<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182019000400715</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto de la Medicina Familiar en Granma durante los años 2015-2016]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of Family Medicine in Granma during the years 2015-2016]]></article-title>
<article-title xml:lang="pt"><![CDATA[Impacto da Medicina de Família no Granma durante os anos de 2015 a 2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallardo Sánchez]]></surname>
<given-names><![CDATA[Yurieth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yero Quesada]]></surname>
<given-names><![CDATA[Yunior]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez Ramírez]]></surname>
<given-names><![CDATA[Leonor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa García]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saborit Corría]]></surname>
<given-names><![CDATA[Elizabet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma  ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Dirección Provincial de Salud  ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Facultad de Ciencias Médicas Celia Sánchez Manduley  ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Policlínica Universitaria Raúl Podio Saborit  ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>4</numero>
<fpage>715</fpage>
<lpage>730</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182019000400715&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182019000400715&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182019000400715&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN En la década de los ochenta como respuesta a la necesidad que generaron las condiciones de salud y niveles de vida alcanzados, se inicia el modelo del médico de familia con el objetivo de socializar el impacto de la Medicina Familiar en Granma durante los años 2015-2016 posterior a la implementación de las transformaciones del sector. Se realizó estudio observacional, descriptivo y retrospectivo, utilizaron métodos teóricos, empíricos y como métodos estadísticos la distribución de frecuencias absolutas y la presentación de los resultados en gráficos. Las variables fueron: total de consultas en la APS y realizadas por los Médicos Generales Integrales, determinaciones realizadas en los laboratorios clínico y microbiológico, estudios imagenológicos realizados, consultas en cuerpo de guardia e ingresos domiciliarios, así como cantidad de graduados en la especialidad MGI. Las consultas en el 2016 superaron al 2015 y las propias al Médico General Integral en 496 151 y 252 002 respectivamente. En el laboratorio microbiológico aumentaron las determinaciones realizadas en el 2016 con respecto al 2015 en 139 819 y, en el laboratorio clínico disminuyó en 52 047. Aumentaron los estudios imagenológicos (24 007 Rx y 8 230 ultrasonidos). Decrecieron las consultas en cuerpo de guardia en 15 113 pacientes atendidos. Aumentaron los ingresos domiciliarios en mil 703. En los años estudiados se graduaron 271 y 381 especialistas I Grado respectivamente.Se socializaron indicadores medibles producto a las transformaciones que muestran impacto positivo en Medicina Familiar. Crecieron las consultas en la Atención Primaria de Salud y por los MGI demostrando reorganización de los servicios, disminuyeron las consultas en los cuerpos de guardia, aumentaron los ingresos domiciliarios y los recursos humanos especializados en Primer Grado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT In the decade of the eighties as a response to the need generated by the health conditions and levels of life achieved, the family doctor model was initiated with the aim of socializing the impact of Family Medicine in Granma during the years 2015-2016 after the implementation of the transformations of the sector. We performed an observational, descriptive and retrospective study, using theoretical, empirical methods and as statistical methods the distribution of absolute frequencies and the presentation of the results in graphs. The variables were: total number of consultations in the PHC and performed by the Integral General Practitioners, determinations made in the clinical and microbiological laboratories, imaging studies carried out, consultations in the body of the guard and home admissions, as well as number of graduates in the MGI specialty. The consultations in 2016 exceeded 2015 and those of the Integral General Physician in 496 151 and 252 002 respectively. In the microbiological laboratory, the determinations made in 2016 with respect to 2015 increased by 139 819 and in the clinical laboratory decreased by 52 047. Imaging studies (24 007 Rx and 8 230 ultrasounds) increased. Consultations in the body of the guard decreased in 15 113 patients attended. Home admissions increased by 703 thousand. In the studied years, 271 and 381 I Degree specialists graduated respectively. Measurable indicators were socialized product to the transformations that show positive impact in Family Medicine. The consultations in the Primary Health Care and the MGIs showed a reorganization of the services, the consultations in the guard corps decreased, the household income increased and the specialized human resources in the First Degree increased.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Na década de 80, como resposta à necessidade gerada pelas condições de saúde e níveis de vida alcançados, o modelo de médico de família foi iniciado com o objetivo de socializar o impacto da Medicina de Família no Granma durante os anos de 2015-2016. após a implementação das transformações do setor. Foi realizado um estudo observacional, descritivo e retrospectivo, utilizando métodos teóricos, empíricos e como métodos estatísticos a distribuição de frequências absolutas e a apresentação dos resultados em gráficos. As variáveis &#8203;&#8203;foram: consultas totais em PHC e realizada por médicos de clínica geral, determinações em laboratórios clínicos e microbiológicos, estudos de imagem, consultas guarita e renda familiar e número de diplomados em MGI especialidade. As consultas em 2016 foram superiores a 2015 e as do médico generalista geral em 496 151 e 252 002, respectivamente. No laboratório de microbiologia, as determinações feitas em 2016 em relação a 2015 aumentaram em 139 819 e no laboratório clínico diminuíram em 52 047. Estudos de imagem (24 007 Rx e 8 230 ultrasounds) aumentaram. Consultas no corpo da guarda diminuíram em 15 113 pacientes atendidos. As internações domiciliares aumentaram em 703 mil. Nos anos estudados, 271 e 381 graduandos formaram-se, respectivamente, indicadores mensuráveis &#8203;&#8203;foram produtos socializados para as transformações que apresentam impacto positivo na Medicina de Família. As consultas na Atenção Primária à Saúde e nos MGI mostraram uma reorganização dos serviços, as consultas no corpo de guarda diminuíram, a renda familiar aumentou e os recursos humanos especializados no Primeiro Grau aumentaram.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Medicina Familiar]]></kwd>
<kwd lng="es"><![CDATA[Atención Primaria de Salud]]></kwd>
<kwd lng="es"><![CDATA[recursos humanos]]></kwd>
<kwd lng="en"><![CDATA[Family Medicine]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
<kwd lng="en"><![CDATA[human Resources]]></kwd>
<kwd lng="pt"><![CDATA[Medicina Familiar]]></kwd>
<kwd lng="pt"><![CDATA[Atenção Primária à Saúde]]></kwd>
<kwd lng="pt"><![CDATA[recursos humanos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alemañy]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz-Perera]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Family medicine in Cuba]]></article-title>
