Any article in this journal involving experiments with human or animal subjects will follow the guidelines in the Human and animal rights described in the Ethics in publishing section of this guide for authors. Authors should clearly indicate in the manuscript that such guidelines have been followed, as well as the statement that informed consent was obtained for experimentation with human subjects.
Any article sent to this journal will follow the guidelines described in the section "Ethics in the publication" of this guide for authors, therefore it is essential to consult it before sending the manuscripts.
In particular, the manuscripts corresponding to the original section the authors must clearly indicate at the end of the section "Material and methods" that such guidelines have been followed, as well as the written and informed consent of the patients has been obtained and has been approved by the corresponding ethics committee.
Likewise, in the manuscripts corresponding to the "Scientific Letters", “Letters to the Editor” and “Medical Images” sections, the authors must clearly indicate in the article´s body that the protocols and procedures of the institutional Centre related with the patient´s data publication have been followed, as well as the subject privacy and the patient consent for its publication has been obtained.
Any article in this journal involving experiments with human or animal subjects will follow the guidelines in the “Human and animal rights” described in the “Ethics in publishing” section of this guide for authors. Authors should clearly indicate in the manuscript that such guidelines have been followed, as well as the statement that written and informed consent was obtained for experimentation with human subjects.
For any section of this journal, except for Editorials, the three epigraphs: Ethical considerations, Funding and Conflict of interest should be added in the manuscript, before the bibliography.
Ethical considerations: If the work involves the use of human subjects, the author should ensure that the work described has been carried out in accordance with The Code of Ethics of the World Medical Association (Declaration of Helsinki) for experiments involving humans; Uniform Requirements for manuscripts submitted to Biomedical journals. Authors should include a statement that informed consent was obtained for experimentation with human subjects, and all the ethical procedures were performed. The privacy rights of human subjects must always be observed. The approval of the institutional review board (IRB) or the appropriate committee must be stated in this epigraph.
Funding: You are requested to identify who provided financial support for the conduct of the research and/or preparation of the article and to briefly describe the role of the sponsor(s), if any, in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. If the funding source(s) had no such involvement, then this should be stated.
Conflict of interest: All authors must specify the existence of any type of financial and personal relationship with other people or organizations that may have influenced their work, even if it is not directly related to the current manuscript. Examples of potential competitive interests include employment, consulting, stock ownership, honoraria, paid expert testimony, patent and other fund applications / registrations, as well as travel grants and participation in courses and conferences as a paid expert. If none of the above conditions is present, it must be indicated: "Declarations of interest: none".
ORIGINAL ARTICLES
In this section articles will be published that present clinical and / or epidemiological studies carried out by the authors. Additionally, works on organisational aspects and quality control could be included in the section. The studies must have been carried in the Primary Health Care setting or their results are of interest in this field. The maximum number of authors is 6.
The structure of the articles that are requested to be published in this section depends on the type of investigation presented:
- Quantitative research.
- Systematic review (meta-analysis).
- Qualitative research.
ORIGINAL ARTICLES: QUANTITATIVE RESEARCH
Articles will be included here that present clinical and epidemiological studies that have used quantitative methodology in their design and analysis (for example, prevalence studies, follow-up of a cohort, case control studies, randomised clinical trial, etc.).
The structure of the articles must be as follows:
- Cover letter (see general guidelines).
- First page (see general guidelines)
- A structured abstract (maximum: 250 words).
- Text: a maximum of 2500 words, not counting Tables, references or the Abstracts.
- From 3 to 6 key points.
- Tables and Figures: maximum 6 (See general guidelines).
- Diagram of the study.
Each one of the previous parts must be started on a new page.
The structured ABSTRACT will include the title of the article and must have the following structure:
Objective: clear identification of the main purpose of the study. Design: description of the basic design of the study (randomised clinical trial, case control study...), and its basic characteristics if they are relevant (double blind, multicentre...). If the design of the study is not clear, its main characteristics must be mentioned (cross-sectional or longitudinal, prospective or retrospective, observational or intervention, controlled or uncontrolled¿).
