Risk factors for mortality among people with diabetes in Spain: The DIMORTES study.

Introduction: Diabetes mellitus (DM) is a common chronic disease with an increasing global prevalence.

Objectives: The objective of this study was to analyse all-cause mortality and its associated factors in people with DM in Spain.

Methods: We conducted a population-based retrospective study based on the 2011/2012 Spanish National Health Survey and the Spanish national death register, with six years of follow-up.

Enhancing Clinical Reasoning with Virtual Patients: A Hybrid Systematic Review Combining Human Reviewers and ChatGPT.

Objectives: This study presents a systematic review aimed at evaluating the effectiveness of virtual patients in enhancing clinical reasoning skills in medical education. A hybrid methodology was used, combining human reviewers and ChatGPT to assess the impact of conversational virtual patients on student learning outcomes and satisfaction.

Methods: Various studies involving conversational virtual patients were analyzed to determine the effect of these digital tools on clinical competencies.

[Analysis of skills and perceptions regarding mHealth in the management of chronic patients by primary care professionals].

Objective: To examine the perceptions of primary care professionals regarding the integration and effectiveness of mHealth in managing patients with chronic conditions, as well as their digital skills.

Design: Descriptive cross-sectional observational study conducted from April to November 2023.

Setting: Primary care services in the Health Department of Denia, Alicante, Spain.

The impact of chronic diseases on all-cause mortality in Spain: A population-based cohort study.

Objective: Our study aimed to assess the association between all-cause mortality and the most prevalent chronic diseases in Spain, including diabetes mellitus.

Design: Population-based retrospective cohort study. SITE: Spanish population (Spanish National Health Survey).

Exploring the accessibility of primary health care data in Europe's COVID-19 response: developing key indicators for managing future pandemics (Eurodata study).

Background: Primary Health Care (PHC) plays a crucial role in managing the COVID-19 pandemic, with only 8% of cases requiring hospitalization. However, PHC COVID-19 data often goes unnoticed on European government dashboards and in media discussions. This project aims to examine official information on PHC patient care during the COVID-19 pandemic in Europe, with specific objectives: (1) Describe PHC's clinical pathways for acute COVID-19 cases, including long-term care facilities, (2) Describe PHC COVID-19 pandemic indicators, (3) Develop COVID-19 PHC activity indicators, (4) Explain PHC's role in vaccination strategies, and (5) Create a PHC contingency plan for future pandemics.

Opinions and perceptions of patients with cardiovascular disease on adherence: a qualitative study of focus groups.

Background: Cardiovascular diseases are becoming more frequent throughout the world. Adherence to both pharmacological and non-pharmacological treatment, as well as lifestyles, is important for good management and control of the disease. This study aims to explore the opinions and perceptions of patients with ischemic heart disease on the difficulties associated with therapeutic adherence.

Acute Stress in Health Workers in Colombia 2017-2021: A Cross-Sectional Study.

Analyze the presence of acute stress response after adverse events in human talent in Colombian health institutions from 2017 to 2021. Cross-sectional study of prevalence, carried out on 838 members of the human talent in health (professionals, technicians, technologists, and auxiliaries) of Colombian health institutions in the study period with the application of the EASE instrument. Univariate analysis using descriptive statistical techniques, chi-square and Student's t-test, and bivariate analysis with a Poisson regression model using the institucional SPSS v.

Knowledge about Chagas Disease among Family and Community Medicine Residents in a Non-Endemic Region: A Cross-Sectional Study.

Chagas disease (CD) is a parasitic disease endemic to continental Latin America that has globalized in recent years. The most relevant mechanisms of transmission of CD in non-endemic countries are transfusion with infected blood and mother-to-child transmission. There is limited information regarding practicing physicians' knowledge of CD transmission, clinical presentation, and treatment in non-endemic countries, including Spain.

Surgical Error Compensation Claims as a Patient Safety Indicator: Causes and Economic Consequences in the Murcia Health System, 2002 to 2018.

Objectives: Compensation claims are a useful source of information on patient safety research. The purpose of this study was to determine the main causes of surgical compensation claims and their financial impact on the health system.

Methods: A descriptive observational study with analytical components was carried out on compensation claims brought against the surgical area of the Murcia Health System between 2002 and 2018.

A systematic review on pediatric medication errors by parents or caregivers at home.

Introduction: Medication errors (MEs) are frequent and, in some cases, can lead to hospitalization, disability, increased healthcare costs or, even, death. Most of pediatric medications are administered by parents or caregivers at home. It is necessary to explore the MEs at home to improve pediatric patient safety.

Estimation of the Overuse of Preoperative Chest X-rays According to "Choosing Wisely", "No Hacer", and "Essencial" Initiatives: Are They Equally Applicable and Comparable?

Background: Overuse reduces the efficiency of healthcare systems and compromises patient safety. Different institutions have issued recommendations on the indication of preoperative chest X-rays, but the degree of compliance with these recommendations is unknown. This study investigates the frequency and characteristics of the inappropriateness of this practice.

Impact of adherence to Mediterranean diet and/or drug treatment on glycaemic control in type 2 diabetes mellitus patients: DM2-CUMCYL study.

Aims: This study aimed to analyse the association between adherence to treatment and glycaemic control in people with type 2 diabetes mellitus.

Methods: Multicentre, cross-sectional study in patients with type 2 diabetes mellitus recruited by primary care professionals in Castilla y León (Spain). Sociodemographic and clinical characteristics were reflected in self-reported questionnaire, which included the Morisky-Green Medication Adherence Scale and the 14-point Mediterranean Diet Adherence Screener.

Low-Value Clinical Practices: Knowledge and Beliefs of Spanish Surgeons and Anesthetists.

: To know the frequency and causes of low value surgical practices, according to the opinion of surgeons and anesthetists, and to determine their degree of knowledge about the Spanish "Choosing wisely" initiative. : Cross-sectional observational study, based on a self-administered online questionnaire through an opportunistic sample of 370 surgeons and anesthetists from three Spanish regions, contacted through Scientific Societies. The survey took part between July and December 2017.

Do not do in COPD: consensus statement on overuse.

Background: To identify practices that do not add value, cause harm, or subject patients with chronic obstructive pulmonary disease (COPD) to a level of risk that outweighs possible benefits (overuse).

Methods: A qualitative approach was applied. First, a multidisciplinary group of healthcare professionals used the Metaplan technique to draft and rank a list of overused procedures as well as self-care practices in patients with stable and exacerbated COPD.

[Development of an instrument for the assessment of chronic care models].

Objective: To present the context, aim and process of designing the Instrument for the Assessment of Chronic Care Models (Instrumento de Evaluación de Modelos de Atención ante la Cronicidad [IEMAC]), which was developed to make the conceptual framework of the chronic care model operational in the Spanish national health system.

Methods: The IEMAC was developed by a series of national experts with distinct profiles of expertise using qualitative research techniques. A matrix was built with the dimensions selected as basic for the new model.

[FAQs on the effects of e-health on the doctor-patient relationship].

Background: Articles on e-health and e-patients have been increased exponentially.

Results: Frequently asked questions (FAQs) are presented on how the Internet affects relationships between doctors and patients, along with the answers based on the results of empirical studies.

Conclusions: An even higher use of the Internet is envisaged as a source of health information.

[Internet use by primary care and hospital doctors: perception of how it influences their relationships with patients].

Objective: To compare Internet use among physicians working in primary health care and hospitals and their perception of the influence this has on patient-doctor relationships.

Design: Observational descriptive study based on survey.

Setting: 7 public hospitals (H) and 8 primary health care centres (PH) from Alicante, Madrid, Saragossa and Huesca.