Gaceta Sanitaria最新文献_第10页

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

引用次数: 0

Sistema para la Autonomía y Atención a la Dependencia: primeros 15 años y una mirada hacia el futuro 自治和依赖护理系统:前15年和展望未来

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2022.102253

Juan Oliva , Mayte Sancho Castiello , Raúl del Pozo-Rubio

引用次数: 0

Prioridades de políticas de salud. Encuentro SESPAS en la XXXIII Escuela de Salud Pública de Menorca 卫生政策优先事项。塞斯帕斯在梅诺卡第三十三公立卫生学校的会议

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102300

Salvador Peiró , Ricard Meneu , Ildefonso Hernández

{"title":"Prioridades de políticas de salud. Encuentro SESPAS en la XXXIII Escuela de Salud Pública de Menorca","authors":"Salvador Peiró , Ricard Meneu , Ildefonso Hernández","doi":"10.1016/j.gaceta.2023.102300","DOIUrl":"https://doi.org/10.1016/j.gaceta.2023.102300","url":null,"abstract":"<div><h3>Objective</h3><p>In September 2022, the Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS) brought together a panel of experts with the aim of defining and prioritizing health policy proposals, from the perspective of the Spanish State as a whole, to adapt the National Health System (NHS) to current risks and to contemporary/present-day society.</p></div><div><h3>Method</h3><p>Expert meeting structured using a mix of procedures adapted from brainstorming, nominal group and Rand consensus method techniques. Relevance and feasibility of proposals identified were assessed individually by each panelist. Proposals were then ordered thematically and ranked according to the median and quartile deviation of relevance scores.</p></div><div><h3>Results</h3><p>Panelists identified and prioritized several proposals in different areas: governance and funding of the NHS, reform of the portfolio of services and benefits and of the NHS human resources, public health and health policy, actions against inequality and poverty, and healthcare delivery reform, including socio-sanitary, primary and end-of-life care.</p></div><div><h3>Conclusions</h3><p>The results of the meeting show the urgent need to address in-depth changes in many state-wide health policies, including a major reconfiguration of governance, public health, and health care structures. They also point out potential areas of improvement, constituting a tentative guide of prioritized issues to be addressed.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49813011","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

La actividad física en los planes de salud autonómicos de España. Una revisión de propuestas 西班牙自治区卫生计划中的体育活动。提案的审查

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102302

Jessica Rial-Vázquez , Mónica Pérez-Ríos , Leonor Varela-Lema , Julia Rey-Brandariz , Cristina Candal-Pedreira , Nerea Mourino , Andrea Vila-Farinas , Estrella López-Pardo , Alberto Ruano-Ravina

{"title":"La actividad física en los planes de salud autonómicos de España. Una revisión de propuestas","authors":"Jessica Rial-Vázquez , Mónica Pérez-Ríos , Leonor Varela-Lema , Julia Rey-Brandariz , Cristina Candal-Pedreira , Nerea Mourino , Andrea Vila-Farinas , Estrella López-Pardo , Alberto Ruano-Ravina","doi":"10.1016/j.gaceta.2023.102302","DOIUrl":"https://doi.org/10.1016/j.gaceta.2023.102302","url":null,"abstract":"<div><h3>Objective</h3><p>To identify if the regional government health plans in Spain include specific objectives and measures related to physical activity.</p></div><div><h3>Method</h3><p>Institutional websites were scanned to identify the most recent health plan of each regional government. The information included in the health plans on objectives and measures and the population groups targeted by these measures was extracted. The search was completed on 24 January 2022.</p></div><div><h3>Results</h3><p>Sixteen health plans were identified of which six are in force in 2022; 15 of these have incorporated specific objectives and measures on physical activity. Most of the actions are focus on general population, children-adolescents and elderly population. The plans of Cantabria, the Comunitat Valenciana and País Vasco cover physical activity more widely, proposing measures for seven of the eight identified population groups.</p></div><div><h3>Conclusions</h3><p>Most of the health plans include measures related to physical activity and target two or more population groups. The objectives, specific measures and population groups were highly heterogeneous. This study could serve to prompt regional governments to review their health plans, update them and improve them in terms of physical activity. It seems advisable that the different health plans should have a homogeneous framework of proposals related to the promotion of physical activity.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49813012","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

Coste-efectividad de la vacunación universal infantil frente a la hepatitis A en España: un enfoque dinámico 西班牙儿童普遍接种甲型肝炎疫苗的成本效益：一种动态方法

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102292

Cristina Valcárcel-Nazco , Esther Sanromá-Ramos , Lidia García-Pérez , Rafael Jacinto Villanueva-Micó , Clara Burgos-Simón , Javier Mar

