Gaceta Sanitaria最新文献_第2页

Patient and public involvement in health technology assessments: study protocol for a cross-sectional analysis 病人和公众参与卫生技术评估：研究方案的横断面分析

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2026-04-21 DOI: 10.1016/j.gaceta.2026.102591

Ferrán Catalá-López , Ernesto Ganuza , Constance Colin , Roberta Perna , Brian Hutton , Begonya Nafria Escalera , Adolfo Alonso-Arroyo , Laura Tejedor-Romero , Mauro Turrini , David Sandonís-Camarero , Rut Lucas-Domínguez , Manuel Ridao , Andrea C. Tricco , Sophie Staniszewska , David Moher

{"title":"Patient and public involvement in health technology assessments: study protocol for a cross-sectional analysis","authors":"Ferrán Catalá-López , Ernesto Ganuza , Constance Colin , Roberta Perna , Brian Hutton , Begonya Nafria Escalera , Adolfo Alonso-Arroyo , Laura Tejedor-Romero , Mauro Turrini , David Sandonís-Camarero , Rut Lucas-Domínguez , Manuel Ridao , Andrea C. Tricco , Sophie Staniszewska , David Moher","doi":"10.1016/j.gaceta.2026.102591","DOIUrl":"10.1016/j.gaceta.2026.102591","url":null,"abstract":"<div><h3>Objective</h3><div>Patient and public involvement (PPI) is an essential component of Health Technology Assessment (HTA), as it enhances the relevance and transparency of evaluation processes. Nevertheless, the scope of such involvement varies considerably across contexts, and empirical evidence on current practices within the National Health System remains limited. This study will examine the extent to which HTA reports incorporate PPI and how these practices are performed and described.</div></div><div><h3>Method</h3><div>We will conduct a cross-sectional meta-research study of HTA reports produced by the Spanish Network of HTA Agencies (RedETS) between 2020 and 2026. Eligible reports will be identified through public repositories (<span><span>https://redets.sanidad.gob.es/</span><svg><path></path></svg></span>). A random sample of 150 reports will be selected. General and methodological characteristics, and PPI reporting practices will be extracted (by at least three researchers) from each HTA report using a standardised data extraction form. Descriptive analyses will be carried out to synthesise PPI reporting practices.</div></div><div><h3>Study registration</h3><div>Open Science Framework (<span><span>https://osf.io/k6e3q/</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"40 ","pages":"Article 102591"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147749476","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

Matriz de empleo-exposición para centros sanitarios, un estudio piloto en el Hospital del Mar (Barcelona) [医疗保健中心的工作暴露矩阵，在del Mar医院（巴塞罗那）进行的试点研究]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2026-05-05 DOI: 10.1016/j.gaceta.2026.102597

Fernando G. Benavides , Flor Rivera , Raúl García , María Jesús Hormías , Julià del Prado , José María Ramada , Mireia Utzet , Consol Serra , Joana Guerrero

{"title":"Matriz de empleo-exposición para centros sanitarios, un estudio piloto en el Hospital del Mar (Barcelona)","authors":"Fernando G. Benavides , Flor Rivera , Raúl García , María Jesús Hormías , Julià del Prado , José María Ramada , Mireia Utzet , Consol Serra , Joana Guerrero","doi":"10.1016/j.gaceta.2026.102597","DOIUrl":"10.1016/j.gaceta.2026.102597","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a job-exposure matrix specific to healthcare workers, based on a pilot study conducted at Hospital del Mar (Barcelona).</div></div><div><h3>Method</h3><div>Experienced occupational risk prevention technicians assessed 27 ergonomic and hygiene-related occupational risk factors in 50 homogeneous exposure groups, comprising 5537 workers across six occupational categories (1122 physicians, 1574 nurses, 1186 nursing assistants, 361 residents, 496 technicians, and 798 administrative staff) from five centres within Hospital del Mar in 2023. Exposure intensity levels (1=low, 2=medium, 3=high) were assigned based on specific evaluation methodologies for each risk. Using this data, exposure prevalence was estimated by center and occupational category, based on the proportion of exposed workers.</div></div><div><h3>Results</h3><div>Regarding ergonomic risks by centre, there was a high prevalence of level 3 exposure to patient handling in almost all centres, ranging from Forum (52%) to Mar (19.7%). Similarly, the occupational category of technicians had the highest prevalence of level 3 exposure to patient handling: 42.3%. No level 3 prevalence of physical, chemical and biological risks have been found in any professional category.</div></div><div><h3>Conclusions</h3><div>The job-exposure matrix of Hospital del Mar enables the identification of occupational exposure levels, facilitating the management of occupational risks for hospital workers. It is necessary to include safety and psychosocial work-related risks factors.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"40 ","pages":"Article 102597"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847840","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

