Across 69,748 adults with chronic conditions in 19 countries, having a usual provider, longer relationships and aligned care coordination were each associated with better person-centred care experiences. Cross-sectional data. #ContinuityOfCare doi.org/10.1016/j.la...
Prof. Josep Vidal Alaball
@jvalaball.bsky.social
Vocational Catalan rural #PrimaryCare & #PublicHealth eDoc. Messages are my personal opinion
13 professors de la Facultat de Medicina de la UVic-UCC formen part de la nova edició del rànquing World’s Top 2% Scientist de la Universitat Stanford umedicina.cat/noticies/13-...
27.10.2026 | 13 professors de la Facultat de Medicina de la UVic-UCC formen part de la nova edició del rànquing World’s Top 2% Scientist de la Universitat Stanford | UMedicina
La nova edició del rànquing
umedicina.cat
🏆 Molt content i profundament agraït per haver rebut el Premi a la Trajectòria Investigadora en Atenció Primària de l'Institut Català de la Salut 2026! Un reconeixement que comparteixo amb tots els investigadors i investigadores que m'han acompanyat i ajudat al llarg d'aquests anys 🙏
Across 3.1M people eligible for cervical screening in London, successful delivery of a GP-endorsed SMS reminder was associated with higher attendance (OR 3.36). Scalable—but digital reach, data quality and equity matter. Observational study. #PrimaryCare doi.org/10.1016/j.la...
Rural health policy must move from ambition to local reality. Sustainable care depends on local needs, community-defined priorities and services designed with—not merely for—the people they serve. #RuralHealth #PrimaryCare doi.org/10.1016/j.la...
An AI foundation model trained on >40M face images estimated facial age and cancer survival risk from one photo. In validation, the highest-risk quartile had >3× the mortality hazard of the lowest. Promising—not ready for clinical use. #ClinicalAI doi.org/10.1016/j.la...
In a single-center EHR study, 28 patients had documented psychosis-worsening chatbot use; 17 (60.7%) were in a first psychotic episode, and AI most often appeared to amplify symptoms. A signal—not proof of causation. #MentalHealthAI doi.org/10.1001/jama...
Across 22 cohorts from 18 countries, dementia incidence was 9.7 per 1,000 person-years. An estimated 11.4M new cases occurred globally in 2023, projected to reach 24.7M by 2050 if age- and sex-specific incidence stays constant. #Dementia doi.org/10.1001/jama...
A cluster RCT of 11,945 older adults found EHR-integrated fall-prevention support modestly reduced falls (19.3 vs 21.2/100 patient-years; RR 0.91) and fall injuries (RR 0.94)—despite prescriptions reaching only 22.1%. #PrimaryCare doi.org/10.1001/jama...
Among 5.9M Danish adults, cardiovascular event rates fell across all income groups from 1988–2023. Yet the lowest-income quartile consistently had the highest rates. Progress without equity is incomplete. Observational data. #HealthEquity doi.org/10.1001/jama...
US primary care shortages affect 92M people; >30% of adults lack regular primary care, and nearly 1 in 5 family medicine residency slots went unmatched in 2026. The crisis is urban and rural. Payment, training and workforce policy must align. #PrimaryCare doi.org/10.1001/jama...
In a randomized study of 1,298 people, LLMs alone identified medical conditions in 94.9% of scenarios. Yet LLM-assisted users achieved <34.5%, no better than controls. Medical benchmarks do not predict human–AI performance. #ClinicalAI doi.org/10.1038/s415...
🎓🩺 Avui, a la Facultat de Medicina de la UVIC-UCC , fem recerca en innovació docent! 🎮 Avaluem si la gamificació, mitjançant un escape room, millora l’aprenentatge sobre infeccions de transmissió sexual (ITS) entre estudiants de Medicina #RecercaEducativa #Gamificació #Medicina
In an RCT of 50 physicians, adding an LLM to usual resources did not significantly improve diagnostic reasoning (76% vs 74%). Yet the LLM alone scored 16 percentage points higher than the usual-resources group. #ClinicalAI doi.org/10.1001/jama...
