A5102943834- Primary Care and Health Outcomes
- Health, Nursing, Elderly Care
- Patient Satisfaction in Healthcare
- COVID-19 and healthcare impacts
- Healthcare Systems and Technology
- Healthcare Policy and Management
- Pharmaceutical industry and healthcare
- Public Health in Brazil
- Older Adults Driving Studies
- Global Cancer Incidence and Screening
- Telemedicine and Telehealth Implementation
- Health Literacy and Information Accessibility
- Healthcare Quality and Management
- Palliative Care and End-of-Life Issues
- Traffic and Road Safety
- Child and Adolescent Health
- Hematological disorders and diagnostics
- Automotive and Human Injury Biomechanics
- Science and Science Education
- Ethics in medical practice
- Patient-Provider Communication in Healthcare
- Biotechnology and Related Fields
- Autoimmune and Inflammatory Disorders Research
- Frailty in Older Adults
- Nutrition, Genetics, and Disease
Hospital Clínico San Carlos
2025
Universidade do Porto
2018-2024
i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto
2023
Unité de Nutrition Humaine
2022
Administração Regional de Saúde de Lisboa e Vale do Tejo
2005-2018
Columbia University
2015
The 2018 World Cancer Research Fund/American Institute for (WCRF/AICR) cancer prevention recommendations benefit primary and survivor outcomes. This study evaluated the adherence to these during year prior breast diagnosis identified related clinical sociodemographic factors. A total of 915 patients with were recruited from eight hospitals in four regions Spain. participants completed an epidemiologic questionnaire a food frequency questionnaire. compliance WCRF/AICR was assessed using...
Objectives To quantify the time spent by family physicians (FP) on tasks other than direct patient contact, to evaluate job satisfaction, analyse association between and physician characteristics, number of performed characteristics satisfaction. Design Cross-sectional, using time-and-motion techniques. Two workdays were documented observation. A significance level 0.05 was adopted. Setting Multicentric in 104 Portuguese practices. Participants convenience sample FP, with lists over 1000...
The Portuguese National Health System (NHS) provides universal coverage and near-free health care, but the population has high out-of-pocket expenses unmet care needs. This suggests impaired accessibility, a key dimension of primary care. COVID-19 pandemic further affected access to Understanding General Practitioners' (GP) experiences during is necessary reconfigure post-pandemic service delivery plan for future emergencies. study aimed assess accessibility GPs, from their perspective,...
Background In 2020, Portugal had high levels of unmet health care needs. Primary Care was reported as the main source Objectives To describe face-to-face and remote access to GPs in during COVID-19 pandemic. discover patient experiences attitudes care. identify determinants Methods A survey a random sample 4,286 adults registered group Family Practices conducted 2021. Paper questionnaires were sent by post patients who no e-mail address with practice. Patients an link online questionnaire....
Objectives: To evaluate message exchange, between a family physician and her patients, during the first fourteen months of e-mail access. Study Design: Observational cross-sectional. Setting: A practice in Senhora da Hora, Matosinhos, Portugal. Population: E-mail messages exchanged patients. Methods: random sample 20% patient was evaluated for: person written about, size, number type subjects mentioned, whether or not it elicited reply from and, if so, size time initial reply, day were sent...
Objectives: Measuring the amount of time family physicians (FP) spend on direct patient encounters and other medical tasks, determining number indirect contacts, describing range tasks performed. Design: Observational study. Setting: Family practices in Unidade Local de Saúde Matosinhos (ULSM), Portugal. Population: working ULSM Methods: A convenience sample 46 was invited to record their activities during 2 5 days, June July, 2010. They measured spent practice, breaks aside from encounters,...
Objective The objective of this study is to characterise the self-reported first contact with health system and reasons stated for each choice, testing associations population characteristics. Design Cross-sectional survey. Setting Primary care department a local unit in northern Portugal. Participants Random sample 4286 persons, retrieved from all registered adults. Outcomes who they usually see same doctor when problem arises were considered adopt first-contact asked identify their regular...
Introduction Access to COVID-19-related care during the pandemic deserve attention and study inform future strategies deal with similar health emergencies in future. We aimed describe access for reasons first 9 weeks of Portugal, quantify frequency remote in-person contacts healthcare assess association between individual context characteristics services. Methods conducted an internet-based open cohort a non-probabilistic sample 12 006 persons aged 16 years or more. One questionnaire was...
A investigação em Medicina Geral e Familiar (MGF) é reconhecidamente importante. Na agenda de MGF os estudos observacionais podem ser muito úteis. Tradicionalmente a observacional tem-se baseado registos, sendo frequentemente discutidas as várias limitações dos mesmos. Um obstáculos à privacidade da consulta, além que para o Médico Família (MF) não fácil investigar ao mesmo tempo consulta. Apresenta-se assim uma metodologia descrita como gold-standard sobre conteúdo das profissões, se baseia...
will describe the feasibility and adoption of a tablet/touch screen-based intervention for persons with dementia to manage behaviors care at home.Nieman et al present acceptability results from community-delivered hearing older adults loss their communication partners that incorporates provision low-cost personal sound amplifiers aural rehabilitive strategies.Lucero consumer-centered approach used design, test, evaluate web-based caregiver-health information management system.The symposium...
Legislation on medical examinations for obtaining and renewing of drivers' licenses was recently amended by law no. 138/July 5, 2012. It has generated controversy because it 'pushes' family physicians (FP) to issue certificates with specifications that they cannot achieve in a practice. Patients health problems managed their FP will require opinions from other doctors. The evaluation the fitness drive professional drivers people disabilities is not usual task FP. Some argue assessment need...
The presence of a third party in doctor-patient relationship, occurring often Family Medicine consultations, raises ethical issues which, to date, have been scarcely debated amongst Portuguese physicians and seldom generated specific guidelines. This paper reviews the available fonts guidelines (physicians Code Ethics, international conventions, bioethics institutions pregraduate teaching). At light these guidelines, clinical vignettes are then discussed: adolescent contraception,...
Medical records are a key element of health care delivery. Records written by Portuguese family physicians often contain incomplete baseline information, progressive replacement clinical notes items the International Classification Primary Care, problems that not listed according to their highest level resolution and lists neither complete nor rigorous summary patient. Limitations software 'SClínico Cuidados de Saúde Primários' may explain these on medical records. This application is...
Medical records are a key component of health care delivery. In family practice, the preferred approach to structure medical is based on method proposed by Lawrence Weed', 'Problem-oriented record'. It generally accepted that record' comprises three components: baseline data, progressive clinical notes and list problems. Nevertheless, there lack standards how use these sections and, in Portugal, bibliography needs updating. This document aims synthesise compile information available,...
O Lupus Eritematoso Sistemico (LES) e uma doenca que, pela sua complexidade gravidade, se insere na area de actuacao dos cuidados hospitalares. Porem, o seu diagnostico pode ser iniciado a nivel Cuidados Saude Primarios, podendo medico familia vir questionado pelo doente com LES sobre os planos terapeutico, prognostico incapacidade. Relata-se caso mulher 27 anos que apresenta um sindrome febril prolongado cujo foi feito sequencia estudo efectuado nos Primarios. Manteve, meses seguintes ao...