Browsing by Author "Soto, Gabriela"

Now showing 1 - 9 of 9
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    Attributes and features of a community health model from the perspective of practitioners
    (SOC MEDICA SANTIAGO, 2017) Dois, Angelina; Bravo, Paulina; Soto, Gabriela
    Background: The Family and Community Health Model is based on three essential principles: user-centered care, comprehensive care and continuity of care. Aim: To describe the attributes and characteristics of the guiding principles of the Family and Community Health Model (FHM) from the perspective of primary care experts. Material and Methods: This was a qualitative study. An electronic Delphi was conducted with 29 national experts on primary care. Results: The experts agree that user centered care must be based on a psycho-social model integrating the multiple factors that influence health problems. It also must integrate patients' individual features, family and environmental issues. The proposed actions promote shared decision making. To promote integral care, anticipatory guidelines should be expanded and health care of patients with chronic conditions should be improved. Continuity of care should be promoted increasing working hours of medical centers and easing access to integrated electronic medical records, thereby generating efficient links between the different care levels. Conclusions: The results of the study can guide the clinical and administrative management of health teams, allowing the strengthening of primary health care according to the local realities.
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    Diseño y validación del instrumento SALUFAM: Un instrumento de valoración de la salud familiar con alto valor predictivo clínico para la atención primaria chilena
    (2012) Püschel, Klaus; Repetto, Paula; Solar, María Olga; Soto, Gabriela; González, Karla
    Background: There is a paucity of screening instruments with a high clinical predictive value to identify families at risk and therefore, develop focused interventions in primary care. Aim: To develop an easy to apply screening instrument with a high clinical predictive value to identify families with a higher health vulnerability. Material and Methods: In the first stage of the study an instrument with a high content validity was designed through a review of existent instruments, qualitative interviews with families and expert opinions following a Delphi approach of three rounds. In the second stage, concurrent validity was tested through a comparative analysis between the pilot instrument and a family clinical interview conducted to 300families randomly selected from a population registered at a primary care clinic in Santiago. The sampling was blocked based on the presence of diabetes, depression, child asthma, behavioral disorders, presence of an older person or the lack of previous conditions among family members. The third stage, was directed to test the clinical predictive validity of the instrument by comparing the baseline vulnerability obtained by the instrument and the change in clinical status and health related quality of life perceptions of the family members after nine months of follow-up. Results: The final SALUFAM instrument included 13 items and had a high internal consistency (Cronbach's alpha: 0.821), high test re-test reproducibility (Pearson correlation: 0.84) and a high clinical predictive value for clinical deterioration (Odds ratio: 1.826; 95% confidence intervals: 1.101-3.029). Conclusions: SALUFAM instrument is applicable, replicable, has a high content validity, concurrent validity and clinical predictive value.
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    Estudio de familia en Atención Primaria : construcción y validación de una herramienta para la valoración familiar
    (2019) Dois C., Angelina M.; Bravo Valenzuela, Paulina Fabiola; Mora, Isabel; Soto, Gabriela
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    Family functioning style and health: opportunities for health prevention in primary care
    (ROYAL COLL GENERAL PRACTITIONERS, 2012) Garcia Huidobro, Diego; Puschel, Klaus; Soto, Gabriela
    Scores on the Family Functioning Style Scale, validated in Chile, are correlated with the extent of common health problems, particularly mental and psychosocial health problems, in a primary care population
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    Perception of Chilean Parents on the Triple P Program for Improving Parenting Practices
    (2016) Errázuriz Arellano, Paula; Cerfogli Flores, Claudia Andrea; Moreno Gómez, Gladys Angélica; Soto, Gabriela
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    Perception of users about an Integral Model of Family and Community Health care in Santiago, Chile
    (SOC MEDICA SANTIAGO, 2016) Dois, Angelina; Contreras, Aixa; Bravo, Paulina; Mora, Isabel; Soto, Gabriela; Solis, Claudia
    Background: The integral Model of Family and Community Health care is based on three essential principles: patient centered care, comprehensive care and continuity of care. Aim: To know the perception of primary care clinic users about the elements that should be considered in a patient centered integrated health care. Material and Methods: Ten males and 31 females aged 18 to 78 years, users of two public family primary care centers participated in focus groups, which were recorded. A qualitative descriptive research design based on content analysis according to Krippendorf was done. Results: Seven issues emerged from the description of patients' experiences: professional-patient relationship, fragmentation of care, continued care with the same professional, promotion and prevention, availability of services and patient records. Conclusions: There are difficulties to install an integral model of family and community health care. The concerns raised by participants should be considered in order to modify the design of these models.
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    Principios orientadores del Modelo Integral de Salud Familiar y Comunitario desde la perspectiva de los usuarios
    (2016) Dois C., Angelina M.; Contreras, Aixa; Bravo Valenzuela, Paulina Fabiola; Mora, Isabel; Soto, Gabriela; Solís, Claudia
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    Strategies for increasing mammography screening in primary care in Chile: Results of a randomized clinical trial
    (2010) Püschel, Klaus; Coronado, Gloria; Soto, Gabriela; González, Karla; Martínez, Javiera; Holte, Sarah; Thompson, Beti
    Background: Breast cancer is the cancer with the highest incidence among women in Chile and in many Latin American countries. Breast cancer screening has very low compliance among Chilean women.Methods: We compared the effects on mammography screening rates of standard care, of a low-intensity intervention based on mail contact, and of a high-intensity intervention based on mail plus telephone or personal contact. A random sample of 500 women with the age of 50 to 70 years registered at a community clinic in Santiago who had not had a mammogram in the past 2 years were randomly assigned to one of the three intervention groups. Six months after randomization, participants were re-evaluated for their compliance with mammography screening. The outcome was measured by self-report and by electronic clinical records. An intention to treat model was used to analyze the results. Results: Between 92% and 93% of participants completed the study. Based on electronic records, mammography screening rates increased significantly from 6% in the control group to 51.8% in the low-intensity group and 70.1% in the high-intensity group. About 14% of participants in each group received opportunistic advice, 100% of participants in the low- and high-intensity groups received the mail contact, and 50% in the high-intensity group received a telephone or personal contact. Conclusion: A primary care intervention based on mail or brief personal contact could significantly improve mammogram screening rates. Impact: A relatively simple intervention could have a strong impact in breast cancer prevention in underserved communities
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    User Participation in Clinical Decision-making in Primary Health Care in Chile
    (2018) Bravo Valenzuela, Paulina Fabiola; Dois C., Angelina M.; Contreras, Aixa; Soto, Gabriela; Mora, Isabel