Gaceta Sanitaria最新文献

筛选
英文 中文
La desconocida mortalidad de la población en las residencias de personas mayores de España 西班牙养老院人口的未知死亡率
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2022.102261
María Victoria Zunzunegui , Fernando J. García López , Vicente Rodríguez
{"title":"La desconocida mortalidad de la población en las residencias de personas mayores de España","authors":"María Victoria Zunzunegui ,&nbsp;Fernando J. García López ,&nbsp;Vicente Rodríguez","doi":"10.1016/j.gaceta.2022.102261","DOIUrl":"https://doi.org/10.1016/j.gaceta.2022.102261","url":null,"abstract":"<div><p>It seems necessary to assess the mortality of older people living in long-term care homes to examine its determinants, including the structural and organizational characteristics of these centers and their relationship with the use of health and social services. Attempting to investigate the mortality of the population over 65 years of age living in long-term care homes during COVID-19, we were not able to identify those who died at their long-term care home and, consequently, to know their number of deaths and their causes. In this field note, we describe this anomalous situation and propose a solution: compliance with the law that obliges all citizens to register at their usual address, which should be required in the process of admission to a residence. This would ensure the availability of the necessary data to know the mortality of the population residing in a residence.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102261"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49855048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Análisis de causas de las causas de futuras pandemias: los retos para una nueva salud pública 未来大流行原因的原因分析:新公共卫生的挑战
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2022.102250
Rafael Cofiño
{"title":"Análisis de causas de las causas de futuras pandemias: los retos para una nueva salud pública","authors":"Rafael Cofiño","doi":"10.1016/j.gaceta.2022.102250","DOIUrl":"https://doi.org/10.1016/j.gaceta.2022.102250","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102250"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49855894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Variabilidad geográfica del número de eutanasias en España un año después de su legalización 西班牙安乐死合法化一年后安乐死数量的地理变化
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2022.102251
José María Trejo-Gabriel-Galán
{"title":"Variabilidad geográfica del número de eutanasias en España un año después de su legalización","authors":"José María Trejo-Gabriel-Galán","doi":"10.1016/j.gaceta.2022.102251","DOIUrl":"https://doi.org/10.1016/j.gaceta.2022.102251","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102251"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49855895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Repercusiones de la COVID-19 en un proceso de investigación-acción participativa con adolescentes gitanas 新冠病毒对研究过程的影响-与吉普赛青少年的参与性行动
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2022.102255
María J. Albar-Marín , Ana Gutiérrez-Martínez , Manuel García-Ramírez
{"title":"Repercusiones de la COVID-19 en un proceso de investigación-acción participativa con adolescentes gitanas","authors":"María J. Albar-Marín ,&nbsp;Ana Gutiérrez-Martínez ,&nbsp;Manuel García-Ramírez","doi":"10.1016/j.gaceta.2022.102255","DOIUrl":"https://doi.org/10.1016/j.gaceta.2022.102255","url":null,"abstract":"<div><p>The objective of this article is to describe the impact of the COVID-19 pandemic on the implementation of the RoMoMatter project, using a community-based participatory action research methodology, in Córdoba (Spain). Five academic researchers and 30 community members participated. Individual interviews, focus groups and field notes were used as data collection techniques. The interviews were audio-recorded with the consent of the participants and transcribed verbatim. The information collected was coded using Atlas Ti software. The efforts of adaptation to the new pandemic scenario made by the participants and the technical and emotional support role played by the adaptation team are highlighted. It is concluded that the main impact of the pandemic was evidenced in the participatory process of all the people involved, and in the format and number of activities.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102255"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49813107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Carga administrativa, motivación y bienestar entre médicos de atención primaria. Comparación entre modelos de gestión 初级保健医生的行政负担、动机和福利。管理模式比较
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102306
Xavier Ballart , Francisco Ferraioli , Antoni Iruela
{"title":"Carga administrativa, motivación y bienestar entre médicos de atención primaria. Comparación entre modelos de gestión","authors":"Xavier Ballart ,&nbsp;Francisco Ferraioli ,&nbsp;Antoni Iruela","doi":"10.1016/j.gaceta.2023.102306","DOIUrl":"https://doi.org/10.1016/j.gaceta.2023.102306","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the relationship between administrative burden and intrinsic motivation and between administrative burden and professional well-being among family and community medicine physicians. To analyze the extent to which attention to three basic needs (autonomy, sense of competence and relationship capacity) that one of the main motivation theories identifies as a generator of intrinsic motivation compensates for the negative effect of the administrative burden. To compare management models.