Gaceta Sanitaria最新文献_第10页

Calidad de la información en salud de México en el contexto de la OCDE: 2017-2021 经合组织背景下的墨西哥卫生信息质量：2017-2021 年

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102372

Pedro Jesús Saturno-Hernández, Omar Acosta-Ruíz, Arturo Cuauhtémoc Bautista-Morales, Ofelia Poblano-Verástegui, José de Jesús Vértiz-Ramírez

{"title":"Calidad de la información en salud de México en el contexto de la OCDE: 2017-2021","authors":"Pedro Jesús Saturno-Hernández, Omar Acosta-Ruíz, Arturo Cuauhtémoc Bautista-Morales, Ofelia Poblano-Verástegui, José de Jesús Vértiz-Ramírez","doi":"10.1016/j.gaceta.2024.102372","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102372","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the health information system (HIS) of Mexico according to the information reported to the Organization for Economic Co-operation and Development (OECD). The ultimate goal is to identify the improvements that should be considered.</p></div><div><h3>Method</h3><p>Health indicators published by the OECD (2017 to 2021) are analyzed according to 11 thematic groups. Coverage (quantity and type of indicators reported by thematic group) and quality of information were assessed, according to OECD guidelines.</p></div><div><h3>Results</h3><p>Mexico reported annually 14 of 378 indicators (3.7%), and discontinuously 204. In no group were all indicators reported annually, except for the two on COVID-19. Three out of 88 were reported annually on use of services; and none on health status, quality of care and pharmaceutical market. Twelve indicators (5.5% of those reported by Mexico, 3.2% of the full OECD set) had optimal quality and annual reporting. 57.7% of the reported indicators had at least one quality defect.</p></div><div><h3>Conclusions</h3><p>Within the framework of the standards set by the OECD, of which Mexico is a member, the Mexican HIS presents significant deficits in coverage and quality of information. These results should be considered to implement improvement initiatives.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102372"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000190/pdfft?md5=1bfb0e17a1658a9c16d93747439bdd5d&pid=1-s2.0-S0213911124000190-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140067183","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

Los retos de la gobernanza de los recursos humanos de la sanidad pública. Informe SESPAS 2024 [公共医疗保健领域人力资源治理的挑战。SESPAS 报告 2024]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102377

Javier Hernández Pascual

引用次数: 0

La protección de la salud de jóvenes y adolescentes exige una subida urgente de los precios del tabaco [保护年轻人和青少年的健康迫切需要提高烟草价格]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102405

Josep M. Suelves , Ángel López-Nicolás , Eduardo Satué de Velasco , Anna García-Altés

引用次数: 0

Differential rates of induced abortion in Spain: educational attainment and age among native and immigrant women 西班牙人工流产率的差异：本地妇女和移民妇女的教育程度和年龄。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102419

Miguel Requena , Mikolaj Stanek

{"title":"Differential rates of induced abortion in Spain: educational attainment and age among native and immigrant women","authors":"Miguel Requena , Mikolaj Stanek","doi":"10.1016/j.gaceta.2024.102419","DOIUrl":"10.1016/j.gaceta.2024.102419","url":null,"abstract":"<div><h3>Objective</h3><p>Analyzing the variations in induced abortion (IA) rates across different subpopulations in Spain based on country of origin, while considering educational and age composition.</p></div><div><h3>Method</h3><p>Using 2021 Voluntary Termination of Pregnancy register and 2021 Spanish Census microdata, we calculated crude IA rates and age-specific abortion rates. We used age-standardized IA rates (ASIAR) to account for the confounding effect of age composition. We compared seven subpopulations residing in Spain, taking into account simple ages and educational levels aggregated into four categories.</p></div><div><h3>Results</h3><p>Immigrant women, especially those from Sub-Saharan and Latin American countries, consistently had higher IA rates compared to native Spanish women. According to age-specific IA rates, university-educated women had considerably fewer abortions than women with other education levels at any age. Age-standardized rates stratified by migratory origin revealed that native Spanish women with primary education or less had higher IA rates than their immigrant counterparts. There was a clear non-linear, association between educational level and IA rates among immigrants. The highest propensity for IA was found among secondary school graduates, while university graduates had the lowest IA rate.</p></div><div><h3>Conclusions</h3><p>The study demonstrated that variability in sociodemographic characteristics had an impact on IA rates. Young women with middle educational attainment and immigrant background had a higher likelihood of undergoing IA in Spain. The relationship between educational level and IA rates was complex, with variations observed among different groups and changes over time.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102419"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000712/pdfft?md5=3ed209b019af3d76eff4314c9dd420f6&pid=1-s2.0-S0213911124000712-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918357","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

Recensión bibliográfica 书目审查

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102396

José Pulido Manzanero

引用次数: 0

Evaluación piloto del programa «Transformem els patis» en escuelas de primaria de Barcelona [巴塞罗那小学 "Transformem els patis "计划试点评估]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102429

Jesús Periañez , Xavier Continente , Marta Sanz-Mas , Gemma Drou , Albert Espelt , Emma Cortés , María José López

