira de Medeiros Mendes M, López J, Bertolotto F, Amarilla D, Vázquez Navarrete ML; por Equity-LA II. Conocimiento y uso de mecanismos de coordinación clínica de servicios de salud de Latinoamérica. Gac Sanit. 2020; 34(4):340-9. DOI: https://doi.org/10.1016/j.gaceta.2018.09.009
Martin-Delgado J, Viteri E, Mula A, Serpa P, Pacheco G, Prada D, Campos de Andrade Lourenção D, Campos Pavan Baptista P, Ramirez G, Mira JJ. Availability of personal protective equipment and diagnostic and treatment facilities for healthcare workers involved in COVID-19 care: A cross-sectional study in Brazil, Colombia, and Ecuador. PLoS One. 2020;15(11): e0242185. DOI: https://doi.org/10.1371/journal.pone.0242185
Vargas M, Hernández E. Los determinantes sociales de la desnutrición infantil en Colombia vistos desde la medicina familiar Medwave. 2020 Mar 10;20(2): e7839. DOI: https://doi.org/10.5867/medwave.2020.02.7839
Estrada-Álvarez JM, Orozco-Hernández JP, Aristizábal-Franco LE. Validation of chronic obstructive pulmonary disease severity score (COPDSS) for primary care in a Colombian population. Biomedica. 2020; 40(4):664–72. DOI: https://doi.org/10.7705/biomedica.5123
Blandón-Lotero LC, Jaramillo-Mejía MC. Communities on the move: community participation in health in rural territories of Buenaventura District in Colombia. Int J Equity Health. 2020; 19(1):129. DOI: https://doi.org/10.1186/s12939-020-01239-8
Arrivillaga M, Bermúdez PC, García-Cifuentes JP, Botero J. Innovative prototypes for cervical cancer prevention in low-income primary care settings: A human-centered design approach. PLoS One. 2020;15(8): e0238099. DOI: https://doi.org/10.1371/journal.pone.0238099
Sosa M. Community intervention projects as a strategy to integrate essential public health functions (EPHF) with clinical knowledge into the curriculum of medicine. Educ Health (Abingdon). 2020;33(2):51–4. DOI: https://doi.org/10.4103/efh.EfH_245_20
Fernández-Ávila DG, Rojas MX, Ramírez C, Rodelo L, Soriano E. Effectiveness of the use of an algorithm in the diagnostic approach of joint pain patients by primary care physicians. Rheumatol Int. 2020;40(11):1857–64. DOI: https://doi.org/10.1007/s00296-020-04552-1.
Quintero GA, Vergel J, Laverde Á, Ortíz LC. Educational strategies to develop and implement a comprehensive health care model focused on primary care in Colombia. J Med Educ Curric Dev. 2020; 7:2382120520930260. DOI: https://doi.org/10.1177/2382120520930260
Sanchez-Vanegas G, Castro-Moreno C, Buitrago D. Betahistine in the treatment of peripheral vestibular vertigo: results of a real-life study in primary care. Ear Nose Throat J. 2020;99(6):356–60. DOI: https://doi.org/10.1177/0145561319849946.
