Frederico Rosário - Academia.edu (original) (raw)

Papers by Frederico Rosário

Rpmgf, Jan 31, 2023

Objetivos: estimar a taxa de referenciação à consulta externa do Centro Hospitalar Tondela Viseu ... more Objetivos: estimar a taxa de referenciação à consulta externa do Centro Hospitalar Tondela Viseu (CHTV), na idade adulta; avaliar a qualidade das referenciações realizadas pelos médicos de família (MF), com base no “Guia de Referenciação do ACeS Dão Lafões à Consulta Externa do Centro Hospitalar Tondela-Viseu” (GR); comparar referenciações entre as unidades funcionais participantes; analisar os tempos de resposta do CHTV às referenciações; avaliar a existência de informação de retorno para o MF após a alta. Métodos: Este protocolo de estudo coorte retrospetivo multicêntrico será implementado em 6 unidades do ACeS Dão Lafões, bem como no CHTV e terá como população estudada os utentes inscritos nas unidades envolvidas, com 18 ou mais anos de idade em janeiro de 2018. Será selecionada aleatoriamente uma amostragem de 8000 observações. Serão avaliadas as referenciações realizadas para o CHTV no ano de 2018. Os dados serão colhidos por consulta do processo clínico das USFs e do CHTV. Variáveis estudadas: sexo, idade, unidade funcional, utilizador, número de referenciações, taxa de referenciação por consulta, taxa de utilizadores referenciados, taxa de referenciação por utente utilizador, consulta pedida, qualidade das cartas, tempo até à resposta, caracterização da resposta, avaliação das respostas, tempo até à consulta hospitalar, informação de retorno. O estudo será realizado no último trimestre de 2021. Discussão: Os resultados deste estudo irão contribuir para um melhor conhecimento do processo e qualidade da referenciação por parte dos Cuidados de Saúde Primários (CSP), e da qualidade da resposta dada pelos Cuidados de Saúde Secundários no que respeita aos tempos de resposta e à transferência de cuidados após a alta hospitalar. Ao nível dos CSP poderá ainda contribuir para avaliar se existem ou não discrepâncias no processo de referenciação entre diferentes modelos de unidades e servir de ponto de partida para um ciclo de melhoria contínua da qualidade

Alcohol and Alcoholism, Jul 16, 2014

Aims: To document the attitudes of general practitioners (GPs) from eight European countries to a... more Aims: To document the attitudes of general practitioners (GPs) from eight European countries to alcohol and alcohol problems and how these attitudes are associated with self-reported activity in managing patients with alcohol and alcohol problems. Methods: A total of 2345 GPs were surveyed. The questionnaire included questions on the GP's demographics, reported education and training on alcohol, attitudes towards managing alcohol problems and self-reported estimates of numbers of patients managed for alcohol and alcohol problems during the previous year. Results: The estimated mean number of patients managed for alcohol and alcohol problems during the previous year ranged from 5 to 21 across the eight countries. GPs who reported higher levels of education for alcohol problems and GPs who felt more secure in managing patients with such problems reported managing a higher number of patients. GPs who reported that doctors tended to have a disease model of alcohol problems and those who felt that drinking was a personal rather than a medical responsibility reported managing a lower number of patients. Conclusion: The extent of alcohol education and GPs' attitudes towards alcohol were associated with the reported number of patients managed. Thus, it is worth exploring the extent to which improved education, using pharmacotherapy in primary health care and a shift to personalized health care in which individual patients are facilitated to undertake their own assessment and management (individual responsibility) might increase the number of heavy drinkers who receive feedback on their drinking and support to reduce their drinking.

