Atencion primaria
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To determine the variables associated with the prescription of long-term antidepressants (more than three years) to patients in a primary health area. ⋯ There is a high prevalence of prescription beyond three years. It is observed how dysthymic disorder is associated with a prolonged duration of treatment, as well as age, SSRI use, antidepressant change, and the total number of antidepressants prescribed.
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In 2009, the Catalan Health Service (Servei Català de la Salut) introduced community podiatric care for people with diabetes mellitus and chronic vascular or neuropathic conditions as part of its service portfolio. After 10 years, an evaluation, review, and improvement of the service was promoted, carrying out various actions between 2018 and 2024. ⋯ The redesign of the service has allowed for better alignment with the level of risk and intensity required by the individual, ensuring accessibility and equity in care. Connectivity improves the safety and traceability of care, as well as promotes de-bureaucratization and digitalization.