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初级卫生保健中的弱势群体:里斯本一个项目实施的简要报告

Vulnerable Groups in Primary Health Care: Brief Report of a Project Implementation in Lisbon.

作者信息

Maria Ana Rita J, Basílio Nuno

机构信息

Western Lisbon Local Health Unit, Comprehensive Health Research Centre (CHRC), Nova Medical School, Faculdade de Ciências Médicas, Universidade NOVA de Lisboa, Lisbon, Portugal.

出版信息

Port J Public Health. 2025 Feb 27;43(2):125-130. doi: 10.1159/000543927. eCollection 2025 Jul.

Abstract

BACKGROUND

The COVID-19 pandemic led to measures that conditioned the response of health services. More research is needed on what measures may be undertaken to promote the stability of general practitioners (GPs).

OBJECTIVES

The objective of this study was to describe a project taking place in a primary health care (PHC) unit in Lisbon at the beginning of 2022, aiming to monitor vulnerable populations, including children and pregnant women.

METHOD

A descriptive study design based on a case report was conducted.

RESULTS

A rich internship field presented an opportunity to the training of future doctors specializing in Family Medicine and providing health services at the PHC level, which are considered essential in the Portuguese health system. Additionally, the problem of inequality in access to PHC is ameliorated, especially in a context with a high number of patients without an assigned GP.

CONCLUSIONS

Training of future doctors specializing in Family Medicine can be improved, and, at the same time, the problem of inequality in access to PHC is ameliorated. In order to lead a successful PHC, reform topics should be considered, such as the promotion of policies to retain professionals in the National Health Service.

摘要

背景

新冠疫情导致了一些影响卫生服务应对措施的情况。对于可采取哪些措施来促进全科医生(GP)的稳定性,还需要更多研究。

目的

本研究的目的是描述2022年初在里斯本一个初级卫生保健(PHC)单位开展的一个项目,该项目旨在监测包括儿童和孕妇在内的弱势群体。

方法

基于病例报告进行描述性研究设计。

结果

丰富的实习领域为未来专门从事家庭医学并在初级卫生保健层面提供卫生服务的医生培训提供了机会,这在葡萄牙卫生系统中被视为至关重要。此外,初级卫生保健获取方面的不平等问题得到了改善,尤其是在有大量患者没有指定全科医生的情况下。

结论

可以改进对未来专门从事家庭医学的医生的培训,同时改善初级卫生保健获取方面的不平等问题。为了成功开展初级卫生保健,应考虑一些改革议题,例如促进在国家卫生服务中留住专业人员的政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd0d/12279343/6bf8c9dc8037/pjp-2025-0043-0002-543927_F01.jpg

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