{"title":"Evaluación piloto del programa «Transformem els patis» en escuelas de primaria de Barcelona","authors":"Jesús Periañez , Xavier Continente , Marta Sanz-Mas , Gemma Drou , Albert Espelt , Emma Cortés , María José López","doi":"10.1016/j.gaceta.2024.102429","DOIUrl":"10.1016/j.gaceta.2024.102429","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the “Transformem els patis” (Let's transform the schoolyards) program in Barcelona in terms of schoolyard use, social interaction, physical activity, and diverse forms of play with a gender perspective.</div></div><div><h3>Method</h3><div>A cross-sectional pilot evaluation study with mixed methodology involving eight primary schools (four in intervention group and four in control group). For the quantitative analysis, 16 systematic observations were performed in the schoolyards of both groups. The group size, group composition according to sex, physical activity, the carried-out activity and play structures or material use, and environmental variables were analyzed. For the qualitative analysis, three structured group interviews were held with teachers and the monitoring team of the intervention group. A thematic content analysis with a phenomenological perspective was conducted, exploring changes related to the physical schoolyard transformation, its educational use, and interactions among children, and the overall assessment of the schoolyard transformation.</div></div><div><h3>Results</h3><div>192 groups of schoolchildren were observed in the intervention group and 203 in the control group. The transformed schoolyards had more natural elements, play structures, places to sit and non-cemented flooring. Compared to the non-transformed schoolyards, both in the boys’ and girls’ groups, a higher proportion of active play was registered, as well as a higher proportion of non-sport games and imaginative games among boys and a lower proportion of girls watched the schoolyard.</div></div><div><h3>Conclusions</h3><div>Transformed the schoolyards are more inclusive, naturalized, playable, and equitable, with a greater diversity of elements and play structures.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102429"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607674","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

Editorial. Recursos humanos en sanidad: más de lo mismo no es una solución. Informe SESPAS 2024 [社论。医疗保健领域的人力资源：千篇一律不是解决办法。SESPAS 2024 年报告]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102391

Miguel Ángel Negrín , Vicente Ortún

引用次数: 0

¿Qué sabemos y qué deberíamos saber sobre los desequilibrios de médicos en España? Diagnóstico y propuestas. Informe SESPAS 2024 [关于西班牙医生的不平衡，我们知道些什么，又应该知道些什么？诊断和建议。SESPAS 报告 2024]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102366

Beatriz González López-Valcárcel, Patricia Barber Pérez

{"title":"¿Qué sabemos y qué deberíamos saber sobre los desequilibrios de médicos en España? Diagnóstico y propuestas. Informe SESPAS 2024","authors":"Beatriz González López-Valcárcel, Patricia Barber Pérez","doi":"10.1016/j.gaceta.2024.102366","DOIUrl":"10.1016/j.gaceta.2024.102366","url":null,"abstract":"<div><p>This article characterizes the main features of the supply, demand, and labor markets for physicians in Spain, with an international and territorial perspective. It also presents some of the results of the simulation model for specialist physicians with a 2035 horizon and proposes strategic and short-term lines of action in the planning, regulation, and management of health professionals in Spain, with a focus on specialist physicians. In Spain there are high rates of physicians and medical graduates, but low rates of nurses, compared to other developed countries. Approximately 30% of practicing physicians (not considering residents) practice only in the private network. In the last two decades, competition from the private sector for health professionals has intensified, competing with the public network, which is subject to an excessively rigid regulatory framework. There is currently a shortage of physicians in some specialties, particularly in family medicine, which urgently needs specific incentives to stimulate vocations. Numbers consider only part of the story. The imbalances in the educational and labor markets are not resolved by creating vacancies, but by reforming the regulatory framework, the incentive systems, and the slack in public management to compete with the private sector in attracting and retaining talent.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102366"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021391112400013X/pdfft?md5=83c9ff5c3c6442f78ebad7c10fdc65b9&pid=1-s2.0-S021391112400013X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907082","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

Sinhogarismo como determinante de la salud y su impacto en la calidad de vida 无家可归作为健康的决定因素及其对生活质量的影响

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102388

Mercedes Botija , Ana Isabel Vázquez-Cañete , Laura Esteban-Romaní

{"title":"Sinhogarismo como determinante de la salud y su impacto en la calidad de vida","authors":"Mercedes Botija , Ana Isabel Vázquez-Cañete , Laura Esteban-Romaní","doi":"10.1016/j.gaceta.2024.102388","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102388","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the health status of the homeless population who spend the night on the streets and in shelters (extreme residential exclusion), with reference to their quality of life, self-perceived health, comorbidity and access to health resources.</p></div><div><h3>Method</h3><p>A cross-sectional descriptive study was carried out on a sample of 263 homeless people in the city of Valencia by means of a nocturnal count and using the EQ-5D-3L Health Related Quality of Life questionnaire and questions from the European Quality of Life Survey for Spain.</p></div><div><h3>Results</h3><p>Of the people who participated in the study, 129 of them slept outdoors, 49% (62.79% men, 19.37% women and 17.84% unidentified), while 134 slept in hostels, i.e. 51% (67.16% men and 32.84% women) with an estimated average age of 41.53 years and 55% had been living on the street for less than 12 months. People staying overnight on the streets presented worse quality of life and more than a quarter of the sample lacked a health card.</p></div><div><h3>Conclusions</h3><p>There is a relationship between homelessness and poor health conditions in terms of quality of life, perceived health, comorbidity and accessibility to health to resources. The inverse care law is evidenced.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102388"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000359/pdfft?md5=c76692aeb04e9d9f2c0683680afdd6b0&pid=1-s2.0-S0213911124000359-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140546213","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

Cumplimiento de la legislación sobre tabaco en espacios al aire libre y cubiertos en recintos hospitalarios 在医院的室外和室内区域执行烟草法规

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102418

Carmen Cánovas Pérez, Olga Monteagudo-Piqueras

引用次数: 0