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How to build a strong Primary Care in Brasil?

18 Aug

Brazil, with almost 200 millions inhabitants, has a public primary health system that covers 60% of the population. Health centers are public, with professionals working as public employees, and organized in health teams (one per 4.000 inhabitans, with a family physician, a nurse, an auxiliar and six agents of communiyt health). The Strategy of Family [...]

Iodine supplements to pregnant women

10 Apr

Iodine supplements during pregnancy could be a dangerous practice in places with normal and medium level de iodine food content. Spanish data show that iodine supplements are associate with problems of the thyroid gland (in the female) and problems in the psychological-motor development of the offspring (girls). Iodine supplements to pregnant women. Gérvas J. Marzo [...]

Socio-economic status, chronic morbidity and health services utilization by families

24 Mar

Socioeconomic status depends on wealth and education. Both have impact on health. In this study there are some comparisons in between two urban district, one rich, one poor. There are differences in health and use of services, but also unexpected differences in the main source of income (pension in the poor district) and the number [...]

Supply and distribution of family physicians

2 Mar

Capitation is the way of payment for general practitioners-family physicians in countries where primary care is strong, as Denmark, Holland, Spain, New Zealand, Spain and the UK. Capitation implies the existence of patients’ list and fair distribution of general practitioners over the country. Supply and distribution of family physicians. Gérvas, J. Canadian Family Physician/ Le [...]