<source><![CDATA[Medwave]]></source>
<year>2013</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González Cárdenas]]></surname>
<given-names><![CDATA[LT]]></given-names>
</name>
<name>
<surname><![CDATA[Cuesta Mejías]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Perea]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Presno Labrador]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Díaz]]></surname>
<given-names><![CDATA[IE]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Díaz]]></surname>
<given-names><![CDATA[TC]]></given-names>
</name>
<name>
<surname><![CDATA[Guerrero Chacón]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Charbonier]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El Programa del médico y enfermera de la familia desarrollo del modelo de atención médica en Cuba]]></article-title>
<source><![CDATA[Rev Panam Salud Pública]]></source>
<year>2018</year>
<volume>42</volume>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Márquez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sansó Soberat]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Alonso Galbán]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Medicina General. Medicina Familiar. Experiencia internacional y enfoque cubano]]></source>
<year>2011</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Ciencias Médicas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barbosa León]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La medicina familiar en Cuba, un logro de la Revolución]]></article-title>
<source><![CDATA[Granma]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Presno Labrador]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[González Cárdenas]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medicina familiar en Cuba comienzo, presente y futuro]]></article-title>
<source><![CDATA[Rev Atención Primaria]]></source>
<year>2007</year>
<volume>39</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>221-76</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castell-Florit Serrate]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gispert Abreu]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Lozano Lefrán]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cobertura universal de salud y conciliación de criterios en base a la experiencia cubana]]></article-title>
<source><![CDATA[Rev Cubana Salud Pública]]></source>
<year>2015</year>
<volume>41</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morales Ojeda]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mas Bermejo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Castell-Florit Serrate]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Arocha Mariño]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Valdivia Onega]]></surname>
<given-names><![CDATA[NC]]></given-names>
</name>
<name>
<surname><![CDATA[Druyet Castillo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transformaciones en el sistema de salud en Cuba y estrategias actuales para su consolidación y sostenibilidad]]></article-title>
<source><![CDATA[Rev Panam Salud Pública]]></source>
<year>2018</year>
<volume>42</volume>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gallardo-Sánchez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[García-Rodríguez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Núñez-Ramírez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La Medicina Familiar en Granma logros y perspectivas]]></article-title>
<source><![CDATA[MULTIMED]]></source>
<year>2012</year>
<volume>16</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>553-63</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Skeen González]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Zabala Arguelles]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Opiniones y valoraciones de la población sobre las transformaciones del Sistema de Atención Primaria de Salud Pública]]></article-title>
<source><![CDATA[Estudios del Desarrollo Social]]></source>
<year>2018</year>
<volume>6</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>104-31</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Escobar Carmona]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Los exámenes de Laboratorio Clínico en el siglo XXI: ¿a favor o en contra del método clínico?]]></article-title>
<source><![CDATA[Gac Méd Espirit]]></source>
<year>2010</year>
<volume>12</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Espinosa Brito]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Viejas y nuevas implicaciones de la relación médico-paciente y del método clínico]]></article-title>
<source><![CDATA[Rev Cubana Med]]></source>
<year>2017</year>
<volume>56</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>150-4</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosas Prieto]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Narciso Zarate]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Cuba Fuentes]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Atributos de la Atención Primaria de Salud (A P.S): Una visión desde la Medicina Familiar]]></article-title>
<source><![CDATA[Acta Méd Peruana]]></source>
<year>2013</year>
<volume>30</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>42-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morgado Bode]]></surname>
<given-names><![CDATA[YL]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos Carménate]]></surname>
<given-names><![CDATA[ÁI]]></given-names>
</name>
<name>
<surname><![CDATA[Yusdani Pérez Castellanos]]></surname>
<given-names><![CDATA[YP]]></given-names>
</name>
<name>
<surname><![CDATA[Consuegra Valle]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Díaz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comportamiento de las Orientaciones Metodológicas del Ingreso en el Hogar]]></article-title>
<source><![CDATA[Gac Méd Espirit]]></source>
<year>2006</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Puchi-Gómez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Paravic-Klijn]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Salazar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Indicadores de calidad de la atención en salud en hospitalización domiciliaria revisión integradora]]></article-title>
<source><![CDATA[Aquichan]]></source>
<year>2018</year>
<volume>18</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>186-97</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramos Hernández]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Díaz]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Propuesta de perfeccionamiento de tarjeta de evaluación de residentes de Medicina General Integral]]></article-title>
<source><![CDATA[Educ Med Super]]></source>
<year>2015</year>
<volume>29</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>608-16</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oropesa Molerio]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Guevara de León]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Endo Milán]]></surname>
<given-names><![CDATA[JY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Second degree A Challenge for the specialty of Comprehensive General Medicine]]></article-title>
<source><![CDATA[EDUMECENTRO]]></source>
<year>2017</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>264-70</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="">
<collab>INFOMED</collab>
<source><![CDATA[Intervención del Ministro de Salud Pública Dr. José Ángel Portal Miranda en la gala conmemorativa por el 35 aniversario de la fundación del programa del médico y enfermera de la familia]]></source>
<year>2019</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
