<?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>1817-5996</journal-id>
<journal-title><![CDATA[Revista Cubana de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuba Reumatol]]></abbrev-journal-title>
<issn>1817-5996</issn>
<publisher>
<publisher-name><![CDATA[Editorial CIMEQ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-59962023000200017</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La atención primaria de salud como piedra angular del control de las enfermedades reumáticas]]></article-title>
<article-title xml:lang="en"><![CDATA[Primary health care as the cornerstone of the control of rheumatic diseases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solis Cartas]]></surname>
<given-names><![CDATA[Urbano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Rodriguez]]></surname>
<given-names><![CDATA[Humberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valcárcel Izquierdo]]></surname>
<given-names><![CDATA[Norberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maldonado Montoya]]></surname>
<given-names><![CDATA[Gabriela Belén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Chimborazo Facultad de Ciencias Médicas Miguel Enríquez Escuela Superior Politécnica de Chimborazo]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Facultad de Ciencias Médicas Miguel Enríquez  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Escuela Superior Politécnica de Chimborazo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>25</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962023000200017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962023000200017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962023000200017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Las enfermedades reumáticas constituyen uno de los grupos de enfermedades que con mayor frecuencia se presentan en el primer nivel de atención de salud. Dentro de sus características más distintivas destacan la generación de distintos grados de discapacidad funcional y la afectación a la percepción de calidad de vida relacionada con la salud. El diagnóstico precoz y el tratamiento oportuno constituyen las herramientas que se orientan al mejor control de la enfermedad; sin embargo, para lograrlo se necesita aumentar el nivel de preparación y competencia profesional del equipo de salud que labora en el primer nivel de atención. El objetivo de esta investigación es exponer, desde el punto de vista de la formación médica, los mecanismos que pueden formar parte de herramientas de superación profesional en el primer nivel de atención en base al reconocimiento de los elementos que permiten el diagnóstico de las enfermedades reumáticas y la correcta orientación diagnóstica. Se realiza un breve bosquejo de los elementos que deben ser incluidos tanto en la educación médica de pregrado como de posgrado. Se concluye que el abordaje de las enfermedades reumáticas debe constituir una práctica de superación permanente, como alternativa viable a disminuir la discapacidad funcional y aumentar la percepción de calidad de vida relacionada con la salud de estos pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Rheumatic diseases constitute one of the groups of diseases that most frequently occur in the first level of health care. Among its most distinctive characteristics, the generation of different degrees of functional disability and the affectation of the perception of health-related quality of life stand out. Early diagnosis and timely treatment are the tools that are aimed at better control of the disease; however, to achieve this, it is necessary to increase the level of preparation and professional competence of the health team that works at the first level of care. The objective of this research is to expose, from the point of view of medical training, the mechanisms that can be part of professional improvement tools in the first level of care based on the recognition of the elements that allow the diagnosis of rheumatic diseases. and the correct diagnostic orientation. A brief outline of the elements that should be included in both undergraduate and postgraduate medical education is made. It is concluded that the approach to rheumatic diseases should constitute a permanent improvement practice, as a viable alternative to reduce functional disability and increase the perception of quality of life related to the health of these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[atención primaria de salud]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[capacidad funcional]]></kwd>
<kwd lng="es"><![CDATA[educación superior]]></kwd>
<kwd lng="es"><![CDATA[educación médica]]></kwd>
<kwd lng="es"><![CDATA[enfermedades reumáticas]]></kwd>
<kwd lng="en"><![CDATA[primary health care]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
<kwd lng="en"><![CDATA[functional capacity]]></kwd>
<kwd lng="en"><![CDATA[higher education]]></kwd>
<kwd lng="en"><![CDATA[medical education]]></kwd>
<kwd lng="en"><![CDATA[rheumatic diseases]]></kwd>
</kwd-group>
</article-meta>
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