Bartels SM, Cardenas P, Uribe-Restrepo JM, Cubillos L, Torrey WC, Castro SM, Williams MJ, Oviedo-Manrique DG, Gómez-Restrepo C, Marsch LA. Barriers and facilitators to the diagnosis and treatment of depression in primary care in Colombia: Perspectives of providers, healthcare administrators, patients and community representatives. Rev Colomb Psiquiatr (Engl Ed). 2021;50 Suppl 1(Suppl 1):64–72. DOI: https://doi.org/10.1016/j.rcpeng.2021.01.001
Gómez-Restrepo C, Cárdenas P, Marroquín-Rivera A, Cepeda M, Suárez-Obando F, Uribe-Restrepo JM, Castro S, Cubillos L, Torrey WC, Bartels SM, Van Arcken-Martínez C, Park S, John D, Marsch LA. Access barriers, self-recognition, and recognition of depression and unhealthy alcohol use: A qualitative study. Rev Colomb Psiquiatr (Engl Ed). 2021;50 Suppl 1(Suppl 1):52–63. DOI: https://doi.org/10.1016/j.rcpeng.2021.06.008
Cárdenas Charry MP, Jassir Acosta MP, Uribe Restrepo JM, Cepeda M, Martinez Camblor P, Cubillos L, Bartels SM, Castro S, Marsch LA, Gómez-Restrepo C. Relationship between the sociodemographic characteristics of participants in the DIADA project and the rate of compliance with follow-up assessments in the initial stage of the intervention. Rev Colomb Psiquiatr (Engl Ed). 2021;50 Suppl 1(Suppl 1):102–9. DOI: https://doi.org/10.1016/j.rcpeng.2021.06.006
Medina Ch AM, Torrey WC, Vargas S, Uribe-Restrepo JM, Gómez-Restrepo C. Network of actors involved in the identification, care, and follow-up of unhealthy alcohol use in primary care in Colombia. Rev Colomb Psiquiatr (Engl Ed). 2021;50 Suppl 1(Suppl 1):83–90. DOI: https://doi.org/10.1016/j.rcpeng.2021.06.007
Kokole D, Mercken L, Jané-Llopis E, Natera Rey G, Arroyo M, Medina P, Pérez-Gómez A, Mejía-Trujillo J, Piazza M, Bustamante IV, O’Donnell A, Kaner E, Gual A, Lopez-Pelayo H, Schulte B, Manthey J, Rehm J, Anderson P, de Vries H. Perceived appropriateness of alcohol screening and brief advice programmes in Colombia, Mexico and Peru and barriers to their implementation in primary health care - a cross-sectional survey. Prim Health Care Res Dev. 2021;22: e4. DOI: https://doi.org/10.1017/S1463423620000675
Vargas S, Medina Chávez AM, Gómez-Restrepo C, Cárdenas P, Torrey WC, Williams MJ, Bartels SM, Cubillos L, Castro SM, Suárez-Obando F, Uribe-Restrepo JM, Marsch LA. Addressing harmful alcohol use in primary care in Colombia: Understanding the sociocultural context. Rev Colomb Psiquiatr (Engl Ed). 2021;50 Suppl 1(Suppl 1):73–82. DOI: https://doi.org/10.1016/j.rcpeng.2020.11.004
Kokole D, Jané-Llopis E, Mercken L, Piazza M, Bustamante I, Natera Rey G, Medina P, Pérez-Gómez A, Mejía-Trujillo J, O’Donnell A, Kaner E, Gual A, Schmidt CS, Schulte B, Candel MJJM, de Vries H, Anderson P. Factors associated with primary health care providers’ alcohol screening behavior in Colombia, Mexico and Peru. Subst Abus. 2021;42(4):1007–15. DOI: https://doi.org/10.1080/08897077.2021.1903658
Machado-Duque ME, García DA, Emura-Velez MH, Gaviria-Mendoza A, Giraldo-Giraldo C, Machado-Alba JE. Antibiotic prescriptions for respiratory tract viral infections in the Colombian population. Antibiotics (Basel). 2021;10(7): 864. DOI: https://doi.org/10.3390/antibiotics10070864
Lemley SM, Castro-Diaz S, Cubillos L, Suárez-Obando F, Torrey WC, Uribe-Restrepo JM, Williams M, Marsch LA, Gómez-Restrepo C. Health-related quality of life and health literacy among adult primary care patients with subsidized or contributive health insurance in Colombia. Rev Colomb Psiquiatr (Engl Ed). 2021;50 Suppl 1(Suppl 1):22–9. DOI: https://doi.org/10.1016/j.rcpeng.2021.06.005