{"title":"Coste-efectividad de la vacunación universal infantil frente a la hepatitis A en España: un enfoque dinámico","authors":"Cristina Valcárcel-Nazco , Esther Sanromá-Ramos , Lidia García-Pérez , Rafael Jacinto Villanueva-Micó , Clara Burgos-Simón , Javier Mar","doi":"10.1016/j.gaceta.2023.102292","DOIUrl":"https://doi.org/10.1016/j.gaceta.2023.102292","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the cost-effectiveness of infant universal vaccination against hepatitis A in Spain.</p></div><div><h3>Method</h3><p>Using a dynamic model and decision tree model, a cost-effectiveness analysis was performed to compare three vaccination strategies against hepatitis A: non-vaccination strategy versus universal childhood vaccination of hepatitis A with one or two doses. The perspective of the study was that of the National Health System (NHS) and a lifetime horizon was considered. Both costs and effects were discounted at 3% per year. Health outcomes were measured in terms of quality adjusted life years (QALY) and the cost-effectiveness measure used was the incremental cost-effectiveness ratio (ICER). In addition, deterministic sensitivity analysis by scenarios was performed.</p></div><div><h3>Results</h3><p>In the particular case of Spain, with low endemicity for hepatitis A, the difference in health outcomes between vaccination strategies (with 1 or 2 doses) and non-vaccination are practically non-existent, terms of QALY. In addition, the ICER obtained is high, exceeding the limits of willingness to pay from Spain (€22,000–25,000/QALY). The deterministic sensitivity analysis showed that the results are sensitive to the variations of the key parameters, although in no case the vaccination strategies are cost-effective.</p></div><div><h3>Conclusions</h3><p>Universal infant vaccination strategy against hepatitis A would not be a cost-effective option from the NHS perspective in Spain.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49855034","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 del marco legal sobre complementos alimenticios para la menopausia en farmacias comunitarias españolas 西班牙社区药房关于更年期食品补充剂的法律框架分析

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102290

Francisco Ignacio Rubio Rubio, María Dolores Cabezas López, María Isabel Valverde Merino, Fernando Martínez Martínez, María José Zarzuelo Romero

{"title":"Análisis del marco legal sobre complementos alimenticios para la menopausia en farmacias comunitarias españolas","authors":"Francisco Ignacio Rubio Rubio, María Dolores Cabezas López, María Isabel Valverde Merino, Fernando Martínez Martínez, María José Zarzuelo Romero","doi":"10.1016/j.gaceta.2023.102290","DOIUrl":"https://doi.org/10.1016/j.gaceta.2023.102290","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the legal framework for the marketing of specific food supplements prescribed and indicated for menopause symptoms, so that it is verified if according to the effects on health that they produce, should be considered in the category of food supplements, or in others included in our legal system.</p></div><div><h3>Method</h3><p>An exhaustive review of the legal frameworks applicable to food supplements used both in Spain and in Europe, collecting those aspects that are related to legal concepts such as the definition of medicine for human use, medicine based on medicinal plants, or the so-called “frontier products”.</p></div><div><h3>Results</h3><p>There is a large number of products that can be called “frontier products”, they can fit into different product categories, they can fit into different product categories, since some of the plants in their formulation are also authorized for use as industrial medicines or medicines based on traditional medicinal plants.</p></div><div><h3>Conclusions</h3><p>There are currently specific food supplements for menopause that raise reasonable doubts about their inclusion in other legal categories, both as medicines for human use, or as herbal medicines, so the legislator would need to enable more agile mechanisms and more frequent reviews of the new certainties that science finds, and that can change the status of these products.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49855905","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 la coherencia interna del Programa de Salud Mental y Adicciones de México 2020-2024 2020-2024年墨西哥心理健康和成瘾计划内部一致性分析

