{"id":"https://openalex.org/W4416385643","doi":"https://doi.org/10.56294/hl2025852","title":"Methodology with an integrative approach for the work of the family doctor in the prevention of pregnancy in adolescence","display_name":"Methodology with an integrative approach for the work of the family doctor in the prevention of pregnancy in adolescence","publication_year":2025,"publication_date":"2025-11-13","ids":{"openalex":"https://openalex.org/W4416385643","doi":"https://doi.org/10.56294/hl2025852"},"language":"en","primary_location":{"id":"doi:10.56294/hl2025852","doi":"https://doi.org/10.56294/hl2025852","is_oa":true,"landing_page_url":"https://doi.org/10.56294/hl2025852","pdf_url":"https://hl.ageditor.ar/index.php/hl/article/download/852/1581","source":{"id":"https://openalex.org/S5407043527","display_name":"Health Leadership and Quality of\u00a0Life","issn_l":"3008-8488","issn":["3008-8488"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Leadership and Quality of\u00a0Life","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://hl.ageditor.ar/index.php/hl/article/download/852/1581","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112590010","display_name":"Ennis Ivonnet Guti\u00e9rrez","orcid":"https://orcid.org/0000-0002-9431-1162","observed_orcids":["https://orcid.org/0000-0002-9431-1162"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ennis Ivonnet-Guti\u00e9rrez","raw_affiliation_strings":["Facultad de Ciencias M\u00e9dicas Isla de la Juventud. Isla de la Juventud, Cuba"],"raw_orcid":"https://orcid.org/0000-0002-9431-1162","affiliations":[{"raw_affiliation_string":"Facultad de Ciencias M\u00e9dicas Isla de la Juventud. Isla de la Juventud, Cuba","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078517174","display_name":"Doris Yisell Rubio Olivares","orcid":"https://orcid.org/0000-0003-4748-7883","observed_orcids":["https://orcid.org/0000-0003-4748-7883"]},"institutions":[{"id":"https://openalex.org/I4210153181","display_name":"Universidad de Ciencias M\u00e9dicas de la Habana","ror":"https://ror.org/04kgp9g48","country_code":"CU","type":"education","lineage":["https://openalex.org/I4210122314","https://openalex.org/I4210153181"]}],"countries":["CU"],"is_corresponding":false,"raw_author_name":"Doris Yisell Rubio-Olivares","raw_affiliation_strings":["Facultad de Ciencias M\u00e9dicas \"Calixto Garc\u00eda\". La Habana, Cuba"],"raw_orcid":"https://orcid.org/0000-0003-4748-7883","affiliations":[{"raw_affiliation_string":"Facultad de Ciencias M\u00e9dicas \"Calixto Garc\u00eda\". La Habana, Cuba","institution_ids":["https://openalex.org/I4210153181"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120703129","display_name":"Francisco Abel P\u00e9rez-\u00c1lvarez","orcid":"https://orcid.org/0009-0006-3520-0370","observed_orcids":["https://orcid.org/0009-0006-3520-0370"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francisco Abel P\u00e9rez-\u00c1lvarez","raw_affiliation_strings":["Escuela Pedag\u00f3gica \"Presidente Salvador Allende\". La Habana, Cuba"],"raw_orcid":"https://orcid.org/0009-0006-3520-0370","affiliations":[{"raw_affiliation_string":"Escuela Pedag\u00f3gica \"Presidente Salvador Allende\". La Habana, Cuba","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5093965293","display_name":"Aliana Pe\u00f1a-M\u00e9ndez","orcid":"https://orcid.org/0000-0003-1199-9633","observed_orcids":["https://orcid.org/0000-0003-1199-9633"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aliana Pe\u00f1a-M\u00e9ndez","raw_affiliation_strings":["Facultad de Ciencias M\u00e9dicas Isla de la Juventud. Isla de la Juventud, Cuba"],"raw_orcid":"https://orcid.org/0000-0003-1199-9633","affiliations":[{"raw_affiliation_string":"Facultad de Ciencias M\u00e9dicas Isla de la Juventud. Isla de la Juventud, Cuba","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"4","issue":null,"first_page":"852","last_page":"852"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10327","display_name":"Adolescent Sexual and Reproductive Health","score":0.6509000062942505,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10327","display_name":"Adolescent Sexual and Reproductive