Acta Médica Portuguesa

Introdução: A ansiedade face aos testes é um importante fator condicionante da performance escola... more Introdução: A ansiedade face aos testes é um importante fator condicionante da performance escolar. Contudo, são escassos os estudos que procuram identificar quais as estratégias eficazes na sua melhoria. Este estudo teve como objetivo testar a eficácia de uma intervenção cognitivo-comportamental na redução da ansiedade face aos testes em alunos do ensino secundário.Material e Métodos: Estudo experimental, aleatorizado por clusters (turmas), controlado, sem ocultação, com dois grupos paralelos, com alunos do 10.º ano da Escola Secundária Alves Martins em Viseu, Portugal. Os alunos foram aleatorizados ao nível da turma para receber uma combinação de técnicas cognitivas e comportamentais, de mindfulness, psicoeducação e técnicas de relaxamento, ou para um grupo controlo sem intervenção. Os níveis de ansiedade dos participantes foram medidos através do Questionário de Ansiedade face aos Testes. A análise do efeito da intervenção foi realizada na base de intenção de tratar ao nível da t...

Additional file 6. Facilitators linked to the identified themes of barriers. This file details th... more Additional file 6. Facilitators linked to the identified themes of barriers. This file details the facilitators extracted after full-text analysis.

Additional file 4. Excluded full-text articles and references. This file details the articles tha... more Additional file 4. Excluded full-text articles and references. This file details the articles that were excluded after full-text analysis.

Additional file 3. List of unobtainable full-text papers. This file details the articles that wer... more Additional file 3. List of unobtainable full-text papers. This file details the articles that were selected for full-text analysis but that were not possible to obtain.

Additional file 1. PRISMA 2009 Checklist. This file provides a completed version of the PRISMA Ch... more Additional file 1. PRISMA 2009 Checklist. This file provides a completed version of the PRISMA Checklist.

Additional file 2. Electronic search strategy for the retrieval of studies from multiple database... more Additional file 2. Electronic search strategy for the retrieval of studies from multiple databases. This file details the search strategy employed in the review.

Revista Portuguesa de Clínica Geral, 2007

Revista Portuguesa de Clínica Geral, 2012

Derivação e validação de um modelo preditivo do perímetro abdominal RE SU MO Objectivo: analisar ... more Derivação e validação de um modelo preditivo do perímetro abdominal RE SU MO Objectivo: analisar a relação entre o perímetro abdominal e as características dos utentes, e desenhar um modelo preditivo do perímetro abdominal. Tipo de estudo: observacional, transversal, analítico.

International journal of adolescent medicine and health, Jan 10, 2018

Background Investing in adolescent health is among the most cost-effective health measures. Prima... more Background Investing in adolescent health is among the most cost-effective health measures. Primary care practitioners are ideally positioned to deliver such interventions. However, several barriers hinder them from engaging with adolescents. Objective To pilot test the impact of a 1-day training session on adolescent health on the attitudes of primary care practitioners toward adolescent care. Subjects Participants were family physicians and nurses enrolled in a 1-day training session on adolescent health. Methods A non-randomized, pre-post intervention study with no control group. Data on barriers for providing care to adolescents, preferred pediatric age group and attitudes toward adolescent care were collected immediately prior. Participants' attitudes were measured again immediately after training. Results Most participants reported they preferred to attend pediatric groups other than adolescents. The most frequently reported barriers were: excessive amount of time needed a...

Acta medica portuguesa, Feb 28, 2018

Substance use & misuse, Jan 28, 2017

The effectiveness of interventions to increase general practitioners' management of alcohol p... more The effectiveness of interventions to increase general practitioners' management of alcohol problems is affected by their attitudes toward at-risk drinkers. Tailoring training programs to general practitioners' attitudes may be useful in increasing alcohol screening and brief advice. to determine whether general practitioners could be divided into distinct groups based on their attitudes toward at-risk drinkers. Another aim of this study was to develop and validate a model for classifying general practitioners into distinct groups. A total of 234 general practitioners answered the questionnaire. Physicians' attitudes toward patients with hazardous or harmful alcohol use were measured with the Short Alcohol and Alcohol Problems Perception Questionnaire. Cluster analysis was performed to identify distinct general practitioner groups based on their attitudes toward at-risk drinkers. Logistic regression analysis was used to develop a model for predicting group membership. Cl...

