Professor Isabel Santos determined the direction of the specialty of General and Family Medicine in Portugal. Few people have thought of such drastic changes, so based on the foundations of the specialty: undergraduate and graduate training, continuing education, and research. Her mentoring resulted in hundreds of disciples, including students, interns, specialists, doctoral students, senior researchers, leader...
The Portuguese healthcare system had to adapt at short notice to the COVID-19 pandemic. We implemented workflow changes to our molecular pathology laboratory, a national reference center, to maximize safety and productivity. We assess the impact this situation had on our caseload and what conclusions can be drawn about the wider impact of the pandemic in oncological therapy in Portugal. Material and Methods. We...
At present the production of waste is a problem in several countries, where the rate of waste has gradually increased due to several factors that influence the development of the population. A pioneering project called Pay-As-You-Throw (PAYT) was implemented in the Portuguese city of Guimaraes and is managed by the municipal company VITRUS AMBIENTE. The challenge of this project is to identify the factors that ...
Introduction: Type 2 diabetes is a major driver of pharmaceutical spending. We aimed to determine the proportion of new patients who begin treatment with each antidiabetic medicine class, if therapy was initiated by their family physician, if family physicians alter prescriptions initiated by other physicians, and to compare prescribing patterns of family physicians and other specialists.Material and Methods: C...
Introduction: Type 2 diabetes is a major driver of pharmaceutical spending. We aimed to determine the proportion of new patients who begin treatment with each antidiabetic medicine class, if therapy was initiated by their family physician, if family physicians alter prescriptions initiated by other physicians, and to compare prescribing patterns of family physicians and other specialists. Material and Methods: ...
Introduction: Cardiovascular diseases are the most important cause of death in developed countries and non-fatal cardiovascular events contribute to significant morbidity in the population of these countries. Cardiovascular risk models currently used: Cardiovascular risk models consider the sum of risk factors present in a patient, attribute a quantitative value to the cardiovascular risk to certain fatal and n...
Introduction and Objectives: Finding out which drugs are chosen to treat incident cases of hypertension may help in interpreting prevalent use of antihypertensive agents. We aimed to determine the proportion of patients who begin treatment with each antihypertensive drug class, which physicians initiate treatment and whether family physicians alter prescriptions initiated by others, and to compare the prescribi...
An informed clinical decision arises from a dialogue, where the patient shares biopsychosocial information, preferences and values with his/her physician. Physicians share information about epidemiology and the risk of interventions. We can communicate risk using words, numbers or graphs and the chosen format influences patient’s perceptions and behaviour. The format is not always understood, and the inability ...
A propósito do artigo “O que classificar nos registos clínicos com a Classificação Internacional de Cuidados Primários?”
Objectives: To increase the rate of obtaining informed consent for family planning procedures (insertion of intrauterine devices and subcutaneous contraceptive implants) Study design: Uncontrolled pre- and post- intervention design Setting: S. Julião Family Health Unit. Participants: Patients in the S. Julião FHU who visited the Unit for insertion of an intrauterine device or subcutaneous contraceptive implant....