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102327

Emily María Vargas Riaño , Víctor Becerril-Montekio , Marcela Agudelo Botero

{"title":"Análisis de la coherencia interna del Programa de Salud Mental y Adicciones de México 2020-2024","authors":"Emily María Vargas Riaño , Víctor Becerril-Montekio , Marcela Agudelo Botero","doi":"10.1016/j.gaceta.2023.102327","DOIUrl":"https://doi.org/10.1016/j.gaceta.2023.102327","url":null,"abstract":"<div><h3>Objective</h3><p>To analyse the internal coherence of the Specific Mental Health and Addictions Program 2020–2024 (PAE-SM20-24) of the Health Secretary of Mexico.</p></div><div><h3>Method</h3><p>Qualitative descriptive analysis of the logic connection and causal articulation between the objectives, the strategies, and the specific actions of the PAE-SM20-24.</p></div><div><h3>Results</h3><p>PAE-SM20-24 formulates 3 priority objectives, 9 priority strategies, and 49 specific actions. The formulation of the objectives, strategies and actions lacks the necessary structure to define the who, how, where, and when. Neither does it establish financing sources, the mechanisms for resource administration, nor the strategies and actions that are needed to restructure the functions of the participating institutions. It does not define the mechanisms for social participation nor any clear actions for intersectoral work. The actions that are presented are limited to rhetoric proposals to promote, encourage, support, strengthen, and foster, which do not allow us to determine tangible effects due to their implementation. In general terms, the formulation of the program is ambiguous.</p></div><div><h3>Conclusions</h3><p>PAE-SM20-24 lacks internal coherence, which means that there is only a medium connection between its objectives, strategies, and specific actions. This jeopardizes its implementation and, therefore, its potential to contribute to the improvement of public policy related to mental health and addictions in the country.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911123000419/pdfft?md5=69406e8eba88d703940e28e2adfa8f23&pid=1-s2.0-S0213911123000419-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72248348","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}

引用次数: 0

Trends and inequalities in (healthy) life expectancy by neighbourhood during the COVID-19 epidemic in Barcelona 2019冠状病毒病流行期间，巴塞罗那按社区划分的(健康)预期寿命趋势和不平等现象

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2022.102267

Xavier Bartoll-Roca , Laia Palència , María Jesús Calvo , Katherine Pérez

{"title":"Trends and inequalities in (healthy) life expectancy by neighbourhood during the COVID-19 epidemic in Barcelona","authors":"Xavier Bartoll-Roca , Laia Palència , María Jesús Calvo , Katherine Pérez","doi":"10.1016/j.gaceta.2022.102267","DOIUrl":"10.1016/j.gaceta.2022.102267","url":null,"abstract":"<div><h3>Objective</h3><p>To analyse the trend in life expectancy (LE), healthy life expectancy (HLE) and socio-economic inequalities by neighbourhood in Barcelona from the pre-pandemic period (2018-2019) to the pandemic period (2020-2021).</p></div><div><h3>Method</h3><p>LE and HLE at birth were computed using the municipal register of inhabitants and quality of life (EuroQol) from the Barcelona Health Survey of 2016. Inequalities were assessed with the gap between quantiles of neighbourhood income.</p></div><div><h3>Results</h3><p>In 2020, there was a reduction in LE among men (−1.98 years) and women (−2.44) and in HLE among men (−1.44). Socio-economic inequalities in LE and HLE between neighbourhoods widened since 2019 to 2021 (LE: from 3.92 to 4.86 years for men, and from 1.30 to 3.60 for women; HLE: from 6.88 to 7.70 years for men, and from 7.85 to 9.31 for women).</p></div><div><h3>Conclusions</h3><p>The pandemic has substantially reduced LE and HLE, with larger effects among low-income neighbourhoods, especially among women.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9576221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672483","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}

引用次数: 1

Gini index decomposition by deprivation in multidimensional poverty: evidence from Chad 多维贫困中剥夺的基尼指数分解:来自乍得的证据

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102299

Themoi Demsou

{"title":"Gini index decomposition by deprivation in multidimensional poverty: evidence from Chad","authors":"Themoi Demsou","doi":"10.1016/j.gaceta.2023.102299","DOIUrl":"10.1016/j.gaceta.2023.102299","url":null,"abstract":"<div><h3>Objective</h3><p>This paper aims the decomposition of the multidimensional Gini coefficient by deprivation to investigate how aggregate multidimensional poverty inequality translates into inequality within each of its components. This approach provides a better understanding of the distribution of deprivations held, the standard of living of the population and makes recommendations on government policies.</p></div><div><h3>Method</h3><p>We use the method of Lerman and Yitzhaki (1985), which allows us to identify the impact of marginal changes on multidimensional inequality (fuzzy poverty inequality).</p></div><div><h3>Results</h3><p>The data used come from the Household Budget and Consumption Surveys of 2003 of 6695 households, 2011 of 9259 households and 2018 of 7493 households. Empirical findings suggest that the Gini index in 2003 is 0.229, 0.215 in 2011 and 0.180 in 2018.</p></div><div><h3>Conclusions</h3><p>The different social policies to reduce multi-inequalities must mainly be oriented towards health policies and access to drinking water, which are unequally distributed during the three periods. And social policies to reduce inequality in education, sanitation and housing are also to be taken into account.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9494320","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

Perspectiva de género en los planes de salud mental en España: ¿una asignatura pendiente? 西班牙心理健康计划中的性别观点：一个悬而未决的问题？

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2023-01-01 DOI: 10.1016/j.gaceta.2023.102311

Alessandra Campo-García , Amaia Bacigalupe , Andrea Cabezas-Rodríguez

引用次数: 0