Gaceta Sanitaria最新文献_第2页

Sexo/género en estudios de prevalencia del síndrome de burnout en médicos: análisis de metarregresión [医生职业倦怠综合征患病率研究中的性别：元回归分析]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102404

Antonio Pujol-de Castro , Grecia Valerio-Rao , Pablo Vaquero-Cepeda , Ferrán Catalá-López

引用次数: 0

Burnout en profesionales sanitarios: tiempo para la salud laboral [医护人员的职业倦怠：职业健康正当时]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102409

Noelia Rolando, Consol Serra, Mireia Utzet, José María Ramada, Fernando G. Benavides

引用次数: 0

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102370

Javier Segura del Pozo

引用次数: 0

Evaluación del rendimiento y compensación en centros sanitarios de gestión directa. Parte 1: marco general. Informe SESPAS 2024 [公立直接管理医疗中心的绩效工资。第 1 部分：总体框架。SESPAS 第 2024 号报告]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102367

José Ramón Repullo Labrador, José Manuel Freire Campo

{"title":"Evaluación del rendimiento y compensación en centros sanitarios de gestión directa. Parte 1: marco general. Informe SESPAS 2024","authors":"José Ramón Repullo Labrador, José Manuel Freire Campo","doi":"10.1016/j.gaceta.2024.102367","DOIUrl":"10.1016/j.gaceta.2024.102367","url":null,"abstract":"<div><p>Assessing and compensating performance in professional organizations is extremely difficult in direct public management settings of health services. Performance assessment is technically complex and, more so, with multiplicity of principals influencing goal setting. Incentives are a lever to generate directionality and motivation, both structural (for attracting and retaining workers) and specific ones (rewarding performance and directing behavior towards institutional goals). Incentives influence the behavior of workers in various ways, and their effectiveness seams weak and controversial in publicly run health services. To overcome the problems of deciding and evaluating performance, both good governance models and the revitalization of contractual management are required. To improve the effectiveness of incentive models, it is convenient to: 1) widen the conceptual framework of incentives, to incorporate the structural aspects of employment contract and payment; 2) improve the designs from a greater understanding of the determinants of motivation; and 3) broaden the lens to survey the extra-mural factors that alter the behavior of workers, trying to counter them.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102367"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000141/pdfft?md5=c4ad18daea2f00187cd89e4d7a3fabc2&pid=1-s2.0-S0213911124000141-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984863","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

Experiencias de planificación de recursos humanos para la salud. El caso de los médicos. Datos y modelos. Informe SESPAS 2024 [卫生领域人力资源规划的经验：以医生为例。数据和模型。SESPAS 报告 2024]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102365

Patricia Barber Pérez, Beatriz González López-Valcárcel

{"title":"Experiencias de planificación de recursos humanos para la salud. El caso de los médicos. Datos y modelos. Informe SESPAS 2024","authors":"Patricia Barber Pérez, Beatriz González López-Valcárcel","doi":"10.1016/j.gaceta.2024.102365","DOIUrl":"10.1016/j.gaceta.2024.102365","url":null,"abstract":"<div><p>Virtually all developed countries conduct physician planning exercises. We can learn from successful experiences. The modeling and projection of supply is technically complex, but it is a technical matter, whereas the assessment of demand or need, and therefore the outcome in terms of deficit or surplus, requires standards, usually in population ratios, which are based on expert judgments and belong to the normative universe. One type of technical problem insufficiently solved is that of converting “heads” into full time equivalents. Fortunately, progress is being made in the right direction. We need more and better information, in particular the State Register of Health Professionals, but even with the limitations of the data, it is necessary to plan. The Ministry of Health, the Autonomous Regions and other professional and union organizations regularly carry out planning exercises. We have high rates of physicians and graduates, and low rates of nurses, a growing number of physicians in both public and private practice, and short-term deficits in some specialties, particularly family medicine, which urgently needs specific incentives to stimulate vocations. The numbers tell only part of the story. The imbalances in the educational and labor markets are not resolved by creating vacancies, but rather by reforming the regulatory framework, incentive systems and public management slack to compete with the private sector in attracting and retaining talent.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102365"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000128/pdfft?md5=296d0a334f1c3ea443493da624af164b&pid=1-s2.0-S0213911124000128-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907081","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

Implantación de una estrategia para gestionar la multifrecuentación de urgencias hospitalarias en una zona de Barcelona [在巴塞罗那的一个地区实施一项战略，以管理频繁的急诊就诊]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102428

Emmanuel Giménez , María José Abadías , Antonio San-José , Marta Losada , Jordi Acezat , Jordi Ibáñez , Luis Marte , Miriam Barrecheguren , Ana Belén Méndez , Marta Aguayo-Álvarez , María Arranz , Rosa Ramos

