<?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>0036-3634</journal-id>
<journal-title><![CDATA[Salud Pública de México]]></journal-title>
<abbrev-journal-title><![CDATA[Salud pública Méx]]></abbrev-journal-title>
<issn>0036-3634</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0036-36342020000100080</article-id>
<article-id pub-id-type="doi">10.21149/10273</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trayectoria de acceso al diagnóstico oportuno del trastorno por déficit de atención e hiperactividad: una perspectiva del cuidador primario]]></article-title>
<article-title xml:lang="en"><![CDATA[Pathway of access to an early diagnosis of attention deficit hiperactivity disorder (ADHD): A primary caregiver´s perspective]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Jaime]]></surname>
<given-names><![CDATA[Ma. Magdalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-Morales]]></surname>
<given-names><![CDATA[Hortensia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Psiquiátrico Infantil Dr. Juan N. Navarro  ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Investigación en Sistemas de Salud, ]]></institution>
<addr-line><![CDATA[Cuernavaca Morelos]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<volume>62</volume>
<numero>1</numero>
<fpage>80</fpage>
<lpage>86</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342020000100080&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342020000100080&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342020000100080&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Evaluar el acceso al diagnóstico oportuno del trastorno por déficit de atención e hiperactividad (TDAH) e identificar sus barreras mediante una trayectoria de hechos que va desde percibir los síntomas hasta obtener el diagnóstico formal.  Material y métodos:  Se empleó un modelo conceptual integral (basado en cuatro dimensiones: percibir, buscar, llegar y usar) y centrado en el paciente. Ello permitió trazar una trayectoria de hechos vividos por las diadas (paciente y su cuidador primario), a partir de la cual se diseñó una cédula compuesta por 143 preguntas dicotómicas o politómicas, y cinco preguntas abiertas. Participaron 177 diadas.  Resultados:  Se identificaron numerosas barreras para acceder al diagnóstico oportuno; la falta de percepción del TDAH resultó clave como obstáculo para el acceso inicial.  Conclusión:  La barrera de la falta de percepción podría evitarse brindando información a los cuidadores para que perciban los síntomas nucleares del TDAH como problemas potenciales de salud mental.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To evaluate the access of an early diagnosis of the ADHD and to identify its barriers by means of a trajectory of facts from perceiving the symptoms until obtaining the formal diagnosis.  Materials and methods:  An integral conceptual model has been used - based on four dimensions (perceive, search, arrive and use) - and centered on the patient; this has allowed to trace a trajectory of facts lived by the dyads (patient and their primary caregiver). The survey was composed of five open and 143 dichotomous or polytomous questions. 177 dyads participated.  Results:  Numerous barriers were identified to access the early diagnosis; the lack of perception of ADHD was key to initiate access.  Conclusion:  The lack of perception could be avoided with information to the caregivers so that they perceive the nuclear symptoms of ADHD as potential mental health problems.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[attention deficit disorder with hyperactivity]]></kwd>
<kwd lng="en"><![CDATA[early diagnosis]]></kwd>
<kwd lng="en"><![CDATA[health services accessibility]]></kwd>
<kwd lng="en"><![CDATA[family caregiver]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
<kwd lng="es"><![CDATA[trastorno por déficit de atención con hiperactividad]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico oportuno]]></kwd>
<kwd lng="es"><![CDATA[accesibilidad a los servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[cuidador familiar]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
</kwd-group>
</article-meta>
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