Location: place where the study was performed and the type and level of health care (Primary, Hospital, Community Care...).
Participants: patient characteristics, selection criteria, number of enrolled subjects and non-responders and drop-outs that have occurred.
Interventions (in intervention studies): main characteristics, including the administration schedule and duration, of the interventions performed in the study groups, as well as any in the comparison groups.
Main measurements: primary variables of the study, especially the response variable used and its evaluation method.
Results: main quantitative results, identifying the type of measurement used and it corresponding confidence interval. Where applicable, it should contain the level of statistical significance.
Conclusions: the main conclusions arising from the results of the study, including their practical application.
The TEXT must be adapted to the Introduction/Materials and Methods/Results and Discussion structure, following the recommendations set out below:
Introduction: It must present the current situation on the knowledge of the topic and the context in which the study is framed. The objective of the study must be clearly defined. The introduction must be as brief as possible and be supported in a reduced number of key literature references.
Material and methods: It must include the design of the study, the centre where the research was carried out, the inclusion and exclusion criteria and the screening procedure of the participants, the interventions performed (if applicable), the definitions, and the measurement techniques of the variables, the follow-up of the subjects and the analysis strategy, as well as the statistical tests used. It must be written with sufficient detail so that the study could be repeated. The use of headings is recommended in order to organise the information (study population, interventions, follow-up, statistical analysis¿).
Results: This must present, not interpret, the principle findings associated with the aims of the study. Headings may be used to make the presentation clearer. It is advised to use Tables and Figures without the unnecessary repetition of the data in the text. The main results must include the corresponding confidence intervals, and must clearly indicate the type of measurement and the statistical tests used, where applicable. When the significance level is less than 0.20, it is preferable to present its exact value. It is recommended to highlight the Table or Figure that contain the principal results of the study, with a description of these in the legend.
Discussion: It is advised to structure it with the following headings (where relevant): limitations of the design used: a comparison with the scientific literature, attempting to explain the differences observed; practical application of the results, performing an evaluation on their clinical relevance; and directions for future research on the topic.
Acknowledgements: To individuals or institutions that, not having fulfilled the requirements of authorship, may have collaborated in the performing of the work, providing material, technical or financial help. The type of contribution should be mentioned.
Bibliography: A maximum of 30 literature references is recommended, which must be as recent and relevant as possible, and carefully written in accordance with the Vancouver format.
Key points: All original works must include a Table with the key points to help in the understanding of the work by those readers that do not wish to read the full article. It must include a maximum of 3 short and precise sentences that indicate what is known on the topic before carrying out the study and the need to have carried it out (under the heading "What is known on the topic¿), and another maximum of 3 sentences that indicate what this study has contributed to the previous knowledge of the topic (under the heading What this study contributes).
Study Outline: A Figure will also be included of the study outline that shows the number of subjects in each of the stages of the study and the reasons of the non-responses, losses and drop-outs that may have occurred. The Figure legend must summarise the main characteristics of the study design. If the study is a randomised clinical trial, this Figure must follow that of the most up to date CONSORT statement, available at http://www.consort-statement.org
ORIGINAL ARTICLES: SYSTEMATIC REVIEWS (META-ANALYSIS)
This section will include all articles that present systematic reviews of the literature and other sources of evidence, which are critically evaluated in order to provide an answer to a particular question. , therefore, narrative type reviews or knowledge update articles are not included.
The structure of the articles must be as follows:
- Cover letter (see general guidelines).
- First page (see general guidelines)
- A structured abstract (maximum: 250 words).
- Text: a maximum of 2500 words, not counting tables, references or the abstract.
- From 3 to 6 key points.
- Tables and Figures: maximum 6 (See general guidelines).
- Study outline.
Each one of the previous parts must be started on a new page.
The structured ABSTRACT will include the title of the article and must have the following structure:
Objective: clear identification of the main purpose of the review. If there is more than one, it is advised to point out the primary one and the secondary ones.
Design: It study must be identified as a systematic review.