Health","score":0.6509000062942505,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.16259999573230743,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.0357000008225441,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/teenage-pregnancy-prevention","display_name":"adolescent pregnancy prevention","score":0.9959999918937683},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.8659999966621399},{"id":"https://openalex.org/keywords/intersectoral-collaboration","display_name":"intersectoral collaboration","score":0.7979999780654907},{"id":"https://openalex.org/keywords/biopsychosocial-model","display_name":"biopsychosocial model","score":0.8859999775886536},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.5370000004768372},{"id":"https://openalex.org/keywords/cuba","display_name":"Cuba","score":0.6740000247955322}],"concepts":[{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.6331999897956848},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5898000001907349},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.5587000250816345},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.557699978351593},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4936000108718872},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.49219998717308044},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4814000129699707},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.4713999927043915},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.4713999927043915},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4260999858379364},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3953000009059906},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.3808000087738037},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.3578000068664551},{"id":"https://openalex.org/C2778063736","wikidata":"https://www.wikidata.org/wiki/Q8059302","display_name":"Adolescent health","level":2,"score":0.3382999897003174},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3188000023365021},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3183000087738037},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.3151000142097473},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.2994999885559082},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.2964000105857849},{"id":"https://openalex.org/C100363876","wikidata":"https://www.wikidata.org/wiki/Q690661","display_name":"Nonprobability sampling","level":3,"score":0.29440000653266907},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.2921999990940094},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.28540000319480896},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.2824000120162964},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2718000113964081},{"id":"https://openalex.org/C2777458711","wikidata":"https://www.wikidata.org/wiki/Q5341296","display_name":"Educational program","level":2,"score":0.26759999990463257},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.26669999957084656},{"id":"https://openalex.org/C52207206","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Preventive healthcare","level":3,"score":0.25999999046325684},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.2590000033378601},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.2581999897956848}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.56294/hl2025852","doi":"https://doi.org/10.56294/hl2025852","is_oa":true,"landing_page_url":"https://doi.org/10.56294/hl2025852","pdf_url":"https://hl.ageditor.ar/index.php/hl/article/download/852/1581","source":{"id":"https://openalex.org/S5407043527","display_name":"Health Leadership and Quality of\u00a0Life","issn_l":"3008-8488","issn":["3008-8488"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Leadership and Quality of\u00a0Life","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.56294/hl2025852","doi":"https://doi.org/10.56294/hl2025852","is_oa":true,"landing_page_url":"https://doi.org/10.56294/hl2025852","pdf_url":"https://hl.ageditor.ar/index.php/hl/article/download/852/1581","source":{"id":"https://openalex.org/S5407043527","display_name":"Health Leadership and Quality of\u00a0Life","issn_l":"3008-8488","issn":["3008-8488"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Leadership