{"id":"https://openalex.org/W7225459019","doi":"https://doi.org/10.22605/rrh10543","title":"The heart of community care: becoming a family doctor in rural Portugal","display_name":"The heart of community care: becoming a family doctor in rural Portugal","publication_year":2026,"publication_date":"2026-11-07","ids":{"openalex":"https://openalex.org/W7225459019","doi":"https://doi.org/10.22605/rrh10543","pmid":"https://pubmed.ncbi.nlm.nih.gov/42999024"},"language":"en","primary_location":{"id":"doi:10.22605/rrh10543","doi":"https://doi.org/10.22605/rrh10543","is_oa":true,"landing_page_url":"https://doi.org/10.22605/rrh10543","pdf_url":"https://www.rrh.org.au/assets/article_documents/article_print_10543.pdf","source":{"id":"https://openalex.org/S2477089890","display_name":"Rural and Remote Health","issn_l":"1445-6354","issn":["1445-6354"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310317996","host_organization_name":"Deakin University","host_organization_lineage":["https://openalex.org/P4310317996"],"host_organization_lineage_names":["Deakin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rural and Remote Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.rrh.org.au/assets/article_documents/article_print_10543.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055051031","display_name":"Fonseca Monteiro","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210103026","display_name":"Universidade Polit\u00e9cnica da Guarda","ror":"https://ror.org/02463v873","country_code":"PT","type":"education","lineage":["https://openalex.org/I4210103026"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Fonseca Monteiro","raw_affiliation_strings":["AFFILIATIONS ULS , Guarda , Portugal Faculty of Health Sciences ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"AFFILIATIONS ULS , Guarda , Portugal Faculty of Health Sciences ,","institution_ids":["https://openalex.org/I4210103026"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5161195986","display_name":"Nuno Lopes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210103026","display_name":"Universidade Polit\u00e9cnica da Guarda","ror":"https://ror.org/02463v873","country_code":"PT","type":"education","lineage":["https://openalex.org/I4210103026"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Nuno Lopes","raw_affiliation_strings":["AFFILIATIONS ULS , Guarda , Portugal Faculty of Health Sciences ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"AFFILIATIONS ULS , Guarda , Portugal Faculty of Health Sciences ,","institution_ids":["https://openalex.org/I4210103026"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210103026"],"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":"26","issue":"4","first_page":"10543","last_page":"10543"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.6503999829292297,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"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/T11590","display_name":"Primary Care and Health Outcomes","score":0.6503999829292297,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"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/T11990","display_name":"Global Health Workforce Issues","score":0.24549999833106995,"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":0.06030000001192093,"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/family-medicine-residency","display_name":"family medicine residency","score":0.9399999976158142},{"id":"https://openalex.org/keywords/rural-primary-care","display_name":"rural primary care","score":0.9449999928474426},{"id":"https://openalex.org/keywords/rural-portugal","display_name":"rural Portugal","score":0.7039999961853027},{"id":"https://openalex.org/keywords/community-based-care","display_name":"community-based care","score":0.6230000257492065},{"id":"https://openalex.org/keywords/continuity-of-care","display_name":"continuity of care","score":0.9760000109672546},{"id":"https://openalex.org/keywords/community-engagement","display_name":"community participation","score":0.8220000267028809},{"id":"https://openalex.org/keywords/person-centred-care","display_name":"person-centred care","score":0.7490000128746033},{"id":"https://openalex.org/keywords/population-aging","display_name":"population aging","score":0.6349999904632568},{"id":"https://openalex.org/keywords/social-isolation","display_name":"social isolation","score":0.8040000200271606},{"id":"https://openalex.org/keywords/health-literacy","display_name":"health literacy","score":0.824999988079071},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.8140000104904175},{"id":"https://openalex.org/keywords/physician-patient-relationship","display_name":"physician-patient relationship","score":0.5920000076293945},{"id":"https://openalex.org/keywords/rural-villages","display_name":"rural villages","score":0.4180000126361847}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4643000066280365},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.45579999685287476},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3937000036239624},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.37470000982284546},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.31540000438690186},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30230000615119934},{"id":"https://openalex.org/C2779958979","wikidata":"https://www.wikidata.org/wiki/Q3473027","display_name":"Rural