<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322018000200003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Influencia de los recursos especializados en cuidados paliativos pediátricos en los pediatras de Atención Primaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Influence that specialized units of pediatric palliative care have on Primary Care pediatricians]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caballero Pérez]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rigal Andrés]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Beltrán García]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parra Plantagenet-Whyte]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moliner Robredo]]></surname>
<given-names><![CDATA[M.ª Concepción]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gracia Torralba]]></surname>
<given-names><![CDATA[Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orden Rueda]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martino Alba]]></surname>
<given-names><![CDATA[Ricardo Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Miguel Servet Unidad de Cuidados Paliativos Pediátricos ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Niño Jesús Unidad de Cuidados Paliativos Pediátricos ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,CS Valdespartera  ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Diputación General de Aragón. España  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,CS Torre Ramona  ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital de Alcañiz Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>20</volume>
<numero>78</numero>
<fpage>133</fpage>
<lpage>142</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322018000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322018000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322018000200003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: el papel de los pediatras de Atención Primaria en el cuidado de niños con necesidades paliativas es fundamental. El objetivo del estudio es conocer la influencia que las unidades específicas de cuidados paliativos pediátricos tienen en la asistencia de los niños subsidiarios de los mismos por sus pediatras de Atención Primaria.  Método: se realizó un estudio transversal mediante el envío de una encuesta en línea a los pediatras de Atención Primaria del territorio español.  Resultados: se registraron 202 respuestas. El 68% nunca habían recibido formación específica en cuidados paliativos pediátricos. En aquellas provincias en las que existen recursos específicos de cuidado paliativos pediátricos, los profesionales de Atención Primaria muestran mayor predisposición para participar en las actividades propias de esta disciplina cuando sus pacientes lo precisen (media 4,37 frente a 3,89; p= 0,104) y han tenido más oportunidades de recibir formación sobre la materia (p= 0,007, OR: 2,18; IC 95: 1,24 a 3,84). Si hubiese una unidad de cuidados paliativos pediátricos accesible 24 horas por teléfono, el número de actividades potenciales que participarían es significativamente superior (p&lt;0,001) (diferencia de medias 4,28; IC 95: 3,92 a 4,65).  Conclusiones: la existencia de recursos específicos de cuidados paliativos pediátricos con disponibilidad telefónica 24 horas tiene un impacto positivo en la disposición de los pediatras de Atención Primaria para participar en el plan de tratamiento de pacientes con necesidades paliativas. Para implementar los cuidados paliativos desde este ámbito es necesario reforzar los programas formativos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: the role of Primary Care pediatricians in attending children with palliative needs is fundamental. The objective of the study is to understand the influence that specific units of pediatric palliative care have on the medical attention of children under the care of their Primary Care pediatricians.  Method: a cross-sectional study was carried out by sending an online survey to Primary Care pediatricians in the Spanish territory. We explored training needs and the desire of participants to be involved in palliative care.  Results: 202 responses were collected. 68% of participants had never received specific training in pediatric palliative care. In areas where pediatric palliative care resources exist, professionals showed a greater inclination toward participating in the activities of this discipline (mean 4.37 vs. 3.89, p= 0.104) and have had more opportunities to receive training on the subject (p= 0.007, OR: 2.18; CI 95: 1.24-3.84). If a pediatric palliative care unit was available by telephone 24 hours a day, the average number of potential activities they would participate in was much higher (p&lt;0.001) (difference in means 4.28; CI 95: 3.92-4.65).  Conclusions: the existence of specific resources for pediatric palliative care with 24-hours telephone availability has a positive impact on the disposition of Primary Care pediatricians in participating in the treatment plans of patients with palliative care needs. In order to implement palliative care in this area, training programs must be strengthened.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pediatras]]></kwd>
<kwd lng="es"><![CDATA[Cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[Capacitación profesional]]></kwd>
<kwd lng="es"><![CDATA[Encuestas y cuestionarios]]></kwd>
<kwd lng="en"><![CDATA[Pediatricians]]></kwd>
<kwd lng="en"><![CDATA[Palliative care]]></kwd>
<kwd lng="en"><![CDATA[Capacitación profesional]]></kwd>
<kwd lng="en"><![CDATA[Surveys and questionnaires]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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