and Quality of\u00a0Life","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4416385643.pdf","grobid_xml":"https://content.openalex.org/works/W4416385643.grobid-xml"},"referenced_works_count":1,"referenced_works":["https://openalex.org/W4392352678"],"related_works":["https://openalex.org/W7215501982","https://openalex.org/W7216661250","https://openalex.org/W2107182562","https://openalex.org/W1520565747","https://openalex.org/W2094808158","https://openalex.org/W2767856216","https://openalex.org/W7070303089","https://openalex.org/W1539922688","https://openalex.org/W4311048032","https://openalex.org/W2415407511"],"abstract_inverted_index":{"Introduction:":[0],"In":[1],"Cuba,":[2],"comprehensive":[3,225,253],"adolescent":[4,23,44,122,165,189,228,254],"care":[5,255],"and":[6,34,109,147,150,158,212,248,259],"the":[7,53,65,71,82,113,117,130,135,164,186,194,210,217,274],"prevention":[8,46,56],"of":[9,52,73,76,90,97,129,163,176,188,193,216,276],"early":[10],"pregnancy":[11,24,45,190],"are":[12],"priorities":[13],"within":[14],"public":[15],"policy.":[16],"Despite":[17],"ongoing":[18],"efforts":[19],"in":[20,64,112,174,200,220,235,273],"primary":[21],"healthcare,":[22],"remains":[25],"a":[26,32,94,224,231],"problem":[27],"requiring":[28],"special":[29],"attention":[30],"from":[31],"preventive":[33],"promotional":[35],"perspective.Objective:":[36],"To":[37],"develop":[38],"an":[39,50,182],"integrated":[40],"methodology":[41,241],"for":[42,155,205,223,252,268,279],"improving":[43],"efforts,":[47],"based":[48,243],"on":[49,244],"assessment":[51],"family":[54,206,277],"physician's":[55],"competency.Methods:":[57],"A":[58],"developmental":[59],"research":[60],"study":[61,87,118,131],"was":[62,119],"conducted":[63],"Comprehensive":[66],"General":[67],"Medicine":[68],"specialty":[69,179],"at":[70,134],"Faculty":[72],"Medical":[74],"Sciences":[75],"Isla":[77],"de":[78],"la":[79],"Juventud,":[80],"during":[81],"2022-2024":[83],"academic":[84],"year.":[85],"The":[86,121,161,178,239],"population":[88,123],"consisted":[89],"23":[91],"professionals,":[92],"including":[93],"purposive":[95],"sample":[96],"7":[98],"health":[99,114],"area":[100,115],"managers":[101],"who":[102],"served":[103],"as":[104],"Basic":[105],"Work":[106],"Group":[107],"Leaders":[108],"faculty":[110],"members":[111],"where":[116],"conducted.":[120],"included":[124],"530":[125],"adolescents,":[126],"representing":[127],"18.8%":[128],"population.":[132],"Methods":[133],"theoretical":[136,198],"level":[137,141],"(analytical-synthetic,":[138],"inductive-deductive),":[139],"empirical":[140],"(document":[142],"analysis,":[143],"observation,":[144],"modeling,":[145],"surveys,":[146],"expert":[148],"consultation),":[149],"statistical":[151],"methods":[152],"were":[153],"used":[154],"data":[156],"collection":[157],"information":[159],"processing.Results:":[160],"functioning":[162],"support":[166],"group":[167],"is":[168,242],"inadequate,":[169],"according":[170],"to":[171,185,227,270],"observations":[172],"made":[173],"56.5%":[175],"cases.":[177],"program":[180],"demonstrates":[181],"insufficient":[183,221],"approach":[184,226],"competency":[187],"prevention.":[191],"65.2%":[192],"physicians":[195,207,278],"surveyed":[196],"showed":[197],"inconsistencies":[199],"this":[201,280],"regard.":[202],"Preventive":[203],"training":[204],"requires":[208],"strengthening":[209],"educational":[211],"community":[213],"dimensions":[214],"(30%":[215],"indicators),":[218],"resulting":[219],"preparation":[222],"care,":[229],"with":[230],"predominantly":[232],"curative":[233],"focus":[234],"their":[236],"professional":[237],"practice.Conclusions:":[238],"proposed":[240],"pedagogical,":[245],"philosophical,":[246],"psychological,":[247],"medical":[249],"education":[250],"principles":[251],"through":[256],"intersectoral":[257],"collaboration":[258],"biopsychosocial":[260],"integration.":[261],"Validation":[262],"by":[263],"specialists":[264],"indicates":[265],"its":[266],"viability":[267],"contributing":[269],"positive":[271],"changes":[272],"practice":[275],"purpose.":[281]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2025-11-20T00:00:00"}