Statistics

 array:24 [
  "pii" => "S2254887419300219"
  "issn" => "22548874"
  "doi" => "10.1016/j.rceng.2018.11.012"
  "estado" => "S300"
  "fechaPublicacion" => "2019-03-01"
  "aid" => "1604"
  "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
  "copyrightAnyo" => "2018"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "edi"
  "cita" => "Rev Clin Esp. 2019;219:79-80"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 7
    "formatos" => array:2 [
      "HTML" => 3
      "PDF" => 4
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0014256518303254"
      "issn" => "00142565"
      "doi" => "10.1016/j.rce.2018.11.003"
      "estado" => "S300"
      "fechaPublicacion" => "2019-03-01"
      "aid" => "1604"
      "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "edi"
      "cita" => "Rev Clin Esp. 2019;219:79-80"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 160
        "formatos" => array:2 [
          "HTML" => 94
          "PDF" => 66
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
        "titulo" => "La Medicina Interna y su futuro en los sistemas de salud&#46; Posicionamiento de la Sociedad Espa&#241;ola de Medicina Interna y de la Sociedad Portuguesa de Medicina Interna"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "79"
            "paginaFinal" => "80"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Internal Medicine and its future in health systems&#46; Positioning Statement of the Spanish Society of Internal Medicine and the Portuguese Society of Internal Medicine"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "A&#46; Zapatero Gavir&#237;a, L&#46; Campos, R&#46; G&#243;mez Huelgas, J&#46; Ara&#250;jo Correia, J&#46; D&#237;ez-Manglano, V&#46; Barreto"
            "autores" => array:6 [
              0 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Zapatero Gavir&#237;a"
              ]
              1 => array:2 [
                "nombre" => "L&#46;"
                "apellidos" => "Campos"
              ]
              2 => array:2 [
                "nombre" => "R&#46;"
                "apellidos" => "G&#243;mez Huelgas"
              ]
              3 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Ara&#250;jo Correia"
              ]
              4 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "D&#237;ez-Manglano"
              ]
              5 => array:2 [
                "nombre" => "V&#46;"
                "apellidos" => "Barreto"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2254887419300219"
          "doi" => "10.1016/j.rceng.2018.11.012"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419300219?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518303254?idApp=WRCEE"
      "url" => "/00142565/0000021900000002/v1_201902270613/S0014256518303254/v1_201902270613/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2254887418301255"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2018.05.006"
    "estado" => "S300"
    "fechaPublicacion" => "2019-03-01"
    "aid" => "1536"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "edi"
    "cita" => "Rev Clin Esp. 2019;219:81-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 4
      "formatos" => array:2 [
        "HTML" => 1
        "PDF" => 3
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "Physician training in Spain in the 21st century"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "81"
          "paginaFinal" => "83"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "La formaci&#243;n de los m&#233;dicos en Espa&#241;a en el siglo <span class="elsevierStyleSmallCaps">xxi</span>"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46; Ena"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Ena"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256518301681"
        "doi" => "10.1016/j.rce.2018.05.008"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518301681?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301255?idApp=WRCEE"
    "url" => "/22548874/0000021900000002/v1_201902270625/S2254887418301255/v1_201902270625/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2254887419300256"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2018.09.009"
    "estado" => "S300"
    "fechaPublicacion" => "2019-03-01"
    "aid" => "1564"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Rev Clin Esp. 2019;219:73-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
      "titulo" => "Ethics and empathy&#58; The relationship between moral reasoning&#44; ethical sensitivity and empathy in medical students"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "73"
          "paginaFinal" => "78"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "&#201;tica y empat&#237;a&#58; relaci&#243;n entre razonamiento moral&#44; sensibilidad &#233;tica y empat&#237;a en estudiantes de medicina"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1203
              "Ancho" => 1532
              "Tamanyo" => 62669
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Relationship between the Kohlberg P score &#40;overall maturity&#41; and academic year&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "O&#46; Yuguero, M&#46; Esquerda, J&#46; Vi&#241;as, J&#46; Soler-Gonzalez, J&#46; Pifarr&#233;"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "O&#46;"
              "apellidos" => "Yuguero"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Esquerda"
            ]
            2 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Vi&#241;as"
            ]
            3 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Soler-Gonzalez"
            ]
            4 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Pifarr&#233;"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S001425651830239X"
        "doi" => "10.1016/j.rce.2018.09.002"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S001425651830239X?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419300256?idApp=WRCEE"
    "url" => "/22548874/0000021900000002/v1_201902270625/S2254887419300256/v1_201902270625/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
    "titulo" => "Internal Medicine and its future in health systems&#46; Positioning Statement of the Spanish Society of Internal Medicine and the Portuguese Society of Internal Medicine"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "79"
        "paginaFinal" => "80"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "A&#46; Zapatero Gavir&#237;a, L&#46; Campos, R&#46; G&#243;mez Huelgas, J&#46; Ara&#250;jo Correia, J&#46; D&#237;ez-Manglano, V&#46; Barreto"
        "autores" => array:6 [
          0 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Zapatero Gavir&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Campos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "G&#243;mez Huelgas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Ara&#250;jo Correia"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          4 => array:4 [