van Loggerenberg F, McGrath M, Akena D, Birabwa-Oketcho H, Méndez CAC, Gómez-Restrepo C, Džubur Kulenoviĉ A, Muhić M, Sewankambo NK, Sikira H, Priebe S. Feasibility, experiences and outcomes of using DIALOG+ in primary care to improve quality of life and mental distress of patients with chronic conditions: an exploratory non-controlled trial in Bosnia and Herzegovina, Colombia and Uganda. Pilot Feasibility Stud. 2021;7(1):180. DOI: https://doi.org/10.1186/s40814-021-00914-z
De Bedout V, Williams NM, Muñoz AM, Londoño AM, Munera M, Naranjo N, Rodriguez LM, Toro AM, Miao F, Koru Sengul T, Jaimes N. Skin cancer and dermoscopy training for primary care physicians: a pilot study. Dermatol Pract Concept. 2021;11(1): e2021145. DOI: https://doi.org/10.5826/dpc.1101a145
Ollé-Espluga L, Vargas I, Mogollón-Pérez A, Soares-de-Jesus RF, Eguiguren P, Cisneros AI, Muruaga MC, Huerta A, Bertolotto F, Vázquez ML. Care continuity across levels of care perceived by patients with chronic conditions in six Latin-American countries. Gac Sanit. 2021;35(5):411–9. DOI: https://doi.org/10.1016/j.gaceta.2020.02.013
Barrera L, Oviedo D, Silva A, Tovar D, Méndez F. Continuity of care and the control of high blood pressure at Colombian primary care services. Inquiry. 2021; 58:469580211047043. DOI: https://doi.org/10.1177/00469580211047043
León-Arce HG, Mogollón-Pérez AS, Vargas I, Vázquez ML. Changes in knowledge and use of clinical coordination mechanisms between care levels in healthcare networks of Colombia. Int J Health Plann Manage. 2021;36(1):134–50. DOI: https://doi.org/10.1002/hpm.3073
Hernández-Rincón EH, Pimentel-González JP, Aramendiz-Narváez MF, Araujo-Tabares RA, Roa-González JM. Description and analysis of primary care-based COVID-19 interventions in Colombia. Medwave. 2021;21(3): e8147. DOI: https://doi.org/10.5867/medwave.2021.03.8147
Arias-Murcia SE, de Mattos-Penna CM. Interculturality in the daily routine of primary health care: The case of the health model in Guainía, Colombia. Cien Saude Colet. 2021;26(suppl 2):3683–92. DOI: https://doi.org/10.1590/1413-81232021269.2.22372019.
O’Donnell A, Schulte B, Manthey J, Schmidt CS, Piazza M, Chavez IB, Natera G, Aguilar NB, Hernández GYS, Mejía-Trujillo J, Pérez-Gómez A, Gual A, de Vries H, Solovei A, Kokole D, Kaner E, Kilian C, Rehm J, Anderson P, Jané-Llopis E. Primary care-based screening and management of depression amongst heavy drinking patients: Interim secondary outcomes of a
three-country quasi-experimental study in Latin America. PLoS One. 2021;16(8): e0255594. DOI: https://doi.org/10.1371/journal.pone.0255594.
Shannon CL, Bartels SM, Cepeda M, Castro S, Cubillos L, Suárez-Obando F, Williams MJ, Gómez-Restrepo C, Uribe M, Marsch L, Torrey WC. Perspectives on the implementation of screening and treatment for depression and alcohol use disorder in primary care in Colombia. Community Ment Health J. 2021;57(8):1579–87. DOI: https://doi.org/10.1007/s10597-021-00781-1
Scoppetta O, Cassiani-Miranda CA, Arocha-Díaz KN, Cabanzo-Arenas DF, Campo-Arias A. Validity of the patient health questionnaire-2 (PHQ-2) for the detection of depression in primary care in Colombia. J Affect Disord. 2021; 278:576–82. DOI: https://doi.org/10.1016/j.jad.2020.09.096
Cassiani-Miranda CA, Cuadros-Cruz AK, Torres-Pinzón H, Scoppetta O, Pinzón-Tarrazona JH, López-Fuentes WY, Páez A, Cabanzo-Arenas DF, Ribero-Marulanda S, Llanes-Amaya ER. Validity of the Patient Health Questionnaire-9 (PHQ-9) for depression screening in adult primary care users in Bucaramanga, Colombia. Rev Colomb Psiquiatr (Engl Ed). 2021;50(1):11–21. DOI: https://doi.org/10.1016/j.rcp.2019.09.001
