Internet health information seeking by primary care patients.

INTRODUCTION: As patients seek health information more frequently on the internet, the impact on their health status and their relationship with doctors could be a matter of concern. The objective of this study is to know how frequently rural primary care patients seek health information on the internet and the factors associated with it. METHODS: This cross-sectional study surveyed 850 patients aged over 15 years who attended two rural health centers in Cuenca (Spain). Consecutive case sampling was done. The participants were invited to answer a survey with sociodemographic and clinical aspects, and questions about possible internet searches for health information. The statistical analysis included the description of the variables and a bivariate analysis, and was completed with a logistic regression analysis. RESULTS: Patients' median age was 54 years, interquartile range 39-67 years; 60.9% were female. Of those surveyed, 49.8% (95% confidence interval 46.3-53.2) stated that they used the internet to seek health information. Statistically significant differences were apparent for gender, age, level of education, disease and attendance (p<0.0001). A logistic regression analysis showed an independent relationship with health information seeking on the internet for the variables gender, age, level of education (p<0.0001) and having a chronic disease (p=0.004). CONCLUSION: Roughly half the primary care patients in the rural area sought health information on the internet. Females, young people, those with a higher level of education and a chronic disease background did so more frequently.

Psoriasis folicular, esa gran desconocida / Follicular Psoriasis, the great unknown

La psoriasis es una enfermedad cutánea crónica caracterizada más frecuentemente por placas eritematosas que aparecen normalmente con una distribución característica en superficie de extensión de extremidades, zonas de presión y cuero cabelludo. Aunque el diagnóstico diferencial de la psoriasis es amplio, el reconocimiento de esta entidad puede ser realizado mediante una correcta anamnesis y exploración física en la mayoría de los casos. La psoriasis folicular es una variante infradiagnosticada entre las diversas formas de psoriasis bien documentadas en la bibliografía (AU)

Psoriasis is a chronic skin disorder most commonly characterized by well-demarcated erythematous plaques with a typical distribution on extensor areas of limbs, pressure areas and scalp. Although the differential diagnosis of psoriasis is broad, its identification can be made by means of careful anamnesis and physical examination in the vast majority of cases. Follicular psoriasis is an under-diagnosed variant among the other well documented forms of psoriasis (AU)

El peso de la Investigación / No disponible

No disponible

Conociendo las Unidades de Saúde Familiar: otro modelo de Medicina de Familia / Knowing the Unidades de Saúde Familiar: another model of family medicine

Las Unidades de Saudé Familiar (USF) suponen un modelo de Atención Primaria desconocido para muchos. Nacidas dentro de la reforma del sistema nacional sanitario portugués, surgen ante la necesidad de proporcionar unos cuidados de salud de calidad a los ciudadanos, mejorando la satisfacción tanto de los propios usuarios como de los profesionales que trabajan en ella. En este artículo trataremos de explicar el funcionamiento de estas USF gracias a la oportunidad que tuvimos los autores del mismo de compartir consulta en la USF de Sao Juliao-Oeiras (AU)

Unidades de Saude Familiar (USF) represent a model of primary care unknown to many people. Born within the reform of the Portuguese national health system, they arise from the need to provide a quality health care to citizens, improving the satisfaction of both users and professionals who work in it. This article will try to explain the working of these USF thanks to the opportunity to share medical consultation that the authors had at the USF-Oeiras Sao Juliao (AU)

Lesión indurada de aparición en la infancia / Indurated lesion with onset in childhood

Presentamos un paciente de 13 años referido a la consulta de Dermatología por una lesión indurada, pigmentada, lineal en miembro inferior derecho. Tras su valoración clínica y con sospecha diagnóstica de morfea, se realizaron las exploraciones pertinentes para confirmar el diagnóstico e indicar el tratamiento específico (AU)

We present a 13-year-old patient referred to the Dermatology consultation due to a lineal, indurated, pigmented lesion on the right lower limb. After clinical assessment and suspected diagnosis of morphea, relevant examinations were performed to confirm the diagnosis and to indicate the specific treatment (AU)