Revisando la paradoja del migrante sano en salud mental: un enfoque bayesiano [重新审视心理健康中的健康移民悖论：贝叶斯方法]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2026-03-02 DOI: 10.1016/j.gaceta.2026.102576

Carlos Acosta-Batista

引用次数: 0

Hospitalization and referral for mental illness among people under 30 in Euskadi: a retrospective population-based cohort Euskadi地区30岁以下人群的精神疾病住院和转诊：一项基于人群的回顾性队列研究

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2026-01-21 DOI: 10.1016/j.gaceta.2025.102559

Lorea Mar-Barrutia , María Gascón , Silvia García de Garayo , Ana González-Pinto , Andrea García , Juan Pablo Chart-Pascual , Guillermo Cano-Escalera , Javier Mar

{"title":"Hospitalization and referral for mental illness among people under 30 in Euskadi: a retrospective population-based cohort","authors":"Lorea Mar-Barrutia , María Gascón , Silvia García de Garayo , Ana González-Pinto , Andrea García , Juan Pablo Chart-Pascual , Guillermo Cano-Escalera , Javier Mar","doi":"10.1016/j.gaceta.2025.102559","DOIUrl":"10.1016/j.gaceta.2025.102559","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the trends in hospitalisations and referrals to a psychiatrist among 0- to 30-year-olds with a pre-existing mental disorder between 2019 and 2022.</div></div><div><h3>Method</h3><div>We conducted an observational study of psychiatric hospitalisations and referrals from primary care to psychiatric services in the Basque Country population aged 0-30 years with a previously recorded mental disorder, from 2019 to 2022. Logistic regression models were used to assess the effects of calendar year (2019–2022), gender, age, psychiatric comorbidity and socioeconomic status.</div></div><div><h3>Results</h3><div>Of the 608,984 individuals in 2019, 97,962 had a mental health diagnosis. Of these individuals, 0.77% were admitted to a psychiatric ward, while 9.44% were referred to a psychiatrist. Overall, there was a decrease in hospitalisations among patients in 2020, with an odds ratio (OR) of 0.89 (confidence interval [CI]: 0.79-0.99), followed by increases in 2021 (OR: 1.22; CI: 1.10-1.36) and 2022 (OR: 1.29; CI: 1.16-1.43). The clusters with the greatest increases in hospitalisations were self-harm and anxiety. Total referrals to specialist services did not show significant changes. Patients with a low to middle socioeconomic status were more likely to decompensate. Psychiatric comorbidity was the main cause of decompensation, with an OR >40.</div></div><div><h3>Conclusions</h3><div>The change in trend on mental health decompensation was more evident in hospital-based care than in community care. The high decompensation rate in people with psychiatric comorbidities indicates a deterioration in clinical course, suggesting the need for more intensive monitoring.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"40 ","pages":"Article 102559"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032368","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

Control epidémico y necesidad de un certificado médico de defunción con recuento rápido de causas de muerte 流行病控制和需要快速死亡原因医疗死亡证明

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2025-12-17 DOI: 10.1016/j.gaceta.2025.102550

Lluís Cirera , Diego Salmerón , Alexandre Xifró , Rafael María Bañón , Eneko Barbería

引用次数: 0

HPV vaccination coverage among people living with HIV: determinants and missed opportunities in tertiary care 艾滋病毒感染者的人乳头瘤病毒疫苗接种覆盖率：决定因素和三级保健错过的机会。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2026-03-19 DOI: 10.1016/j.gaceta.2026.102577

Silvia Ivorra-Gómez , Francisco Jover-Díaz , Teresa Gea Velázquez-de Castro , Elisabet Delgado-Sánchez , Jorge Peris-García