health","level":3,"score":0.2978000044822693},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.28139999508857727},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.27250000834465027},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.2718000113964081},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.2678999900817871},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.2678000032901764},{"id":"https://openalex.org/C55958113","wikidata":"https://www.wikidata.org/wiki/Q169480","display_name":"Indigenous","level":2,"score":0.2660999894142151},{"id":"https://openalex.org/C2994082534","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural population","level":3,"score":0.26350000500679016},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.2581000030040741},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.2531999945640564},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.2524000108242035}],"mesh":[{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007396","descriptor_name":"Internship and Residency","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010821","descriptor_name":"Physicians, Family","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D010821","descriptor_name":"Physicians, Family","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D011174","descriptor_name":"Portugal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019035","descriptor_name":"Rural Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.22605/rrh10543","doi":"https://doi.org/10.22605/rrh10543","is_oa":true,"landing_page_url":"https://doi.org/10.22605/rrh10543","pdf_url":"https://www.rrh.org.au/assets/article_documents/article_print_10543.pdf","source":{"id":"https://openalex.org/S2477089890","display_name":"Rural and Remote Health","issn_l":"1445-6354","issn":["1445-6354"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310317996","host_organization_name":"Deakin University","host_organization_lineage":["https://openalex.org/P4310317996"],"host_organization_lineage_names":["Deakin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rural and Remote Health","raw_type":"journal-article"},{"id":"pmid:42999024","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42999024","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rural and remote health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:316db4025a2b4b8b8a9e53b55f036cf8","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/316db4025a2b4b8b8a9e53b55f036cf8","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Rural and Remote Health, Vol 26 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.22605/rrh10543","doi":"https://doi.org/10.22605/rrh10543","is_oa":true,"landing_page_url":"https://doi.org/10.22605/rrh10543","pdf_url":"https://www.rrh.org.au/assets/article_documents/article_print_10543.pdf","source":{"id":"https://openalex.org/S2477089890","display_name":"Rural and Remote Health","issn_l":"1445-6354","issn":["1445-6354"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310317996","host_organization_name":"Deakin University","host_organization_lineage":["https://openalex.org/P4310317996"],"host_organization_lineage_names":["Deakin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rural and Remote Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8048999905586243}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225459019.pdf","grobid_xml":"https://content.openalex.org/works/W7225459019.grobid-xml"},"referenced_works_count":4,"referenced_works":["https://openalex.org/W4386748372","https://openalex.org/W4390430621","https://openalex.org/W4405915881","https://openalex.org/W6908740446"],"related_works":["https://openalex.org/W2416214948","https://openalex.org/W2399819501","https://openalex.org/W4293277659","https://openalex.org/W2463329061","https://openalex.org/W2398670328","https://openalex.org/W2439353653","https://openalex.org/W2402261106","https://openalex.org/W2399399396","https://openalex.org/W2416008468","https://openalex.org/W2418345162"],"abstract_inverted_index":{"This":[0,100],"perspective":[1],"article,":[2],"based":[3],"on":[4,8],"personal":[5],"experience,":[6],"reflects":[7],"a":[9,17],"family":[10,106,122],"medicine":[11,37,107],"residency":[12,38,114],"in":[13,40,116],"rural":[14,42,113],"Portugal,":[15],"across":[16],"small":[18],"town":[19],"and":[20,33,57,64,82,96,108,120],"two":[21],"villages":[22],"characterized":[23],"by":[24],"aging":[25],"populations,":[26],"high":[27],"dependency":[28],"rates,":[29],"low":[30],"health":[31],"literacy,":[32],"social":[34],"isolation.":[35],"Family":[36],"training":[39,115],"resource-limited":[41],"settings":[43],"offers":[44],"unique":[45],"learning":[46],"opportunities,":[47],"demonstrating":[48],"that":[49],"effective":[50],"primary":[51],"care":[52],"extends":[53],"beyond":[54],"clinical":[55],"decision-making":[56],"requires":[58],"continuity":[59],"of":[60,105,112],"care,":[61],"community":[62],"engagement,":[63],"adaptability":[65],"to":[66],"local":[67],"contexts.":[68],"Daily":[69],"practice":[70],"involved":[71],"addressing":[72],"not":[73],"only":[74],"medical":[75],"conditions":[76],"but":[77],"also":[78],"the":[79,97,103,110],"social,":[80],"emotional,":[81],"logistical":[83],"factors":[84],"influencing":[85],"health,":[86],"while":[87],"building":[88],"trusting":[89],"relationships":[90],"with":[91],"patients,":[92],"families,":[93],"healthcare":[94],"teams,":[95],"wider":[98],"community.":[99],"experience":[101],"highlights":[102],"essence":[104],"underscores":[109],"importance":[111],"cultivating":[117],"adaptable,":[118],"community-oriented,":[119],"person-centered":[121],"physicians.":[123]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-08T00:00:00"}