Caro-Bautista J, Rodríguez-Blázquez C, Pérez-Manchón D, Timonet-Andreu E, Carvajal-Carrascal G, Fuentes-Ramírez A, Corchón S, Aranda-Gallardo M, Ambrosio L. Validation of living with chronic illness scale in a type 2 diabetes mellitus population. Health Qual Life Outcomes. 2021;19(1):93. DOI: https://doi.org/10.1186/s12955-021-01715-x
Londoño Agudelo E, Pérez Ospina V, Battaglioli T, Taborda Pérez C, Gómez-Arias R, Van der Stuyft P. Gaps in hypertension care and control: a population-based study in low-income urban Medellin, Colombia. Trop Med Int Health. 2021;26(8):895–907. DOI: https://doi.org/10.1111/tmi.13599
Uribe-Restrepo JM, Gómez-Ayala MC, Rosas-Romero JC, Cubillos L, Cepeda M, Gómez-Restrepo C. Global mental health and the DIADA project. Rev Colomb Psiquiatr (Engl Ed). 2021;50 Suppl 1(Suppl 1):13–21. DOI: https://doi.org/10.1016/j.rcpeng.2021.07.001
Hernández-Carrillo M, Gil JP, Londoño RA, Rojas CR, Arboleda-Trujillo MA. Characterisation of community mental health consultations in a primary care centre in Cali, Colombia. Rev Colomb Psiquiatr (Engl Ed). 2021; S0034-7450(21)00141-4. DOI: https://doi.org/10.1016/j.rcp.2021.08.003
Jassir-Acosta MP, Cárdenas-Charry MP, Uribe-Restrepo JM, Cepeda M, Cubillos L, Bartels SM, Castro S, Marsch LA, Gómez-Restrepo C. Characterizing the perceived stigma towards mental health in the early implementation of an integrated services model in primary care in Colombia. A qualitative analysis. Rev Colomb Psiquiatr (Engl Ed). 2021; 50 Suppl 1(Suppl 1):91–101. DOI: https://doi.org/10.1016/j.rcpeng.2021.06.009
Bartels SM, Martínez-Camblor P, Naslund JA, Suárez-Obando F, Torrey WC, Cubillos L, Williams MJ, Castro SM, Uribe-Restrepo JM, Gómez-Restrepo C, Marsch LA. A characterisation of social media users within the primary care system in Colombia and predictors of their social media use to understand their health. Rev Colomb Psiquiatr (Engl Ed). 2021;50 Suppl 1(Suppl 1):42–51. DOI: https://doi.org/10.1016/j.rcpeng.2021.06.002
Duran-Niño EY, Campos de Aldana MS, Arboleda de Pérez LB. Primary health care challenge for nursing professionals: a narrative review. Rev Saude Publica. 2021; 55:100. DOI: https://doi.org/10.11606/s1518-8787.2021055002719
Mehta S, Aboushi H, Campos C, Botelho R, Fernández F, Rodríguez D, Torres M, Vieria D, Frauenfelder A, Pinto G, López C, Acosta M. Impact of a telemedicine-guided, population-based, STEMI network on reperfusion strategy, efficiency, and outcomes: Impact of telemedicine on STEMI management. AsiaIntervention. 2021;7(1):18–26. DOI: https://doi.org/10.4244/AIJ-D-18-00047
Mehta S, Grines CL, Botelho R, Fernández F, Cade J, Dusilek C, Prudente M, Cavalcanti R, Campos C, Alcocer-Gamba M. STEMI telemedicine for 100 million lives. Catheter Cardiovasc Interv. 2021;98(6):1066–71. DOI: https://doi.org/10.1002/ccd.29896
Suárez-Obando F, Gómez-Restrepo C, Castro-Diaz S, Paez-Rojas P, Uribe-Restrepo JM, Naslund JA, Torrey WC, Cubillos L, Bartels SM, Williams MJ, Marsch LA. Patterns of digital information and communication technology use among patients at primary health care centres in Colombia: Phase I of the DIADA project. Rev Colomb Psiquiatr (Engl Ed). 2021;50 Suppl 1(Suppl 1):116–32. DOI: https://doi.org/10.1016/j.rcpeng.2021.06.003
Mejía-Oquendo M, Marulanda-Ibarra E, Gómez-Marín JE. Evaluation of the impact of the first evidence-based guidelines for congenital toxoplasmosis in Armenia (Quindío) Colombia: An observational retrospective analysis. Lancet Reg Health Am. 2021; 1:100010. DOI: https://doi.org/10.1016/j.lana.2021.100010.