{"title":"HPV vaccination coverage among people living with HIV: determinants and missed opportunities in tertiary care","authors":"Silvia Ivorra-Gómez , Francisco Jover-Díaz , Teresa Gea Velázquez-de Castro , Elisabet Delgado-Sánchez , Jorge Peris-García","doi":"10.1016/j.gaceta.2026.102577","DOIUrl":"10.1016/j.gaceta.2026.102577","url":null,"abstract":"<div><h3>Objective</h3><div>To describe human papillomavirus (HPV) vaccination coverage among people living with human immunodeficiency virus (HIV) and evaluate factors influencing completion of the vaccination schedule.</div></div><div><h3>Method</h3><div>Retrospective study of 198 HIV patients aged ≥18 years in active follow-up at Hospital Clínico Universitario San Juan (Alicante, Spain) during 2018–2023. Sociodemographic and clinical variables, referral/attendance at preventive medicine service (PMS), and completion of HPV vaccination (3 doses) were collected. Adjusted logistic regression analyses were used to determine factors associated with complete HPV vaccination.</div></div><div><h3>Results</h3><div>Overall, 19.7% (39/198) of individuals in follow–up successfully completed the three–dose HPV vaccination regimen. In the multivariable model adjusted for age, biological sex, CD4 nadir, time since HIV diagnosis, and time in study, attendance at PMS (OR: 4.20; 95%CI: 2.00–8.80), time since diagnosis (OR: 1.19; 95%CI: 1.00–1.42), and loss to follow-up (OR: 0.14; 95%CI: 0.04–0.33) were associated with complete vaccination.</div></div><div><h3>Conclusions</h3><div>HPV vaccination coverage among people with HIV remains suboptimal. Referral and attendance at PMS are key determinants of vaccination success, whereas loss to follow–up represents a major barrier. Interventions in tertiary care should prioritize patient retention after referral to specialized programs.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"40 ","pages":"Article 102577"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492428","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

Problemas de salud y endeudamiento de los hogares en España: un análisis exploratorio [西班牙的健康问题和家庭债务：探索性分析]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2026-05-05 DOI: 10.1016/j.gaceta.2026.102598

Christopher Ferreirós-Rodríguez , Sara Fernández-López , Lucía Rey-Ares

{"title":"Problemas de salud y endeudamiento de los hogares en España: un análisis exploratorio","authors":"Christopher Ferreirós-Rodríguez , Sara Fernández-López , Lucía Rey-Ares","doi":"10.1016/j.gaceta.2026.102598","DOIUrl":"10.1016/j.gaceta.2026.102598","url":null,"abstract":"<div><h3>Objective</h3><div>To examine whether health problems, measured by the number of chronic conditions and self-perceived health status, are associated to the ownership and amount of consumer and mortgage debt in Spain.</div></div><div><h3>Method</h3><div>A cross-sectional study based on data from the SHARE survey, referred to 2021-2022. The final sample comprises 1583 individuals residing in Spain, mostly aged 50 and over. The empirical analysis was conducted in two stages: first, a probit model was used to estimate the probability of holding debt; second, a linear regression model was estimated using the log-transformed dependent variable to analyse the potential factors associated with the amount of debt.</div></div><div><h3>Results</h3><div>The empirical evidence reveals a positive association between the number of chronic health conditions and both the likelihood and amount of consumer and mortgage debt. Likewise, poor self-perceived health is also positively associated with the presence and volume of debt.</div></div><div><h3>Conclusions</h3><div>The findings suggest that a poor health status is positively linked to the presence and volume of debt among the Spanish population aged 50 and over. These findings underscore the need to strengthen household financial planning to mitigate economic vulnerabilities arising from health deterioration, as well as to reinforce the healthcare system by expanding services or reducing waiting times. In a country with a high rate of population aging, such measures are crucial given the higher prevalence of illness in older age groups.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"40 ","pages":"Article 102598"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847813","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

Jordi Colomer Mascaró: cirujano, gestor sanitario y referente de coherencia e integridad Jordi Colomer Mascaro：外科医生、卫生管理人员、一致性和诚信顾问

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2026-05-09 DOI: 10.1016/j.gaceta.2026.102602

Eduardo Gil-Carbó , Pedro Barrios-Sánchez

引用次数: 0

Income transfers and vaccination: impact on COVID-19 mortality and hospitalizations in Brazil. A longitudinal ecological study 收入转移和疫苗接种：对巴西COVID-19死亡率和住院率的影响纵向生态学研究。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2026-03-02 DOI: 10.1016/j.gaceta.2026.102580

