Family risk, socioeconomic classification and multimorbidity in general and family medicine in Portugal
DOI:
https://doi.org/10.32385/rpmgf.v38i2.13091Keywords:
Family, Risk, Multimorbidity, Family medicine, Household, Types of familyAbstract
Aim of the study: To know, epidemiologically, the families and their risk, as well as to see if the family assessment was carried out and updated, checking if the lowest classification was associated with the highest comorbidity in a general practitioner list of patients in Central Portugal.
Materials and Methods: Cross-sectional observational study in a representative sample with a 95% confidence interval and a margin of error of 5% of family procedures of a family doctor in Central Portugal. The following data were collected: value of the Garcia Gonzalez family risk scale, the GRAFFAR scale, the type of household, the number of chronic pathologies classified by International Classification of Primary Care-2 (ICPC-2), the highest academic level of the members of the family, the existence or not of user fees waiver due to economic insufficiency and the number of elements in the family.
Results: One hundred and forty-five households were studied with an average of 2.94 elements per household. The variables that showed statistically significant differences between the different types of families were: the tertilic distribution of SOCFAM, the Garcia Gonzalez family risk scale, the number of elements per household, and the number of pathologies present.
Discussion: Without having data from other studies with which to compare those present, the families that presented the highest risk were the extended, unitary, and single-parent ones, while the reconstructed and nuclear families presented better indicators for lower risk. It is important to expand this study to understand better the epidemiology of families in a broader geographical context.
Conclusion: It was noticed that the high family risk was associated with the type of family, socioeconomic level, and greater family comorbidity.
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References
Allen J, Gay B, Crebolder H, Heyrman J, Svab I, Ram P, et al. A definição Europeia de Medicina Geral e Familiar (Clínica Geral/Medicina Familiar) [The European definition of Family Medicine (General Practice / Family Medicine)]. Rev Port Clin Geral. 2005;21(5):511-6. Portuguese
Engel GL. The need for a new medical model: a challenge for biomedicine. Psychodyn Psychiatry. 2012;40(3):377-96.
Pereira AV, Jorge GP, Guerra NC, Branco PR. O médico de família ideal: perspectiva do utente [The ideal family doctor: the patient’s perspective]. Rev Port Clin Geral. 2008;24(5):555-64. Portuguese
Ribeiro C. Família, saúde e doença: o que diz a investigação [Family, health and disease: what the research says?] Rev Port Clin Geral. 2007;23(3):299-306. Portuguese
Magalhães C, Nunes MA. Terapia familiar em cuidados de saúde primários: a experiência do Centro de Saúde de Sete Rios [Family therapy in primary health care: experience at the Sete Rios health care]. Rev Port Clin Geral. 2001;17(2):151-8. Portuguese
Neto IG. A conferência familiar como instrumento de apoio à família em cuidados paliativos [The family conference as a means of family support in palliative care]. Rev Port Clin Geral. 2003;19(1):68-74. Portuguese
Castelo Branco AE. A relação entre os diferentes tipos de família e a prevalência de doença mental nos indivíduos que compõem essa família [dissertation]. Coimbra: Faculdade de Medicina da Universidade de Coimbra; 2013.
Carvalho MI. Promoção do autocuidado nas famílias com crianças e adolescentes com doença crónica [dissertation]. Lisboa: Escola Superior de Enfermagem de Lisboa; 2014.
Braga R. Complexidade em medicina geral e familiar [Complexity in family medicine]. Rev Port Med Geral Fam. 2013;29(2):82-4. Portuguese
Rebelo L. A doença crónica, o doente crónico e a sua família: repercussão psicossocial da diabetes [Chronic disease, the chronic patient and his family: psychosocial impact of diabetes mellitus]. Acta Med Port. 1992;5(7):383-7. Portuguese
Rebelo L. A família em medicina geral e familiar: conceitos e práticas. Coimbra: Almedina; 2018. ISBN 9789724073132
Santiago LM, Simões JA, Vale M, Faria E, Ferreira PL, Rosendo I. Auto perceção do desempenho da medicina centrada na pessoa em medicina geral e familiar: criação de um instrumento de medição [Self-awareness of performing patient-centered medicine in general practice/family medicine: development of a measurement scale]. Acta Med Port. 2020;33(6):407-14. Portuguese
Instituto Nacional de Estatística. Censos: resultados definitivos (Portugal – 2011) [homepage]. Lisboa: INE; 2012 [cited 2020 Dec 1]. Available from: https://censos.ine.pt/xportal/xmain?xpid=CENSOS&xpgid=ine_censos_publicacao_det&contexto=pu&PUBLICACOESpub_boui=73212469&PUBLICACOESmodo=2&selTab=tab1&pcensos=61969554
Amaro F. Escala de Graffar adaptada. In: Costa AB, et al, editor. Currículos funcionais (Vol. II). Lisboa: Instituto de Inovação Educacional; 1996.
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