[Thematic analysis of Primary Care journals indexed in Journal Citation Reports: 2015-2019]

OBJECTIVE

Analyze the thematic lines of the articles and reviews published between 2015 and 2019 in the journals indexed in the "Primary Health Care" category of the Journal Citation Reports.

METHODS

Observational bibliometric study. The bibliographic records of the Web of Science were identified and the frequencies of appearance of the thematic descriptors and their co-occurrence in the documents included in the study were analyzed. In addition to the global analysis, the reviews, the most cited documents, those published in 2015, and those published in 2019 were analyzed separately. Descriptors were classified by thematic clusters using the Current Canadian Index scale and clinical publications were analyzed using the second edition of the International Classification of Primary Care.

RESULTS

A total of 16,444 descriptors were identified in the 7,453 documents analyzed. The most frequent descriptors focus on: diagnosis, prevalence, management, risks, care practice and the figure of the health professional. In the most cited documents, terms with specific themes were used: depression, intervention, satisfaction, quality, therapy, research-based practice. In 2019, there were a greater number of publications focused on epidemiology, clinic, research and provision of services. From a clinical point of view, studies on psychological and mental health problems, nervous system, social problems, palliative care and cancer increased in 2019.

CONCLUSIONS

The analysis carried out identifies the relevant thematic lines in primary care journals, highlighting the diagnosis and prevalence of diseases, the management of pathologies and their associated risks, as well as clinical practice and the figure of the health professional.

Paediatric teams in front of childhood obesity: A qualitative study within the STOP project

INTRODUCTION

Understanding the underlying factors that influence the approach to overweight and obesity in children is basic to best support families searching a solution to this important public health problem.

OBJECTIVE

To assess attitudes and feelings of paediatric staff in addressing overweight and childhood obesity to parents, exploring perceived barriers and facilitators, for an effective care.

PARTICIPANTS AND METHOD

Qualitative study by means of individual semi-structured questionnaires of paediatric staff (paediatricians and paediatrician nurses; n = 57; 68% female) of primary health care centres and hospitals in Mallorca. Thematic analysis was done.

RESULTS

Three themes emerged from the data: "Parents' attitude in childhood obesity" (sub-themes "The conscience of parents", "The parents ask for help"), "Paediatric staff and childhood obesity" (sub-themes "Approaching to the problem: The interview with parents", "Looking together for the solution"), and "System barriers" (sub-themes "Improving teamwork and health policy", "Family participation in addressing childhood obesity").

CONCLUSIONS

Paediatric staffs know how to treat childhood obesity, but demand training on motivation. Effectivity on therapy of childhood obesity will be obtained after parents/carers recognize the problem and establish a trustful relationship with paediatric staff. The health system is still a barrier to the activity of paediatric personnel.

[Paediatric teams in front of childhood obesity: a qualitative study within the STOP project]

INTRODUCTION

Understanding the underlying factors that influence the approach to overweight and obesity in children is basic to best support families searching a solution to this important public health problem.

OBJECTIVE

To assess attitudes and feelings of paediatric staff in addressing overweight and childhood obesity to parents, exploring perceived barriers and facilitators, for an effective care.

PARTICIPANTS AND METHOD

Qualitative study by means of individual semi-structured questionnaires of paediatric staff (paediatricians and paediatrician nurses; n=57; 68% female) of primary health care centres and hospitals in Mallorca. Thematic analysis was done.

RESULTS

Three themes emerged from the data: «Parents' attitude in childhood obesity» (sub-themes «The conscience of parents», «The parents ask for help»), «Paediatric staff and childhood obesity» (sub-themes «Approaching to the problem: The interview with parents», «Looking together for the solution»), and «System barriers» (sub-themes «Improving teamwork and health policy», «Family participation in addressing childhood obesity»).

CONCLUSIONS

Paediatric staffs know how to treat childhood obesity, but demand training on motivation. Effectivity on therapy of childhood obesity will be obtained after parents/carers recognize the problem and establish a trustful relationship with paediatric staff. The health system is still a barrier to the activity of paediatric personnel.