Pérez-Bustos AH, Orozco-Urdaneta M, Erazo R, Córdoba-Astudillo P, Gallo D, Muñoz-Zuluaga C, Sittig M, Sardi A. A patient navigation initiative to improve access to breast cancer care in Cali, Colombia. Cancer Rep (Hoboken). 2022; 5(9): e1564. DOI: https://doi.org/10.1002/cnr2.1564
Gómez-Restrepo C, Cepeda M, Torrey WC, Suarez-Obando F, Uribe-Restrepo JM, Park S, Jassir-Acosta MP, Martínez-Camblor M, Castro SM, Aguilera-Cruz J, González L, Chaparro N, Gómez-Gamez AM, Bell K, Marsch LA. Perceived access to general and mental healthcare in primary care in Colombia during COVID-19: A cross-sectional study. Front Public Health. 2022; 10:896318. DOI: https://doi.org/10.3389/fpubh.2022.896318
Vázquez ML, Vargas I, Rubio-Valera M, Aznar-Lou I, Eguiguren P, Mogollón-Pérez AS, Torres AL, Peralta A, Dias S, Jervelund SS; For EquityCancer-LA. Improving equity in access to early diagnosis of cancer in different healthcare systems of Latin America: protocol for the EquityCancer-LA implementation-effectiveness hybrid study. BMJ Open. 2022; 12(12): e067439. DOI: https://doi.org/10.1136/bmjopen-2022-067439
Nieto-Calvache AJ, Sanín-Blair JE, Buitrago-Leal HM, Benavides-Serralde JA, Maya-Castro J, Rozo-Rangel AP, Messa-Bryon A, Colonia-Toro A, Gómez-Castro AR, Cardona-Ospina A, Caicedo-Cáceres CE, Dorado-Roncancio EF, Silva JL, Carvajal-Valencia JA, Velásquez-Penagos JA, Niño-González JE, Burgos-Luna JM, Rincón-García JC, Matera-Torres L, Villamizar-Galvis OA, Olaya-Garay SX, Medina-Palmezano VP, Castañeda J. Colombian Consensus on the Treatment of Placenta Accreta Spectrum (PAS). Rev Colomb Obstet Ginecol. 2022;73(3):283–316. DOI: https://doi.org/10.18597/rcog.3877
Manthey J, Carr S, Anderson P, Bautista N, Braddick F, O’Donnell A, Jané-Llopis E, López-Pelayo H, Medina P, Mejía-Trujillo J, Pérez-Gómez A, Piazza M, Rehm J, Solovei A, Rey GN, de Vries H, Schulte B. Reduced alcohol consumption during the COVID-19 pandemic: Analyses of 17 000 patients seeking primary health care in Colombia and Mexico. J Glob Health. 2022; 12:05002. DOI: https://doi.org/10.7189/jogh.12.05002
Cassiani-Miranda CA, Scoppetta O, Cabanzo-Arenas DF. Validity of the Hospital Anxiety and Depression Scale (HADS) in primary care patients in Colombia. Gen Hosp Psychiatry. 2022; 74:102–9. DOI: https://doi.org/10.1016/j.genhosppsych.2021.01.014
Espinel-Flores V, Tiburcio-Lara G, Vargas I, Eguiguren P, Mogollón-Pérez AS, Ferreira-de-Medeiros-Mendes M, López-Vázquez J, Bertolotto F, Amarilla D, Vázquez ML; Equity LA II. Relational continuity of chronic patients with primary and secondary care doctors: a study of public healthcare networks of six Latin American countries. Int J Environ Res Public Health. 2022;19(20): 13008. DOI: https://doi.org/10.3390/ijerph192013008
Espinel-Flores V, Vargas I, Eguiguren P, Mogollón-Pérez AS, Ferreira de Medeiros Mendes M, López-Vázquez J, Bertolotto F, Vázquez ML. Assessing the impact of clinical coordination interventions on the continuity of care for patients with chronic conditions: participatory action research in five Latin American countries. Health Policy Plan. 2022;37(1):1–11.
