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Otero Puime, Angel AntonioAuthorGarcía Olmos LAuthorOjeda Feo JAuthor

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October 19, 2020
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Substitution of primary care with specialized care. Some questions about the follow-up of patients with heart failure

Publicated to: Semergen. 32 (3): 125-131 - 2006-03-01 32(3), DOI: 10.1016/S1138-3593(06)73236-1

Authors:

Gérvas J; Alonso López F; Domínguez Velázquez J; Esteban Sobreviela J; García Cebrián F; García Olmos L; Gómez Moreno N; Minué Lorenzo S; Malmierca Sánchez F; Ojeda Feo J; Otero Puime A; De Pablo González R; Palomo Cobos L; Pastor Sánchez R; Pérez Fernández M; Ripoll Lozano M; Rodríguez Sendín J; Seguí Díaz M; Simó Miñana J; Solla Camino J; Vázquez Díaz J
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Affiliations

Equipo CESCA - Author

Abstract

Care of chronic patients poses clinical and organizational challenges that are deficiently resolved in the daily practice. The key question is achievement of maximum quality of life. Chronic health problems do not generally pose diagnostic or therapeutic challenges, but those of organization and cooperation (between health care levels and between these with social services, with the patient and their family). Thus, care to patients with heart failure is deficient worldwide, also in Spain. Response to this deficiency is not generally improvement of primary care but rather its substitution by specialized care. Thus, super-specialized programs have been developed. These are dependent on heart failure hospital units, and obtain unquestionable success through the providing of low technology services, characteristic of primary care. The clinical question is extensively reviewed through response to four practical questions and the importance of home care is demonstrated in this text.
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Keywords

CoordinationDisease managementHeart failure

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Semergen, Q4 Agency Scopus (SJR), its regional focus and specialization in Family Practice, give it significant recognition in a specific niche of scientific knowledge at an international level.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-05:

  • Scopus: 4
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-05:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 9 (PlumX).
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