            "nombre" => "J&#46;"
            "apellidos" => "D&#237;ez-Manglano"
            "email" => array:1 [
              0 => "jdiez&#64;aragon&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "V&#46;"
            "apellidos" => "Barreto"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Sociedad Espa&#241;ola de Medicina Interna&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Sociedad Portuguesa de Medicina Interna&#44; Portugal"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "La Medicina Interna y su futuro en los sistemas de salud&#46; Posicionamiento de la Sociedad Espa&#241;ola de Medicina Interna y de la Sociedad Portuguesa de Medicina Interna"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Demographic changes &#40;particularly as a result of increased life expectancy&#41;&#44; growing specialization &#40;induced by the rapid growth in knowledge&#41; and the threats to the sustainability of the healthcare system make internal medicine increasingly necessary for spearheading new organizational models that better adapt to these changes&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Internal medicine is a versatile&#44; multipotent and efficient specialty that&#44; in Portugal and Spain&#44; maintains its holistic capacity&#44; with similar models for internal medicine for the 2 countries&#46; In both health systems&#44; internal medicine constitutes the basis of hospital medicine&#44; establishing itself as a global and inclusive specialty&#44; with an essential leadership role in multidisciplinary areas and in the care of acute&#44; chronic and complex patients with multimorbidity&#44; in the most prevalent clinical conditions and in systemic and rare diseases&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In the Azores on the 29<span class="elsevierStyleSup">th</span> of April 2018&#44; the Portuguese and Spanish Societies of Internal Medicine agreed to develop the present declaration&#44; which reaffirms the importance of internal medicine for the future of health systems and manifests&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1&#46;</span><p id="par0020" class="elsevierStylePara elsevierViewall">Their commitment to creating high-value practical training that contributes to the sustainability of the health system&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2&#46;</span><p id="par0025" class="elsevierStylePara elsevierViewall">Their commitment to preserving the specialty&#39;s global and cohesive nature&#44; promoting the creation of areas of competence and not that of new specialties&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3&#46;</span><p id="par0030" class="elsevierStylePara elsevierViewall">The need to change the current hospital model and promote new organizational models based on multipurpose departments governed by internists&#46; These models should include differentiated&#44; multidisciplinary and multiprofession units&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">4&#46;</span><p id="par0035" class="elsevierStylePara elsevierViewall">The importance of reinforcing the need for leadership by the internists in numerous areas of healthcare activity&#58; hospital emergency departments&#44; intermediate care&#44; oncologic and nononcologic palliative care&#44; continuous care and long-term care&#46;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">5&#46;</span><p id="par0040" class="elsevierStylePara elsevierViewall">The need to extend hospital programs for co-managing surgical patients&#44; led by internists&#46;</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">6&#46;</span><p id="par0045" class="elsevierStylePara elsevierViewall">The need to promote the creation and development of outpatient hospital medicine units &#40;outpatient centers&#44; rapid diagnostic units and home hospitalization&#41; that ensure alternatives to hospitalization for specific populations&#46;</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">7&#46;</span><p id="par0050" class="elsevierStylePara elsevierViewall">The affirmation of the importance of the internist in the integration of care and in the management of chronic diseases in coordination with primary care and other care levels&#44; as well as with social services&#46; It is urgent that we start to consider health and social care as a whole&#44; due to the increasing difficulty of separating health problems from social problems&#46;</p></li><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">8&#46;</span><p id="par0055" class="elsevierStylePara elsevierViewall">By recognizing internal medicine&#39;s capacity to perform diagnostic techniques and its autonomy for treating diseases within its spectrum of intervention&#44; any restriction on its ability to prescribe is rejected&#46;</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">9&#46;</span><p id="par0060" class="elsevierStylePara elsevierViewall">The importance of internal medicine for integrating teams for preparing&#44; implementing and monitoring national clinical practice guidelines and the importance of internal medicine&#39;s participation in the organization of health programs and reforms&#46;</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">10&#46;</span><p id="par0065" class="elsevierStylePara elsevierViewall">The affirmation of internal medicine&#39;s importance in teaching undergraduate and graduate courses in universities and its importance in scientific research&#46;</p></li></ul></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">In conclusion</span><p id="par0070" class="elsevierStylePara elsevierViewall">This document affirms the role that internal medicine seeks in constructing an effective&#44; inclusive&#44; efficient and sustainable health system and alerts us to the importance of strong political support for this set of strategies to enable its effective implementation&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "In conclusion"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Zapatero Gavir&#237;a A&#44; Campos L&#44; G&#243;mez Huelgas R&#44; Ara&#250;jo Correia J&#44; D&#237;ez-Manglano J&#44; Barreto V&#46; La Medicina Interna y su futuro en los sistemas de salud&#46; Posicionamiento de la Sociedad Espa&#241;ola de Medicina Interna y de la Sociedad Portuguesa de Medicina Interna&#46; Rev Clin Esp&#46; 2019&#59;219&#58;79&#8211;80&#46;</p>"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/22548874/0000021900000002/v1_201902270625/S2254887419300219/v1_201902270625/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "72714"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Editorials"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021900000002/v1_201902270625/S2254887419300219/v1_201902270625/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419300219?idApp=WRCEE"
]