DOI: https://doi.org/10.1093/heapol/czab130
O’Donnell A, Anderson P, Schmidt C, Braddick F, Lopez-Pelayo H, Mejía-Trujillo J, Natera G, Arroyo M, Bautista N, Piazza M, Bustamante IV, Kokole D, Jackson K, Jane-Llopis E, Gual A, Schulte B. Tailoring an evidence-based clinical intervention and training package for the treatment and prevention of comorbid heavy drinking and depression in middle-income country settings: the development of the SCALA toolkit in Latin America. Glob Health Action. 2022;15(1):2080344. DOI: https://doi.org/10.1080/16549716.2022.2080344
Casas-Cruz HM, Pelcastre-Villafuerte BE, Arenas-Monreal L, Ruiz-Rodríguez M. Concerted model of healthcare for Awá indigenous of Nariño, Colombia. Int J Environ Res Public Health. 2022;19(19): 12250. DOI: https://doi.org/10.3390/ijerph191912250
Rodríguez-Rivas R, Flisser A, Norcia LF, Hamamoto Filho PT, Bonilla-Aldana DK, Rodríguez-Morales AJ, Carpio A, Romo ML, Fleury A. Neurocysticercosis in Latin America: Current epidemiological situation based on official statistics from four countries. PLoS Negl Trop Dis 2022;16(8): e0010652.DOI: https://doi.org/10.1371/journal.pntd.0010652
Kokole D, Jané-Llopis E, Natera Rey G, Aguilar NB, Medina Aguilar PS, Mejía-Trujillo J, Mora K, Restrepo N, Bustamante I, Piazza M, O’Donnell A, Solovei A, Mercken L, Schmidt CS, Lopez- Pelayo H, Matrai S, Braddick F, Gual A, Rehm J, Anderson P, de Vries H. Training primary health care providers in Colombia, Mexico and Peru to increase alcohol screening: Mixed-methods process evaluation of implementation strategy. Implement Res Pract. 2022; 3: 26334895221112693. DOI: https://doi.org/10.1177/26334895221112693
Martin-Delgado J, Poblete R, Serpa P, Mula A, Carrillo I, Fernández C, Vicente Ripoll MA, Loudet C, Jorro F, Garcia Elorrio E, Guilabert M, Mira JJ. Contributing factors for acute stress in healthcare workers caring for COVID-19 patients in Argentina, Chile, Colombia and Ecuador. Sci Rep. 2022;12(1):8496. DOI: https://doi.org/10.1038/s41598-022-12626-2
Combita AL, Reyes V, Puerto D, Murillo R, Sánchez R, Nuñez M, Hernandez-Suarez GA, Wiesner C. Reduction in vaccine HPV type infections in a young women group (18-25 years) five years after HPV vaccine introduction in Colombia. Cancer Prev Res (Phila). 2022;15(1):55–66. DOI: https://doi.org/10.1158/1940-6207.CAPR-21-0063
Bermúdez PC, Arrivillaga M, Torres Poveda K, Castrillón Libreros DM, Castillo Castillo LE, Neira Acevedo D. Barriers to adherence to cytology exam: a case study in low-income Colombian women. BMC Health Serv Res. 2023;23(1):796. DOI: https://doi.org/10.1186/s12913-023-09700-4
Aguirre-Bejarano P, Tuta-Quintero E, Mora-Karam C, Quiroga-Segura S, Pimentel J. Achenbach syndrome in primary care: a case report. WMJ. 2023;122(1):74–6.