International journal of family medicine, 2016

Introduction. We have recently shown that family physicians can be classified into two groups bas... more Introduction. We have recently shown that family physicians can be classified into two groups based on their attitudes towards at-risk drinkers: one with better and the other with worse attitudes. Objective. To compare the two groups regarding demographics, alcohol-related clinical practice, knowledge of sensible drinking limits, and barriers and facilitators to working with at-risk drinkers. Methods. A random sample of 234 Portuguese family physicians who answered the Optimizing Delivery of Health Care Interventions survey was included. The questionnaire asked questions on demographics, alcohol-related clinical practice, knowledge of sensible drinking limits, and barriers and facilitators to working with at-risk drinkers. Results. Family physicians with better attitudes were younger (p = 0.005) and less experienced (p = 0.04) and with higher male proportion (p = 0.01). This group had more hours of postgraduate training (p < 0.001), felt more prepared to counsel risky drinkers (p...

Acta medica portuguesa, Jan 31, 2018

Alcohol is a leading risk factor contributing to the global burden of disease. National and inter... more Alcohol is a leading risk factor contributing to the global burden of disease. National and international agencies recommend evidence-based screening and brief interventions in primary care settings in order to reduce alcohol consumption. However, the majority of primary care professionals do not routinely deliver such interventions. To identify factors influencing general practitioners/family physicians' and primary care nurses' routine delivery of alcohol screening and brief intervention in adults. A systematic literature search will be carried out in the following electronic databases: Medline, CINAHL, CENTRAL, and PsycINFO. Two authors will independently abstract data and assess study quality using the NIH National Heart, Lung, and Blood Institute quality assessment tools for quantitative studies, and the CASP checklist for qualitative studies. A narrative synthesis of the findings will be provided, structured around the barriers and facilitators identified. Identified b...

Acta Médica Portuguesa, Feb 20, 2012

Type one diabetes mellitus is the second most frequent disease in childhood, presenting with seri... more Type one diabetes mellitus is the second most frequent disease in childhood, presenting with serious complications when inadequately controlled. The most useful measure of metabolic control is hemoglobin A1c (HbA1c), being essential the awareness of the causes of its variability. to evaluate the effect of age and time of disease on HbA1c; to evaluate the relationship between HbA1c and serum lipid and microalbuminuria values. Observational, transversal and analytic study, based on data obtained in the files of all patients that attain the Pediatric Diabetic Consult. The studied variables were: sex, actual age, diagnostic age, metabolic control and chronic complications. Statistical analysis was made with Excel2003® and SPSS 15.0®. A significance level of 5% was adopted. a 96 diabetic population was obtained. Last year HbA1c average was 8,3% and was less than 7,5% in one third of the cases. Adolescent's HbA1c (8,4%) was significantly higher than in children (7,8%) (p=0,03). Diabet...

Objectives: to evaluate family medicine residents’ attitudes towards patients with alcohol-relate... more Objectives: to evaluate family medicine residents’ attitudes towards patients with alcohol-related problems. Study design : cross-sectional study. Participants : family medicine residents registered at the Lisbon’s Family Medicine Residency Coordination. Methods : attitudes towards alcohol-related problems were assessed using the Short Alcohol and Alcohol Problems Perception Questionnaire. Associations were tested between questionnaire scores, gender and postgraduate training year. Results: one hundred and ninety five residents meeting inclusion and exclusion criteria answered the questionnaire. The mean residents’ age was 29.2 years, and 74.4% were female. Residents felt role secure in working with drinkers (88.7% scored above Role Security scale midpoint) but reported lower levels of Therapeutic Commitment (57.9% scored above scale’s midpoint). Although residents showed on average positive attitudes, they considered working with drinkers an unpleasant task, since only 22.6% scored...

Objectivos: Avaliar o efeito da idade e tempo de doença no valor de HbA1c; Avaliar a relação entr... more Objectivos: Avaliar o efeito da idade e tempo de doença no valor de HbA1c; Avaliar a relação entre o valor de HbA1c e os valores de lipidémia e microalbuminúria. Material e Métodos: Estudo observacional, transversal e analítico, com base nos dados obtidos da ...