Gaceta SanitariaPub Date : 2024-01-01DOI: 10.1016/j.gaceta.2024.102371
Carmen Vives-Cases , Esther Castellanos-Torres , Belén Sanz-Barbero
{"title":"Violencia sexual y jóvenes: «no es algo con lo que naces, sino con lo que aprendes»","authors":"Carmen Vives-Cases , Esther Castellanos-Torres , Belén Sanz-Barbero","doi":"10.1016/j.gaceta.2024.102371","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102371","url":null,"abstract":"<div><h3>Objective</h3><p>To analyse the perceptions and experiences of young people in Spain about sexual violence (SV), its possible causes, victims and perpetrators..</p></div><div><h3>Method</h3><p>Qualitative study based on semi-structured interviews with 22 young people between 18 and 24 years old. A qualitative content analysis was carried out.</p></div><div><h3>Results</h3><p>In the juvenile narratives, the lack of definition and accuracy about what SV is stands out, except for mentioning rape, lack of consent and use of force in sexual relations. The girls, self-perceived as the main victims, also break with these narratives by providing a broader vision and gender inequalities related. In general, the most prevailed idea is that VS is perpetrated by men against women in heterosexual relationships inside and outside the couple. Regarding explanations, references coexist to both contextual factors (linked to gender inequalities and the social construction of sexual relationships) and behavioural factors (which includes the viewing of pornography). Tentatively proposals for improvement related to sexual and affective education emerge.</p></div><div><h3>Conclusions</h3><p>In the perceptions of the young people, ambiguity seems to coexist with explicit references to the different ways in which it manifests itself and the influence of gender inequalities. Sex and life experience appear to influence these narratives. It is necessary to promote a more critical perspective on the social construction of SV and intimate relationships in the young population.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102371"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000189/pdfft?md5=6d2c219b6df4fdef50b6b2cbba333904&pid=1-s2.0-S0213911124000189-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139936736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gaceta SanitariaPub Date : 2024-01-01DOI: 10.1016/j.gaceta.2024.102417
Félix Lobo , Juan Oliva , José Vida
{"title":"Propuestas concretas para organizar una agencia de evaluación de la eficiencia de tecnologías y políticas sanitarias","authors":"Félix Lobo , Juan Oliva , José Vida","doi":"10.1016/j.gaceta.2024.102417","DOIUrl":"10.1016/j.gaceta.2024.102417","url":null,"abstract":"<div><p>We describe in detail a twofold proposal for the creation, organization and sequential development of two bodies responsible for evaluating the efficiency of health technologies and policies in Spain and its possible design. It would constitute a key element in the process of re-organising the National Health System. The first, which could be adopted immediately, would be called the Office for the Evaluation of the Efficiency of Medicines, would be attached to the Spanish Agency for Medicines and Medical Devices as a functionally independent body and limited to evaluating the efficiency of medicines. The second, the National Health Evaluation Commission, in the form of an independent administrative body, would evaluate health technologies and possibly public health policies. Functional independence, adequate resources and anchoring in the values of good governance are the defining characteristics of this dual proposal.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102417"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000694/pdfft?md5=49a852daf9b96037d7c9075367ca53a6&pid=1-s2.0-S0213911124000694-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluación independiente de la crisis de la COVID-19. Lecciones por aprender","authors":"Beatriz González López-Valcárcel , Ildefonso Hernández Aguado","doi":"10.1016/j.gaceta.2024.102375","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102375","url":null,"abstract":"<div><p>The independent evaluation report on the performance of the National Health System in the face of the COVID crisis is rigorous, well thought out and well executed. It has benefited from the participation of numerous experts and institutions. The altruistic effort of the coordinators and hundreds of experts, professionals and citizens is noteworthy, which does not justify the asymmetry between “everything for free” when it comes to shared intelligence, and market prices when it comes to commissioning reports from consultancy firms that are sometimes not worth the cost. The valuable work has suffered from unexplained delays and delayed dissemination that do not bode well for whether there is interest in learning from the pandemic or leaving it behind and forgetting it. Indeed, valuable reports provided by the public administration itself (listed in the report) have still not been made public, despite the request of the coordinators. However, the mere fact that the evaluation has been carried out under the influence and pressure of scientists and professionals should encourage the actions of civil society organisations. Advocacy is needed to ensure that public administrations see collective intelligence as an invaluable resource to be nurtured and stimulated. Regular accountability of executive powers at all levels needs to be pursued vigorously. Many sensible proposals to improve healthcare have been ignored, but we learned that achievements are made with perseverance. It is not an option, it is part of the core business of public health.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102375"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000220/pdfft?md5=85fc728d7cf03997007e73eb82344161&pid=1-s2.0-S0213911124000220-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gaceta SanitariaPub Date : 2024-01-01DOI: 10.1016/j.gaceta.2024.102390
Clara Bermúdez-Tamayo , Miguel Negrín Hernández , Juan Alguacil , David Cantarero , Mercedes Carrasco-Portiño , Gonzalo Casino , Mar García Calvente , Mariano Hernán , Leila Posenato García , María Teresa Ruiz Cantero , Andreu Segura , Javier García Amez , Lucero A. Juárez Herrera y Cairo , Joan Carles March , Jorge Marcos-Marcos , Javier Mar , Rosana Peiró , Carlos Álvarez-Dardet
{"title":"Gaceta Sanitaria en 2023. La función debe continuar. Adiós y gracias","authors":"Clara Bermúdez-Tamayo , Miguel Negrín Hernández , Juan Alguacil , David Cantarero , Mercedes Carrasco-Portiño , Gonzalo Casino , Mar García Calvente , Mariano Hernán , Leila Posenato García , María Teresa Ruiz Cantero , Andreu Segura , Javier García Amez , Lucero A. Juárez Herrera y Cairo , Joan Carles March , Jorge Marcos-Marcos , Javier Mar , Rosana Peiró , Carlos Álvarez-Dardet","doi":"10.1016/j.gaceta.2024.102390","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102390","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102390"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000372/pdfft?md5=7b849f94868455a6d73246b86d824618&pid=1-s2.0-S0213911124000372-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}