{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T03:25:39Z","timestamp":1781580339469,"version":"3.54.5"},"reference-count":49,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,19]]},"abstract":"<title>RESUMEN<\/title>\n                  <sec>\n                    <title>Objetivo.<\/title>\n                    <p>A partir del caso de M\u00e9xico, identificar barreras y oportunidades, y formular recomendaciones para fortalecer la atenci\u00f3n primaria de salud (APS) en el manejo de la diabetes mellitus de tipo 1 (DM1), con potencial de aplicaci\u00f3n en otros pa\u00edses de la Regi\u00f3n de las Am\u00e9ricas.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>M\u00e9todo.<\/title>\n                    <p>Se realiz\u00f3 un estudio cualitativo exploratorio en dos fases. La primera consisti\u00f3 en una revisi\u00f3n de alcance (2010\u20132020) en PubMed, LILACS y SCIELO sobre pr\u00e1cticas exitosas de atenci\u00f3n integral para la DM1, clasificadas en cuatro esferas: salud f\u00edsica, salud emocional, esfera funcional y esfera social. La segunda fase incluy\u00f3 entrevistas semiestructuradas con 12 directoras de organizaciones de la sociedad civil (OSC) en M\u00e9xico, en las que se analizaron sus estrategias de intervenci\u00f3n, educaci\u00f3n y vinculaci\u00f3n con las pol\u00edticas p\u00fablicas.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Resultados.<\/title>\n                    <p>En la revisi\u00f3n se encontraron 12 estudios que destacan el monitoreo continuo de la glucemia, la educaci\u00f3n en diabetes y el apoyo psicosocial como elementos clave. Las OSC en M\u00e9xico han desarrollado intervenciones innovadoras, pese a enfrentar barreras como la falta de insumos b\u00e1sicos, protocolos no estandarizados y la dependencia de financiamiento externo. Sus acciones han sido relevantes para mejorar el autocuidado, el acceso a las tecnolog\u00edas y la atenci\u00f3n emocional.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Conclusiones.<\/title>\n                    <p>La atenci\u00f3n de pacientes con DM1 en la APS requiere un modelo diferenciado que combine el acceso sostenido a insumos, la educaci\u00f3n continua y el apoyo emocional. Los hallazgos permiten delinear un modelo adaptable a otros pa\u00edses de la Regi\u00f3n de las Am\u00e9ricas, con base en la articulaci\u00f3n entre el sector p\u00fablico y la sociedad civil para mejorar la equidad, la continuidad y la calidad del cuidado.<\/p>\n                  <\/sec>","DOI":"10.26633\/rpsp.2025.130","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T13:36:39Z","timestamp":1766151399000},"page":"1","source":"Crossref","is-referenced-by-count":1,"title":["Atenci\u00f3n integral de los pacientes con diabetes de tipo 1 en la atenci\u00f3n primaria de salud: pol\u00edticas, pr\u00e1cticas y el papel de la sociedad civil"],"prefix":"10.26633","volume":"49","author":[{"given":"Felipe","family":"Rangel-Osuna","sequence":"first","affiliation":[{"name":"Servicio Nacional de Salud P\u00fablica, Subsecretar\u00eda de Pol\u00edticas de Salud y Bienestar Poblacional, Morelos, M\u00e9xico."},{"name":"psic.felipe.rangel@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9sar","family":"Infante-Xibill\u00e9","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n en Sistemas de Salud, Instituto Nacional de Salud P\u00fablica, Morelos, M\u00e9xico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Orozco-N\u00fa\u00f1ez","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n en Sistemas de Salud, Instituto Nacional de Salud P\u00fablica, Morelos, M\u00e9xico."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Ogle GD, Wang F, Haynes A, Gregory GA, King TW, Deng K, et al. 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Outcomes and indicators for diabetes education. 2007;13(6)"}],"container-title":["Revista Panamericana de Salud P\u00fablica"],"original-title":[],"language":"es","link":[{"URL":"https:\/\/iris.paho.org\/bitstreams\/5de61c67-1f3d-42df-8942-6177fb563703\/download","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T13:36:45Z","timestamp":1766151405000},"score":1,"resource":{"primary":{"URL":"https:\/\/iris.paho.org\/handle\/10665.2\/69537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,19]]},"references-count":49,"alternative-id":["RPSP.2025.130"],"URL":"https:\/\/doi.org\/10.26633\/rpsp.2025.130","relation":{},"ISSN":["1020-4989","1680-5348"],"issn-type":[{"value":"1020-4989","type":"print"},{"value":"1680-5348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,19]]}}}