Data sources: Data bases consulted, period covered and main characteristics of the search strategy of the individual studies used.
Selection of studies: selection criteria of the studies, number of studies included and excluded, main characteristics of the studies included.
Data extraction: method for assessing the validity of the studies and data collection, and main variables collected.
Results: main quantitative results, identifying the type of measurement used and its corresponding confidence intervals. Where applicable, it should include the level of statistical significance. Where applicable, the results of the sensitivity analysis should be included.
Conclusions: the main conclusions arising from the results of the study, including their practical application.
The TEXT must be adapted to the Introduction/Materials and Methods/Results and Discussion structure, following the recommendations set out below:
Introduction: It must present the current situation on the knowledge of the topic and the context in which the study is framed. The question that the review seeks to answer must be clearly defined. The introduction must be as brief as possible and be supported with a reduced number of key literature references.
Material and methods: The strategy for identifying the relevant studies must be described, including the data bases consulted and the descriptive terms used, the inclusion and exclusion criteria of the studies,, the procedure for assessing their validity, the data extraction methods and the analysis strategy, as well as the statistical tests used for the data analysis. It must be written with sufficient detail so that the study could be repeated. The use of headings is recommended in order to organise the information (identification of studies, selection of studies, data extraction, analysis...).
Results: It must present, not interpret, the principle findings associated with the aims of the review. Headings may be used to make the presentation clearer. It is advised to use Tables and Figures without the unnecessary repetition of the data in the text. It is recommended to include a Table with a breakdown of the main characteristics and results of the studies included in the review. The main results must include the corresponding confidence intervals, and must clearly indicate the type of measurement and the statistical tests used, where applicable. It is recommended to graphically present the confidence intervals in a Figure. When the significance level is less than 0.20, it is preferable to present its exact value. It is recommended to highlight the Table or Figure that contain the main results of the study, with a description of these in the legend.
Discussion: It is advised to structure it with the following headings (where relevant): limitations of the review, including suggestions on the effect of a possible publication bias, and comments on the homogeneity of the individual studies and the possible influence of variability on the final results; a comparison with the scientific literature, attempting to explain the differences observed; practical application of the results, performing an evaluation on their clinical relevance; and directions for future research on the topic.
Acknowledgements: To individuals or institutions that, not having fulfilled the requirements of authorship, may have collaborated in the performing of the work, providing material, technical or financial help. The type of contribution should be mentioned.
Bibliography: The literature references must be numbered consecutively in the order in which they appear for the first time in the text, identifying them using Arabic numbers (in parentheses). A maximum of 30 literature references is recommended, which must be as recent and relevant as possible, and carefully written in accordance with the Vancouver format. The studies included in the review must be included in the literature references.
Key points: All original works must include a Table with the key points to help in the understanding of the work by those readers that do not wish to read the full article. It must include a maximum of 3 short and precise sentences that indicate what is known on the topic before carrying out the study and the need to have carried it out (under the heading "What is known on the topic¿), and another maximum of 3 sentences that indicate what this study has contributed to the previous knowledge of the topic (under the heading ¿What this study contributes¿).
Outline of the Study: A Figure will also be included with an outline that shows the number of studies selected in each of the stages of the review and the reasons for the exclusions. It is recommended that the outline follows the most up to date PRISMA statement, available at: http://www.prisma-statement.org/
ORIGINAL ARTICLES: QUALITATIVE RESEARCH.
Articles will be included here that present studies that have used qualitative methodologies for the approach to the topic of the research.
The structure of the articles must be as follows:
- Cover letter (see general guidelines).
- First page (see general guidelines)
- A structured abstract (maximum: 250 words).
- Text: a maximum of 2500 words, not counting tables, references or Abstract.
- From 3 to 6 key points.
- Tables and Figures: maximum 6 (See general guidelines).
- Study outline.
Each one of the previous parts must be started on a new page.
The structured ABSTRACT will include the title of the article and should have the following structure:
Objective: clear identification of the main purpose of the study. If there is more than one, it is advised to point out the primary one and any secondary ones.