A culturally tailored eHealth family intervention delivered in pediatric primary care reduced 90-day drug use and prevented alcohol and hard-drug initiation among 456 Hispanic youths. No effect on condom use. RCT. #PrimaryCare doi.org/10.1001/jama...
Among 1,942 infant encounters in Canada, nirsevimab effectiveness was estimated at 77% against RSV-related ED visits, 79% against hospitalisation and 97% against ICU admission. Test-negative case-control study. #RSV #Pediatrics doi.org/10.1001/jama...
My third most-cited Scopus publication: 263 citations. Published early in the pandemic, it described how telemedicine could preserve access, support distancing and help health systems prioritise in-person care for urgent cases. #Telemedicine doi.org/10.1016/j.ap...
In a JAMA study of 952,008 US clinicians and 271M AI queries, treatment/management dominated (33.1%), not diagnosis (13.9%). Family medicine use was 1.8× its workforce share. Real-world uptake is outpacing evidence on outcomes. #ClinicalAI doi.org/10.1001/jama...
Moderate caffeine intake—up to 400 mg/day—appears safe for most adults and may be linked to lower cardiovascular risk. Evidence is mostly observational, and benefits do not extend to energy drinks. #CardiovascularHealth jamanetwork.com/journals/jam...
My second most-cited Scopus publication: 353 citations. This Cochrane review found limited evidence that high-dose oral vitamin B12 may achieve similar short-term haematological and neurological responses to intramuscular treatment. #PrimaryCare doi.org/10.1002/1465...
What helps retain the general practice workforce? An umbrella review found stronger evidence for professional development and supportive work environments, while findings for financial incentives were mixed. Workforce policy needs evaluation. #PrimaryCare doi.org/10.1186/s128...
Our 2020 paper on the COVID-19/5G conspiracy is my most-cited publication in Scopus: 655 citations. We mapped how the claim spread on Twitter and showed how even rebuttals and humour can inadvertently amplify misinformation. #Infodemic doi.org/10.2196/19458
Continuity remained high across 186 US community health centers before, during and after COVID-19, but was lower for patients with multimorbidity, telemedicine users and larger centers. Access and longitudinality must be designed together. #PrimaryCare doi.org/10.1370/afm....
Access to general practice is more than speed or same-day appointments. Patients also value easy navigation, continuity, trust and a response matched to their needs. Counting contacts alone risks missing what access means. #PrimaryCare doi.org/10.1136/bmj-...
More adults are seeking ADHD assessment in primary care. JAMA highlights the challenge: expand access without lowering diagnostic rigour. Careful history, impairment, childhood onset and differential diagnosis are key. #PrimaryCare #ADHD doi.org/10.1001/jama...
Primary care access among traditional Medicare beneficiaries fell from 61.9% in 2017 to 59.8% in 2023. Telemedicine accounted for just 7% of visits and did not reverse widening access gaps. Complement, not substitute. #PrimaryCare #Telemedicine doi.org/10.1001/jama...
AI scribes were associated with 13.4 fewer EHR minutes and 16 fewer documentation minutes per 8 clinical hours, plus 0.49 more weekly visits—largest gains in primary care. Observational difference-in-differences; causality is unproven. #PrimaryCare #AI doi.org/10.1001/jama...
Owning a smartphone at 12 was associated with a 49% higher risk of any eating-disorder symptom at 14 in a cohort of 8,957 adolescents. This observational study cannot establish causality. #AdolescentHealth jamanetwork.com/journals/jam...
Pilot trials are where early-career clinician-scientists learn to lead. A JAMA Viewpoint warns that excluding them from NIH K awards may hinder independence and widen institutional inequities. #ClinicalResearch jamanetwork.com/journals/jam...
Mireia Gascon is among Clarivate’s top 1% most-cited researchers for the 5th year running. Her message: planetary health belongs in primary care. #USRCatCentral idiapjgol.org/noticia/mire...