</p></div><div><h3>Method</h3><p>Data from a survey (542 valid questionnaires) carried out through the Catalan Society of Family and Community Medicine are used. Data analysis is based on multiple regression and ANOVA techniques.</p></div><div><h3>Results</h3><p>The perception of administrative burden and “red tape” are clearly demotivating and reduce job satisfaction. On the contrary, individual autonomy, networking opportunities between professionals and performance feedback are motivating and feed the perception of professional well-being. The EBA (Association Based Entity) model presents results above the ICS (Catalan Health Institute) and OSI (Integrated Health Organizations) models both in controlling the negative effect of administrative burden and in the management of basic psychological needs.</p></div><div><h3>Conclusions</h3><p>The motivation and professional well-being of primary care physicians would benefit from reforms that limit the administrative burden of some procedures and red tape. At the primary health center level, greater attention to individual autonomy, improving relatedness between professionals and the sense of competence based on better information on individual performance can offset the negative effects of the administrative burden.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102306"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49813297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validación del cuestionario sobre vacunas y reticencia a vacunarse en la Sociedad Española de Epidemiología 西班牙流行病学学会疫苗和不愿接种疫苗问卷的验证
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102329
Pablo Caballero , Jenaro Astray , Ángela Domínguez , Pere Godoy , Irene Barrabeig , Jesús Castilla , José Tuells
{"title":"Validación del cuestionario sobre vacunas y reticencia a vacunarse en la Sociedad Española de Epidemiología","authors":"Pablo Caballero ,&nbsp;Jenaro Astray ,&nbsp;Ángela Domínguez ,&nbsp;Pere Godoy ,&nbsp;Irene Barrabeig ,&nbsp;Jesús Castilla ,&nbsp;José Tuells","doi":"10.1016/j.gaceta.2023.102329","DOIUrl":"https://doi.org/10.1016/j.gaceta.2023.102329","url":null,"abstract":"<div><h3>Objective</h3><p>To develop and validate a survey aimed at epidemiologists to measure factors associated with vaccine reluctance.</p></div><div><h3>Method</h3><p>Vaccination hesitancy refers to delayed acceptance or refusal of vaccination despite the availability of vaccination services. WHO included vaccination hesitancy among the 10 global health threats in 2019. Within this conceptual framework proposed by WHO, a committee of six experts from the Spanish Society of Epidemiology (SEE) designed a self-administered questionnaire to study factors associated with vaccination hesitancy in epidemiologists. This questionnaire was approved by the SEE Board, and was sent online to all members in 2019. Based on the responses obtained, the following characteristics were validated: face validity, internal validity, construct validity, criterion validity, reliability, as well as the characteristic curves of each item and the information function per item and overall.</p></div><div><h3>Results</h3><p>The final questionnaire showed two well-defined components, perception of vaccines and confidence in the transparency of vaccine data with high degrees of fit in all aspects of validation. Both components have shown that the higher the reluctance to vaccinate the better the questionnaire reports on these aspects.</p></div><div><h3>Conclusions</h3><p>The study has allowed the development of a validated instrument in Spanish to measure the factors associated with vaccine reluctance among epidemiologists.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102329"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49813378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Salud comunitaria. Innovando en la formación de residentes de medicina familiar y comunitaria 社区卫生。创新家庭和社区医学住院医师培训
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102330
Adrián Cardo-Miota , Blanca Valls-Pérez , Carmen Lineros-González , Mariano Hernán-García
{"title":"Salud comunitaria. Innovando en la formación de residentes de medicina familiar y comunitaria","authors":"Adrián Cardo-Miota ,&nbsp;Blanca Valls-Pérez ,&nbsp;Carmen Lineros-González ,&nbsp;Mariano Hernán-García","doi":"10.1016/j.gaceta.2023.102330","DOIUrl":"https://doi.org/10.1016/j.gaceta.2023.102330","url":null,"abstract":"<div><h3>Objective</h3><p>To know the opinions of the agents involved in the training of family and community medicine residents in order to improve the training process of the «Project to Support the Revitalization of Primary Care; Assets for Community Health» (PARAC) taking into account its adequacy, contextualization and the methodologies used.</p></div><div><h3>Method</h3><p>Qualitative interpretative-explanatory study of phenomenological orientation, multilevel and multicenter, in which the opinion of the participants is analyzed. Between 2018 and 2020, 12 focus groups and 24 semi-structured interviews were carried out, with the participation of sixty-seven professionals from six health districts of Andalusia (Spain), who were involved in the PARAC training process.</p></div><div><h3>Results</h3><p>The participants consider it necessary to broaden training in community health for residents. To this end, they consider it necessary to make changes in the training plan of the specialty, giving more importance to primary health care than to hospital rotations. They value positively the methodologies used in the PARAC training process, which they consider «novel», and the choice of young teachers to serve as references. In order for their interventions in the territory to be carried out with quality and safety for the population, they ask that specific times and spaces be guaranteed for community health, as well as adequate supervision to help ensure the coherence and continuity of their interventions.