Location: place where the study was performed and the type and level of health care (Primary Care, hospital, Community Care...).
Participants and / or contexts: Selection criteria and acquisition process.
Method: Sample design, description of the information collection technique/s, mechanisms for ensuring information saturation, strategy and theoretical framework of the analysis.
Results: the main findings, interpretations, topics and concepts identified, structure of the segmentation and categories constructed, and relationship within the conceptual framework.
Conclusions: the main conclusions arising from the study and their use for the understanding of the problem and for action and change.
The TEXT must be adapted to the Introduction/Materials and Methods/Results and Discussion structure, following the recommendations set out below (adapted by: Fernández de Sanmamed Santos MJ. Adecuación de las normas de publicación en revistas científicas a las investigaciones cualitativas.(Adaptation of the guidelines published in scientific journals to qualitative research) Aten Primaria. 2000;25:502¿4).
Introduction: The current situation on the knowledge of the topic must be presented, the relevance and the context in which the study is framed, including the formal and informal documental sources, opinions, intuitions and general theoretical and interpretative frameworks, where necessary, all of them in the most concise and brief form as possible, being supported in a reduced number of key literature references. The objective of the study must be clearly defined.
Participants and methods: It is recommended to structure this section into the following headings:
- Design: projected design and methodological strategies, justification for their use, temporal contextualisation, information collection techniques, changes in the design or emerging design, if applicable, etc.
- Sample and participants and/or contexts: sample design, number and description of participants and/ or contexts, selection criteria of the informants and/or contexts, collection procedure, mechanisms for ensuring information saturation, etc.
- Analysis: strategy and theoretical framework of the analysis, description and validation of the analysis, strategies for ensuring the reliability of the results, etc.
Results and Discussion: In qualitative research it is difficult to separate the results from the discussion. The results must be presented in a form that makes the analysis method and the structure of the segmentation and categories constructed clear, and associating them within the prior conceptual framework. An exhaustive presentation of the results must be avoided, only showing the most relevant and significant, that may be real contributions to the knowledge of that examined. It is advisable to use narrative fragments or observations to support the analytical synthesis, and to use illustrative matrices and Tables to facilitate the reading and comprehension of the results. It is recommended to highlight the Table or Figure that contain the main results of the study, with a description of these in the legend.
Conclusions, usefulness and limitations: The key findings and interpretations of the research must be highlighted, along with their use in the knowledge of the problem and for action or change. The limitations of the study must be included, as well as proposals for new questions or research lines.
Acknowledgements: To individuals or institutions that, not having fulfilled the requirements of authorship, may have collaborated in the performing of the work, providing material, technical or financial help. The type of contribution should be mentioned.
Bibliography: The literature references must be numbered consecutively in the order in which they appear for the first time in the text, identifying them using Arabic numbers (in parentheses).A maximum of 30 literature references is recommended, which must as recent and relevant as possible, and carefully written in accordance with the Vancouver format.
Key points
All original articles must include a Table with the key points to help in the understanding of the work by those readers that do not wish to read the full article. It must include a maximum of 3 short and precise sentences that indicate what is known on the topic before carrying out the study and the need to have carried it out (under the heading "What is known on the topic¿), and another maximum of 3 sentences that indicate what this study has contributed to the previous knowledge of the topic (under the heading ¿What this study contributes¿).
EDITORIALS
The articles published in this section are usually commissioned by the editors. However, the Editorial Board may consider non-solicited editorial reviews for publication and submission to the review process, with no obligation of corresponding about them. It is expected that the articles of this section are opinions and reflections of interest in Primary Health Care, that might stimulate debate, or present new perspectives on a topic. The maximum number of authors is 3.
The structure of the works must be as follows:
- Cover letter (see general guidelines).
- First page (see general guidelines)
- Text (maximum: 1,000 words. not counting the bibliography).
- Tables and Figures (maximum: 1 (See general guidelines).
- The maximum number of literature references is 12.
Each one of the previous parts must be started on a new page.
