Abstract:
INTRODUCTION:The percentage of citizens who were not registered with a family physician in Portugal reached 16.6% in 2011. In 2012 the Ministry of Health implemented several measures aiming at improving access to family physicians. One clear objective was that all individuals would be registered with a family physician by 2014. We evaluate the evolution of the socioeconomic inequalities regarding registration with family physicians in Portugal between 2009 and 2014. MATERIAL AND METHODS:We use data at the primary health care unit level on the number of individuals who are not registered with a family physician and the purchasing power of the population served by each unit. The analysis is done using concentration measures. RESULTS:We find a higher concentration of individuals not registered with a family physician among units serving populations with higher socioeconomic status, although this has been decreasing over the years analyzed. Amongst units serving the most disadvantaged populations, we find a situation close to perfect equality. DISCUSSION:Our results may reflect the fact that populations with higher economic status live in urban areas where there is greater shortage of family physicians. Alternatively, it may be that these populations choose not to have a family physician within the public system, thus relying on private providers. CONCLUSION:Our findings convey a reduction in existing socioeconomic inequalities in terms of registration with a primary care physician, during the period under analysis. This reduction took place among the populations which experienced more inequality. :Introdução: A percentagem de utentes inscritos em unidades da rede de cuidados de saúde primários sem médico de família atribuído atingiu 16,6% em 2011. O Ministro da Saúde do XIX Governo Constitucional, então em funções, adotou em 2012 um conjunto de medidas com vista a que, no final de 2014, toda a população tivesse acesso a médico de família. Neste artigo avaliamos a evolução das desigualdades socioeconómicas na atribuição de médicos de família em Portugal entre 2009 e 2014. Material e Métodos: Utilizamos dados anuais relativos ao número de utentes com e sem médico de família em cada unidade de prestação de cuidados de saúde primários, bem como ao poder de compra médio da população servida por cada unidade. A análise é realizada com recurso a medidas de concentração. Resultados: A maior concentração da proporção de utentes sem acesso a médico de família encontra-se em unidades que servem populações economicamente mais favorecidas, embora a magnitude da mesma se tenha vindo a reduzir ao longo dos anos analisados. Entre as unidades que servem populações mais desfavorecidas, verifica-se uma situação próxima da igualdade. Discussão: Os resultados obtidos podem refletir o facto de populações economicamente mais favorecidas estarem localizadas em zonas urbanas com maior escassez de médicos de família, mas também o facto de estas optarem por não ter médico de família, recorrendo a prestadores privados. Conclusão: Os resultados apontam para uma diminuição das desigualdades socioeconómicas ao longo dos anos em análise, nomeadamente entre as populações em que estas desigualdades eram mais expressivas.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Moura A,Barros PPdoi
10.20344/amp.9873subject
Has Abstractpub_date
2018-12-28 00:00:00pages
730-737issue
12eissn
0870-399Xissn
1646-0758journal_volume
31pub_type
杂志文章abstract::The use of the transoesophageal echocardiography (TEE) in the critically ill patient admitted to the general intensive care unit begins to turn out to be very important but it is still little spread. The full implementation of the echocardiography in the general intensive cares is compromised by the acoustic window. H...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2011-12-01 00:00:00
abstract::Suicidal behaviour still represents a serious public health problem. Although the existence of some consultations on this subject, their efficacy remains very far from what we wish. In that sense, the research on the biological markers of suicidal behaviour might be of considerable importance. The aim of this paper is...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract:INTRODUCTION:Foreign body ingestion is a frequent emergency occurrence. Serious complications, although rare, include pharyngooesophageal perforation, aorto-oesophageal fistula and deep neck infection. MATERIAL AND METHODS:A retrospective review was performed of all cases of foreign body ingestion requiring hospitaliz...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.5371
更新日期:2014-11-01 00:00:00
abstract:INTRODUCTION:The purpose of this study was to provide objective and real-life data concerning the impact of the COVID-19 pandemicon ophthalmology residency training in Portugal. MATERIAL AND METHODS:Descriptive survey-based study applied to current Portuguese ophthalmology residents (n = 80 eligible). RESULTS:Seventy...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.14341
更新日期:2020-10-01 00:00:00
abstract:INTRODUCTION:The surgical management of complete ureteral duplication anomalies is not consensual. OBJECTIVE:To characterize the pediatric population who underwent surgery for complete ureteral duplication and assess the outcomes of different approaches. MATERIAL AND METHODS:Clinical records from patients treated bet...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.6329
更新日期:2016-04-01 00:00:00
