{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T04:32:58Z","timestamp":1768969978466,"version":"3.49.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:00:00Z","timestamp":1655337600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:00:00Z","timestamp":1655337600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/4255\/2020"],"award-info":[{"award-number":["UIDB\/4255\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Educ"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The presence of residents in Primary Care health centres may influence their operational results.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aim<\/jats:title>\n                <jats:p>To examine the relationship between the presence of residents and the results of the evaluation in Portuguese Primary Care Health Centres.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conduct a cross-sectional study, comparing the results achieved by the mainland Portuguese Primary Care Health Centres measured by the Global Performance Index (<jats:italic>\u00cdndice de desempenho global<\/jats:italic> \u2013 IDG) by the presence of General &amp; Family Medicine residents in training. Analysis took into consideration the distribution by region and typology of the health centres.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We evaluated 906 units, 55.7% involved in the training of General &amp; Family Medicine residence. The presence of residents was associated with higher Global Performance Index values (77.3 vs 57.6; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The higher difference was found in the less developed Personalized Health Care Units and in the region of Lisbon and Tagus Valley.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The presence of residents in training is a contributing factor in the productivity of the Primary Health Care facilities. It may model the asymmetry in the performance of Portuguese Health Centres.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12909-022-03528-y","type":"journal-article","created":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T20:02:49Z","timestamp":1655409769000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Impact of the primary care residents on the productivity of the ambulatory health centres in Portugal: a cross-sectional study"],"prefix":"10.1186","volume":"22","author":[{"given":"Ivo","family":"Reis","sequence":"first","affiliation":[]},{"given":"Gon\u00e7alo","family":"Envia","sequence":"additional","affiliation":[]},{"given":"Paulo","family":"Santos","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2022,6,16]]},"reference":[{"issue":"3","key":"3528_CR1","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1590\/1413-81232017223.33152016","volume":"22","author":"AR Biscaia","year":"2017","unstructured":"Biscaia AR, Heleno LC. Primary health care reform in Portugal: Portuguese, modern and innovative. Cien Saude Colet. 2017;22(3):701\u201312.","journal-title":"Cien Saude Colet"},{"issue":"5","key":"3528_CR2","doi-asserted-by":"publisher","first-page":"340","DOI":"10.32385\/rpmgf.v35i5.12692","volume":"35","author":"JCd Sousa","year":"2019","unstructured":"Sousa JCd. Celebrando 20 anos do Regime Remunerat\u00f3rio Experimental em Cuidados de Sa\u00fade Prim\u00e1rios: uma reflex\u00e3o pessoal sobre um percurso \u00fanico. Revista Portuguesa de Cl\u00ednica Geral. 2019;35(5):340\u20134.","journal-title":"Revista Portuguesa de Cl\u00ednica Geral"},{"key":"3528_CR3","first-page":"30","volume-title":"International Handbook for the Advancement of Public Health Policies \u2013 Health Policy, Planning and Management","author":"CF Silva","year":"2021","unstructured":"Silva CF, Beir\u00e3o D, Santos P. 40 anos de desenvolvimento dos Cuidados de Sa\u00fade Prim\u00e1rios em Portugal. 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Nevertheless, the ethical commitment is rather important than the law that regulates it. Data were analysed anonymously and treated with respect for the ethical principles of the Declaration of Helsinki and the Oviedo Convention.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publication"}},{"value":"Authors are members of Portuguese College of General and Family Medicine physicians of Portuguese Medical Association, with responsibility in the evaluation of conditions of health centres for receiving residents.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"465"}}