With the aim of helping in its understanding, it is recommended that the text is structured as follows: establishment of the problem, positioning of the author, arguments in favour, arguments against, and conclusions. It is important that the discussion is presented logically and that it cites the type of tests on which the key statements are based (personal or expert opinions, observational studies, clinical trials, systematic reviews...).
ADVANCES AND CONTROVERSIES
The Advances and Controversies section addresses topics related to primary and community care that are undergoing active changes and/or are subject to scientific debate.
Each topic in the section is coordinated by a primary and community care professional with extensive experience in the area, who proposes to the journal’s Editorial Committee to commission one or more authors to develop a specific aspect of the issue.
Based on the available scientific evidence and previous published contributions, the authors will focus on the core points of the topic, with special reference to contributions and/or controversial aspects relevant to the field of primary and community care.
Manuscripts received will be jointly reviewed by the journal’s Editorial Committee and the topic coordinator before final acceptance for publication.
The structure of the articles should be as follows:
- Maximum length of the text excluding bibliography: 1000 words
- Bibliography: up to 15 references
- Authors: maximum of 3
LETTERS TO THE EDITOR
Letter that comment on articles that have recently appeared in the Journal will be published preferentially and as quickly as possible. The letter will be sent to the authors of the article to which it refers and, and if they wish to reply to it, the letter and its reply will be published simultaneously.
Letters to the Editor will also be accepted that present experiences and opinions of interest for Primary Health Care.
The Editorial Committee reserves the decision to publish Letters to the Editor in paper form or on-line. In both cases the reference to the article will be published in the Contents.
The maximum number of authors will be 4.
The structure of the works must be as follows:
- Cover letter (see general guidelines).
- First page (see general guidelines)
- Text (maximum: 600 words, not counting literature references).
Each one of the previous parts must be started on a new page. The maximum number of literature references is 3. In the case of letters that refer to a published article, one of the references must correspond to this article.
SCIENTIFIC LETTERS
This section will accept letters that present short reports on research studies and descriptions of series of clinical cases. In the text of these types of letters, it must mention the aims, design of the study, measurements, results and main conclusions.
The maximum number of authors will be 4.
The structure of the works must be as follows:
- Cover letter (see general guidelines).
- First page (see general guidelines)
- Text (maximum: 600 words, not counting literature references or Tables).
- Tables and/or Figures (maximum: 1 (See general guidelines).
Each one of the previous parts must be started on a new page. The maximum number of literature references is 6.
SPECIAL ARTICLES
Special Articles are usually commissioned, and will be published under different headings, depending on their contents (consensus conference, continuing education, technical reports, or in-depth reviews of a topic). The Editorial Board may consider non-solicited editorial reviews for publication and submission to the review process, with no obligation of corresponding about them.
The maximum number of authors is 6.
The structure of the works must be as follows:
- Cover letter (see general guidelines).
- First page (see general guidelines)
- Abstract (maximum: 150 words that present the key ideas of the study).
- Text (maximum: 3,000 words, not counting Tables, literature references or the Abstract.
- Tables and Figures (maximum: 6 (See general guidelines).
Each one of the previous parts must be started on a new page.
The maximum number of literature references is 24.
UPDATED RECOMMENDATIONS IN PRIMARY HEALTH CARE
This section will publish those recommendations in Primary Health Care that support the need for them to be updated due to new evidence. It will give a concise presentation of the new evidence and will explain the relevance of its practical application. The text will have a maximum of 700 words, not including the literature references, which will be a maximum of 6 recent references. The title will be the updated topic, and will be as short as possible. Only one Table may be included with the text of the updated recommendation, with no other Tables or Figures being accepted. The maximum number of authors will be 3, with the working group to which it represents being added at the end.
MEDICAL IMAGES
Images that by themselves allow to perform a visual diagnosis will be accepted. These images should be accompanied by a brief explanatory text, which may be simply the description of what is shown in the image, or the comment in the form of a brief clinical case. Up to 3 authors will be allowed.
The maximum length of the text will be 600 words.
A maximum of 2 figures.
A maximum of 6 bibliographical references.