abstract::The development of a kidney abscess is extremely rare despite the fact that urinary tract infections are quite common during pregnancy. The pathogenesis of renal abscess has changed over the years. Nowadays, more than 75% of the renal abscess arises from a previous urinary tract infection. The authors report the case ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract::Hidrosadenitis supurativa is a chronic inflammatory disease with great physical and psychological impact. Although conservative treatments may be effective in mild forms of the disease, extensive surgical resection and reconstruction are necessary in more severe forms of the disease. The purpose of this paper is to de...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8656
更新日期:2018-01-31 00:00:00
abstract::We report 3 years of experience with operative ultrasonography on 200 patients who underwent cholecystectomy for biliary lithiasis. Intraoperative ultrasonography and intraoperative cholangiography were performed on all of these patients and compared with the operative findings. The diagnostic accuracy of sonography w...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract::Stent appears as the most recent and revolutionary acquisition in Endovascular Surgery. It represents the percutaneous permanent placement of a Vascular prosthesis. We discuss its background and evolution, the several types as well as some of its characteristics as biocompatibility, trombogenicity and biomechanics. We...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1991-09-01 00:00:00
abstract::Referring to examples from the poetry of Fernando Pessoa and Mário de Sá Carneiro, we draw attention to the narcissistic relationship between mother and baby, to the role of the mirror-image of the mother's face, and to the organization of a false self caused by a deficiency both of that function, and of the narcissis...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract:INTRODUCTION:Acute appendicitis (AA) is the leading cause of emergency abdominal surgery in children. The diagnosis is essentially clinical, but some methodologies, such as Alvarado score (AS), have been developed in order to avoid non-therapeutic laparotomy (15-30%). AS ≥ 5 or 6 is compatible with AA and is an indicat...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract::The Authors retrospectively studied 17 patients who have been admitted to the Infectious Diseases Clinic of Coimbra University Hospital during a four year period and whose final diagnosis was brucellar spondylitis. Clinical, epidemiological, laboratory and imaging features are analyzed, as well as those related to the...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::The alexithymia construct was introduced by Nemiah and Sifneos in the early 70s. It is a multifaceted personality construct that has been recognized associated with various conditions of health disorders. Nonetheless, despite the abundant literature, due to methodological weaknesses, a great share of the studies has b...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract::The female varicocile is associated to the pelvic congestion syndrome that is described. Five patients 31 to 52 years old are presented. Four of them have continuous pelvic pain and the fifth had huge vaginal and vulvar varices. Flebography of the left ovarian vein showed retrograde flux of the dilated vein. Sclerothe...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::Over the years a number of high quality studies has established the effectiveness of external measures (tape, brace) and neuromuscular training for the prevention of ankle sprains. The general conclusion derived from these studies is that recurrent ankle sprains can be effectively prevented using any of these measures...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:Telemedicine is the provision of health services, where distance is a critical factor, using information and communication technologies. Cape Verde has bet on using this tool to increase access of the population of its islands to specialized care. MATERIAL AND METHODS:Qualitative study, covering the perio...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7578
更新日期:2017-04-28 00:00:00
abstract::There is a wide acknowledgement of obesity as a relevant clinical entity. Such relevance can be inferred by the huge worldwide amount of research and related health promotion and clinical efforts. Though the evidence sustains some cues for the therapeutic success, the overall long-term effectiveness of obesity treatme...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2014-01-01 00:00:00
abstract::Testicular microlithiasis is a rare entity, usually asymptomatic and bilateral. There are however reports that until 40% of the cases may be related with testicular tumours. We report an 11-year-old boy, with a four-month history of left testicular mass. Sonography showed increased volume of left testis and bilateral ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2005-11-01 00:00:00
abstract:INTRODUCTION:The relationship between lymphomas and autoimmune diseases has been reported as bi-directional, however there is a few data in pediatric population. The aim of this work is to evaluate the prevalence of autoimmune diseases in children and adolescents with Hodgkin's lymphoma followed in a Pediatric Oncology...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.6207
更新日期:2015-11-01 00:00:00
abstract::Helicobacter pylori infection is a risk factor for gastric adenocarcinoma. Identification of individuals with this infection and its eradication may be considered as a primary prevention strategy to reduce the incidence of gastric adenocarcinoma; however, the magnitude of benefit and the effectiveness of this strategy...
