Este es un blog medico que nunca podrá sustituir el buen juicio médico en la toma de decisiones.Intentamos compartir con los profesionales nuestras experiencias, conocimientos,lecturas,etc con la finalidad de mejorar la practica clinica.No es un blog para pacientes aunque no rechazamos sus comentarios
jueves, 23 de abril de 2015
miércoles, 22 de abril de 2015
Médico crítico: Las venas abiertas de la Atención Primaria
"Ahora la sanidad es, para el mundo, nada más que los hospitales; nosotros habitamos, a lo sumo, una sub sanidad, una sanidad de segunda clase, de nebulosa identificación. Es Atención Primaria, el nivel asistencial de las venas abiertas."
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Building primary care in a changing Europe
http://www.euro.who.int/__data/assets/pdf_file/0018/271170/BuildingPrimaryCareChangingEurope.pdf?ua=1
Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally - The Commonwealth Fund
http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror
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Continuity of Care and Avoidable Hospitalizations for COPD
Background Numerous studied suggest that better continuity of care could result in better health outcomes. However, few studies have examined the relationship between continuity of care and avoidable hospitalizations.
Methods A retrospective cohort study design was adopted. We used secondary data analysis based on claim data regarding health care utilization under a universal coverage health insurance scheme in Taiwan. The study population included 3,015 subjects who were newly diagnosed with chronic obstructive pulmonary disease (COPD) in 2006. The main outcome was COPD-related avoidable hospitalization, and the continuity of care index (COCI) was used to measure continuity of care. A logistic regression model was used to control for sex, age, low-income status, and health status.
Results With regard to the effects of continuity of care on avoidable hospitalizations, dose–response trends were observed. The logistic regression model showed that after controlling for covariables, subjects in the low COCI group were 129% (adjusted odds ratio, 2.29; 95% confidence interval, 1.26–4.15) more likely to undergo COPD-related avoidable hospitalizations than those in the high COCI group.
Conclusions Patients with COPD with higher continuity of care had a significantly lower likelihood of avoidable hospitalization. To prevent future hospitalizations, health policy stakeholders should encourage physicians and patients to develop long-term relationships to further improve their health outcomes.
http://www.medscape.com/viewarticle/841207?src=wnl_edit_tpal&uac=198063MREnviado desde mi iPad
martes, 21 de abril de 2015
VILETANOS: 150416 Taller de Manejo de Herramientas de Identif...
A patient-centered research agenda for the care of the acutely Ill older patient - Wald - 2015 - Journal of Hospital Medicine - Wiley Online Library
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sábado, 4 de abril de 2015
Influenza virus attachment to cells: role of different sialic acids
No es que seamos freakis pero entender la influencia de estos receptores en la transmision de la gripe entre humanos, aves, y cerdos me ha parecido relevante el compartirlo con vosotros.
miércoles, 1 de abril de 2015
“43.000 crónicos consumen el 70% de la sanidad vasca”, afirma Bengoa | País Vasco | EL PAÍS
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Physician's First Clinical Impression of Emergency Departmen... : Medicine
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