</p></div><div><h3>Conclusions</h3><p>Training in community health for family and community medicine residents requires a pedagogical, didactic and curricular effort that prepares them for work with the community, as well as the guarantee of organizational conditions that allow this work.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102330"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49813379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Calidad de productos alimentarios anunciados por televisión antes y después del plan para mejorar su composición, 2017-2020 2017-2020年改善食品成分计划前后电视宣布的食品质量
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2022.102249
Ana López Cantos , Elena Ordaz , María Angeles Moya-Geromini , Miguel Ángel Royo-Bordonada
{"title":"Calidad de productos alimentarios anunciados por televisión antes y después del plan para mejorar su composición, 2017-2020","authors":"Ana López Cantos ,&nbsp;Elena Ordaz ,&nbsp;María Angeles Moya-Geromini ,&nbsp;Miguel Ángel Royo-Bordonada","doi":"10.1016/j.gaceta.2022.102249","DOIUrl":"https://doi.org/10.1016/j.gaceta.2022.102249","url":null,"abstract":"<div><h3>Objective</h3><p>To compare the nutritional quality of the foods and beverages advertised on television in Spain, before and after the plan to improve their composition.</p></div><div><h3>Method</h3><p>DTT broadcasts of the more popular channels were recorded in children's hours. Every advertised products in commercial breaks were registered and their nutritional data collected. We compared the distribution of frequencies by food categories and their adherence to the nutritional standards of the World Health Organization in 2017 and 2020.</p></div><div><h3>Results</h3><p>In 256<!--> <!-->h of broadcasting we identified 173 products (78 in 2017 and 95 in 2020). The most advertised products were chocolates (26.9% in 2017 and 22.1% in 2020). 76.3% of the products advertised were unhealthy (76.9% in 2017 vs. 75.8% in 2020; <em>p</em> <!-->=<!--> <!-->0.86).</p></div><div><h3>Conclusions</h3><p>The nutritional profile of the foods and drinks advertised on television, mostly unhealthy, did not change after the implementation of the plan to improve their composition. A regulation is needed to protect children from food advertising.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102249"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49813380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Estrategia «Salud Zer0 Emisiones Netas 2030» del Servicio Canario de la Salud 加那利群岛卫生服务“健康零排放2030年”战略
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2022.102282
Conrado Domínguez , Raúl Falcón , Rubén García
{"title":"Estrategia «Salud Zer0 Emisiones Netas 2030» del Servicio Canario de la Salud","authors":"Conrado Domínguez ,&nbsp;Raúl Falcón ,&nbsp;Rubén García","doi":"10.1016/j.gaceta.2022.102282","DOIUrl":"https://doi.org/10.1016/j.gaceta.2022.102282","url":null,"abstract":"<div><p>The Canary Islands Health Service is aware of the health risks arising from climate change. So health systems must be, with their action, part of the solution, not part of the problem. Currently, 4.4% of global carbon dioxide emissions come from activities related to the health field. To respond to this situation, the Canary Islands Health Service has launched the “Carbon Net Zer0 2030” strategy intending to achieve neutrality in net carbon emissions in the year 2030, applying measures direct and indirect, especially on the supply chain of the public health system. This is a ground-breaking project in Spain and is under continuous review, adding new specific actions to the strategy as the carbon footprint of the different procedures involved in the provision of health services is quantified.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102282"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49854697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemics and epidemiology: back to the future 流行病和流行病学:回到未来
IF 1.9 4区 医学
Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2022.102277
Andreu Segura
{"title":"Epidemics and epidemiology: back to the future","authors":"Andreu Segura","doi":"10.1016/j.gaceta.2022.102277","DOIUrl":"10.1016/j.gaceta.2022.102277","url":null,"abstract":"<div><p>The word “epidemiology” was written for the first time in a report on the plague in Alghero in 1583. Although its etymology has it intricacy. For centuries it has been concerned with understanding and trying to control and prevent epidemics. During the cholera epidemic in London in 1848 the London Society of Epidemiology was formed, main instrument of public health since then. The increase in chronic diseases —supposedly no communicable— gave way to the epidemiology of black boxes and the predominance of risk factors. And later to an enormous methodological progress increasingly complex and intricate but professionally very appealing. So few epidemiologists have experience in field control of epidemics. Thus, perhaps it is convenient to return, although partially, to the origins. Looking at the future.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"37 ","pages":"Article 102277"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9495003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信