journal_title:Acta medica portuguesa
pub_type: 评论,杂志文章
doi:
更新日期:2015-11-01 00:00:00
abstract:INTRODUCTION:Metals are a common cause of allergic contact dermatitis. After the introduction of the EU Nickel Directive (1994/27/CE; 2004/96/EC) and, more recently, the Cement Directive (2003/53/EC) there has been a significant decrease in sensitization to metals mainly in the Nordic countries. The applicability of th...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION:The recent occurrence of a number of outbreaks of dengue in Portuguese speaking countries with no previous disease, aroused curiosity about the competing factors for the phenomenon and a need for better knowledge of the pathology. We review the dengue-related situation in Portuguese speaking countries, lin...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2014-07-01 00:00:00
abstract::Embalming is a chemical process that aims the preservation and sanitization of the human body indefinitely. The technique of embalming is an important tool in teaching and research in anatomy enabling the preservation of cadaveric material in good conditions (lessening any significant structural changes and maintainin...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-05-01 00:00:00
abstract::The Bartter syndrome is a rare hereditary salt-wasting tubulopathy, characterized by metabolic alkalosis, hypokalemia, hyperreninemia and hyperaldosteronemia of varying severity. Indomethacin and high doses of oral potassium have been until now the therapeutic strategies used, with high risk of gastrointestinal injury...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVE:To assess epidemiological profile of spinal cord injury outpatients which have been participating of rehabilitation programme using neuromuscular electrical stimulation, in order to implement campaigns for preventing spinal cord trauma. METHODS:From January to April 2009, 30 patients at the spinal cord injur...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-07-01 00:00:00
abstract::The authors review and discuss the medical treatment in the prehospital phase of acute myocardial infarction while working at the Referral Centre for Emergency Patients of the National Institute for Medical Emergencies (CODU-INEM). The diagnosis of myocardial infarction should be suspected immediately by the doctor on...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 00:00:00
abstract:INTRODUCTION:Since dysphagia may be one of the brain post-stroke consequences, the objective of this study was to analyze the average recovery time of patients with cerebrovascular accident and dysphagia subjected to speech therapy in a hospital bed. MATERIAL AND METHODS:Systematic review performed following the 'Pref...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.9183
更新日期:2017-12-29 00:00:00
abstract:INTRODUCTION:Amyotrophic lateral sclerosis is a rare neurodegenerative disease affecting motor neurons. Patients present with progressive physical impairment, respiratory failure being the main cause of death. A significant portion of patients presents neurobehavioral problems as well. As severe impairment occurs, pati...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.6590
更新日期:2016-01-01 00:00:00
abstract::Sympathetic and parasympathetic nervous system evaluation was performed in 21 patients with rheumatoid arthritis. Every patient had autonomic nervous system (ANS) dysfunction, the parasympathetic involvement being the most frequent. ANS dysfunction may explain some manifestations and may well be the expression of a la...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::The recent improvement in surgical of therapy of carriers of hepatocellular carcinoma is due to both an early diagnosis of the illness and in the evaluation of set of prognostic and resectability factors. On describing a clinical case of a hepatocellular carcinoma localized on the left lobe of a healthy liver, the imp...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00