Kokole D, Mercken L, Anderson P, Mejía-Trujillo J, Pérez-Gómez A, Bustamante I, Piazza M, Natera Rey G, Arroyo M, Pérez De León A, Bautista Aguilar N, Medina Aguilar PS, Schulte B, O’Donnell A, de Vries H, Jané-Llopis E. Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru. Glob Public Health. 2023;18(1):2207410. DOI: https://doi.org/10.1080/17441692.2023.2207410
Lopera F, Custodio N, Rico-Restrepo M, Allegri RF, Barrientos JD, Garcia Batres E, Calandri IL, Calero Moscoso C, Caramelli P, Duran Quiroz JC, Jansen AM, Mimenza Alvarado AJ, Nitrini R, Parodi JF, Ramos C, Slachevsky A, Brucki SMD. A task force for diagnosis and treatment of people with Alzheimer’s disease in Latin America. Front Neurol. 2023; 14: 1198869. DOI: https://doi.org/10.3389/fneur.2023.1198869
Herazo R, Rey A, Galvão D, Medina-Camargo M, Cobos-Pinzón NJ, Rodríguez-Sánchez AC, Marchiol A, Pinazo MJ. Analysis of the costs incurred by patients with Chagas disease: The experience in endemic municipalities in Colombia. Acta Trop. 2023; 245:106963. DOI: https://doi.org/10.1016/j.actatropica.2023.106963
Kokole D, Jané-Llopis E, Mercken L, Natera Rey G, Arroyo M, Pérez Gómez A, Mejía-Trujillo J, Piazza M, Bustamante I, O’Donnell A, Kaner E, Schulte B, de Vries H, Anderson P. Protocol for a process evaluation of SCALA study - Intervention targeting scaling up of primary health care-based prevention and management of heavy drinking and comorbid depression in Latin America. Eval Program Plann. 2023; 97:102217. DOI: https://doi.org/10.1016/j.evalprogplan.2022.102217
Gómez-Restrepo C, Rumbo-Romero JA, Rodríguez M, Ospina-Pinillos L, Stanislaus Sureshkumar D, Priebe S, Bird V. Effectiveness of a patient-centered assessment with a solution-focused approach (DIALOG-A) in the routine care of Colombian adolescents with depression and anxiety: protocol for a multicenter cluster randomized controlled trial. JMIR Res Protoc. 2023;12: e43401. DOI: https://doi.org/10.2196/43401
Cheong Chi Mo J, Shah A, Downey C, Genay-Diliautas S, Saikat S, Mustafa S, Meru N, Dalil S, Schmets G, Porignon D. Developing technical support and strategic dialogue at the country level to achieve Primary Health Care-based health systems beyond the COVID-19 era. Front Public Health. 2023; 11:1102325. DOI: https://doi.org/10.3389/fpubh.2023.1102325
Fuentes-Bermúdez GP, De Arco Canoles ODC. Nursing services in the first level of care in Colombia. Analysis of the Offer 2002-2020. Invest Educ Enferm. 2023;40(3): e04. DOI: https://doi.org/10.17533/udea.iee.v40n3e04
Londoño-Martínez JC, Velasco-Velásquez S, Cordero-López S, Osorio MF, Celis-Giraldo D, Thibodeau J, Baird I, McLeod R, Gomez-Marin J. Evaluation of the acceptability of point of care diagnostic test for prenatal toxoplasmosis (translational research phase III). J Infect Public Health. 2023;16(1):15–24. DOI: https://doi.org/10.1016/j.jiph.2022.11.023
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Universidad El Bosque
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
El (Los) autor(es) certifican que es(son) el (los) autor(es) originario(s) del trabajo que se esta presentando para posible publicación en la Revista Salud Bosque de la Facultad Escuela Colombiana de Medicina de la Universidad El Bosque, puesto que sus contenidos son producto de su directa contribución intelectual.
Todos los datos y las referencias a materiales ya publicados deben estar debidamente identificados con su respectivo crédito e incluidos en las notas bibliográficas y en las citas que se destacan como tal y, en los casos que así lo requieran, deben contar con las debidas autorizaciones de quienes poseen los derechos patrimoniales.
El (Los) autor(es) declara(n) que todos los materiales que se presentan están totalmente libres de derecho de autor y, por lo tanto, se hace(n) responsable(s) de cualquier litigio o reclamación relacionada con derechos de propiedad intelectual, exonerando de responsabilidad a la Universidad El Bosque