Mônica Silva Monteiro de Castro , Anelise Andrade de Souza , Guilherme Lopes de Oliveira , Gabriela Drummond Marques da Silva , Letícia Lemos Jardim , Wanessa Debôrtoli Miranda , Rômulo Sousa-Paes

{"title":"Income transfers and vaccination: impact on COVID-19 mortality and hospitalizations in Brazil. A longitudinal ecological study","authors":"Mônica Silva Monteiro de Castro , Anelise Andrade de Souza , Guilherme Lopes de Oliveira , Gabriela Drummond Marques da Silva , Letícia Lemos Jardim , Wanessa Debôrtoli Miranda , Rômulo Sousa-Paes","doi":"10.1016/j.gaceta.2026.102580","DOIUrl":"10.1016/j.gaceta.2026.102580","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze whether Emergency Aid Program (EAP) availability and COVID-19 vaccination were associated to changes in hospitalizations and mortality due to COVID-19 in Brazil.</div></div><div><h3>Method</h3><div>This was a longitudinal ecological study with 5570 Brazilian municipalities as analysis units. Data from March 2020 to December 2021 were analysed. As control covariates, we considered socioeconomic, sociodemographic and morbidity characteristics and health services access, including COVID-19 testing availability and vaccination. Bayesian hierarchical models were adjusted with spatial and temporal effects.</div></div><div><h3>Results</h3><div>EAP coverage (RR: 0.986; 95%CI: 0.984-0.988) and COVID-19 vaccine first dose coverage (RR: 0.982; 95%CI: 0.979-0.985) exhibited a negative association with the relative risk of COVID-19 hospitalization in Brazil. EAP coverage (RR: 0<sup>.</sup>975; 95%CI: 0.973-0.977), first-dose COVID-19 vaccine coverage (RR: 0.983; 95%CI: 0.981-0.985), and coverage of regular vaccination in children under 5 years old (RR: 0.996; 95%CI: 0.994-0.996) exhibited a negative association with COVID-19 mortality.</div></div><div><h3>Conclusions</h3><div>The results highlight the important role of income transfer in COVID-19 morbidity and mortality, as well as the complementary effects and relevance of strengthening social protection policies and vaccination efforts in reducing severe cases in a pandemic scenario.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"40 ","pages":"Article 102580"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349456","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

Abuse of power over medical residents and students: a qualitative study 对住院医师和学生滥用权力的定性研究。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2026-01-01 Epub Date: 2026-03-02 DOI: 10.1016/j.gaceta.2026.102574

Carlos Sánchez-Miralles , Clara Blanes-Mira , Ildefonso Hernández-Aguado

{"title":"Abuse of power over medical residents and students: a qualitative study","authors":"Carlos Sánchez-Miralles , Clara Blanes-Mira , Ildefonso Hernández-Aguado","doi":"10.1016/j.gaceta.2026.102574","DOIUrl":"10.1016/j.gaceta.2026.102574","url":null,"abstract":"<div><h3>Objective</h3><div>To qualitatively analyze the abuse situations, as well as victims’ perception on the resources needed for reporting and prevention.</div></div><div><h3>Method</h3><div>Interviews with 10 medical students and 15 medical residents were conducted using a semi-structured questionnaire. The interviews were interrupted once saturation was reached in both aspects of the research subject. Information was collected using pre-designed outlines and completed with transcribed notes at the end of each interview.</div></div><div><h3>Results</h3><div>A range of power abuse behaviors were identified, including social exclusion, hierarchical dynamics, and insufficient teaching and mentorship. Participants reported arbitrary favoritism of colleagues in the allocation of on-call duties. Instances of mockery, verbal abuse, and racial slurs were described. Gender-based discrimination manifested through sexist remarks and the sexualization of female physicians, including inappropriate comments and unsolicited advances, such as non-consensual touching and kissing. Victims frequently refrained from reporting these events due to fear of retaliation or a lack of awareness regarding available reporting mechanisms. Participants emphasized the need for preventive and protective strategies, and proposed training in labor rights and medical professionalism, alongside mentorship by educators genuinely committed to teaching, as essential preventive measures.</div></div><div><h3>Conclusions</h3><div>The results of this initial investigation support the notion that abuse is part of the medical training process. Victims identified multiple preventive strategies that merit consideration at the institutional level within both academic and healthcare settings.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"40 ","pages":"Article 102574"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147350079","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