{"title":"Implantación de una estrategia para gestionar la multifrecuentación de urgencias hospitalarias en una zona de Barcelona","authors":"Emmanuel Giménez , María José Abadías , Antonio San-José , Marta Losada , Jordi Acezat , Jordi Ibáñez , Luis Marte , Miriam Barrecheguren , Ana Belén Méndez , Marta Aguayo-Álvarez , María Arranz , Rosa Ramos","doi":"10.1016/j.gaceta.2024.102428","DOIUrl":"10.1016/j.gaceta.2024.102428","url":null,"abstract":"<div><div>Visits to hospital emergency departments by patients with multimorbidity, complex chronic conditions, and frailty are becoming an increasing challenge. A territorial strategy has been developed, based on automated preselection lists, a nurse case manager with specialized experience, and a multi-level territorial referral consensus. The feasibility of this approach has been demonstrated, with 368 alerts detected, 85% of which were well-selected. Age, frailty, home care percentage, Barthel index, and cognition were progressively aligned with levels of care/referral (primary, intermediate, and specialized) according to previously agreed criteria. In 2024, there is extensive structured technical information, an expanding role for advanced nursing, and well-established inter-level service resources. Therefore, through automated selection, a consensual territorial protocol of pathways and clinical profiles, and autonomous nursing assessments managing multi-frequent cases, it would be possible to achieve, in a proactive, simple, and scalable manner, an appropriate distribution of alerts across levels, consistent with the social and healthcare needs of the patients.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102428"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683478","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

Photovoice versus focus groups: a comparative study of qualitative health research techniques 摄影声音与焦点小组：定性健康研究技术的比较研究。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102423

Paloma Conde , Jesús Rivera-Navarro , Marta Gutiérrez-Sastre , Ignacio González-Salgado , Manuel Franco , María Sandín Vázquez

{"title":"Photovoice versus focus groups: a comparative study of qualitative health research techniques","authors":"Paloma Conde , Jesús Rivera-Navarro , Marta Gutiérrez-Sastre , Ignacio González-Salgado , Manuel Franco , María Sandín Vázquez","doi":"10.1016/j.gaceta.2024.102423","DOIUrl":"10.1016/j.gaceta.2024.102423","url":null,"abstract":"<div><h3>Objective</h3><div>To compare, from an empirical point of view, the use of focus group and photovoice as we conducted two studies on food environment in neighbourhoods with different socio-economic profiles.</div></div><div><h3>Method</h3><div>The European project Heart Healthy Hoods studied the association between the physical and social environment of Madrid (Spain) and the cardiovascular health of its residents. Two ancillary studies were developed to further expand the study of urban health inequalities using focus group and photovoice. Both studies, similar in their objectives and study populations, are the basis for comparing both techniques. The comparison considered the following methodological aspects: study design, logistic aspects, commitment and involvement, ethical issues, and data analysis.</div></div><div><h3>Results</h3><div>We identified differences, similarities, potentialities, and limitations of each technique with their corresponding results. We found that depending on the research objectives, one technique was more beneficial than the other. If the objective is producing new knowledge, using focus group would be the most appropriate technique, whereas if the objective includes generating social change, photovoice would be more suitable. We found that photovoice is a powerful technique in public health, especially studying social processes related to population health, requiring extra effort from researchers and a special care with the related ethical considerations.</div></div><div><h3>Conclusions</h3><div>Increasing participants’ awareness, involving decision makers to channel proposals, the atypical role of researchers and ethical implications of photography are aspects to be considered when choosing photovoice instead of focus group.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102423"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515275","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

Mindfullness based intervention reduce anxiety in labor 以正念为基础的干预可减轻分娩时的焦虑。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102359

Finta Isti Kundarti , Kiswati , I. Nengah Tanu Komalyna

{"title":"Mindfullness based intervention reduce anxiety in labor","authors":"Finta Isti Kundarti , Kiswati , I. Nengah Tanu Komalyna","doi":"10.1016/j.gaceta.2024.102359","DOIUrl":"10.1016/j.gaceta.2024.102359","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the effectiveness of mindfulness interventions on anxiety through a systematic review.</p></div><div><h3>Method</h3><p>Systematic review by searching articles through the PubMed, ProQuest, Science Direct, Wiley Library, Sage Journal, and Cochrane Library databases with publication years January 2012 to January 2022</p></div><div><h3>Results</h3><p>Eleven articles met the inclusion criteria covering several countries, including Canada 1 article, Egypt 1 article, Taiwan 1 article, Amsterdam 2 articles, Iran 1 article, Austria 1 article, San Francisco 1 article, Germany 1 article, Sweden 1 article, China 1 article, and Spain 1 article.</p></div><div><h3>Conclusions</h3><p>Management of anxiety about childbirth is important for pregnant women. Mindfulness interventions are effective for reducing anxiety about labor and increasing comfort during labor. Mindfulness intervention mechanisms have the potential to reduce anxiety by increasing skills to regulate emotions.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102359"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000062/pdfft?md5=fecc278a35ff776292063183df391fc8&pid=1-s2.0-S0213911124000062-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708850","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

Salud, equidad y justicia menstrual: de los saberes colectivos a la legislación menstrual en España 月经健康、公平和正义：西班牙从集体智慧到月经立法

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102356

Laura Medina-Perucha , Constanza Jacques-Aviñó

引用次数: 0

Visibilidad de las enfermedades raras en las páginas web de salud de las comunidades autónomas 罕见疾病在自治区卫生网站上的可见度

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102398

María Nieves González Natal

引用次数: 0