Gaceta SanitariaPub Date : 2025-01-01DOI: 10.1016/j.gaceta.2025.102462
María Torrejón-Ramos, María-Sonia Medina-Salgado, Marta Ortiz-de-Urbina-Criado
{"title":"A scoping review on reducing food waste and loss in hospitals","authors":"María Torrejón-Ramos, María-Sonia Medina-Salgado, Marta Ortiz-de-Urbina-Criado","doi":"10.1016/j.gaceta.2025.102462","DOIUrl":"10.1016/j.gaceta.2025.102462","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the most relevant research on food waste and loss in hospitals, analyse its main characteristics and investigate key findings as well as gaps in existing studies.</div></div><div><h3>Method</h3><div>A scoping review adapted from the PRISMA-ScR guidelines was conducted. The sample was extracted from core databases and subjected to rigorous analysis to ensure transparency and quality of the process.</div></div><div><h3>Results</h3><div>The importance of conducting research that jointly addresses wellbeing and environmental sustainability in hospitals is highlighted. In addition, the importance of properly managing food waste in hospitals is highlighted, contributing to the Sustainable Development Goals of the 2030 Agenda.</div></div><div><h3>Conclusions</h3><div>The complexity of obtaining accurate and relevant information on wasted food and on the actual food needs of patients hinders efficient hospital management. It helps to identify the most promising areas for addressing the causes and consequences of food waste in hospitals. In this way, management strategies can be improved, and the well-being of patients, workers and managers can be optimised through cooperation, communication and coordination.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102462"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463746","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}
Gaceta SanitariaPub Date : 2025-01-01DOI: 10.1016/j.gaceta.2025.102508
Ana Blanco-Ferreiro , Julia Rey-Brandariz , Jasjit S. Ahluwalia , Leonor Varela-Lema , Iñaki Galán , María Isolina Santiago-Pérez , Xisca Sureda , Marcela Fu , Anna Schiaffino , María José López , Xavier Continente , Cristina Candal-Pedreira , Melinda Mahabee-Gittens , Mónica Pérez-Ríos
{"title":"Dimensions and domains to assess secondhand tobacco smoke exposure: insights from a Delphi study","authors":"Ana Blanco-Ferreiro , Julia Rey-Brandariz , Jasjit S. Ahluwalia , Leonor Varela-Lema , Iñaki Galán , María Isolina Santiago-Pérez , Xisca Sureda , Marcela Fu , Anna Schiaffino , María José López , Xavier Continente , Cristina Candal-Pedreira , Melinda Mahabee-Gittens , Mónica Pérez-Ríos","doi":"10.1016/j.gaceta.2025.102508","DOIUrl":"10.1016/j.gaceta.2025.102508","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the dimensions and domains to be included in questionnaires when assessing self-reported secondhand tobacco smoke (SHS) exposure in etiological studies and in population health surveys.</div></div><div><h3>Method</h3><div>A qualitative study was conducted in two stages. In stage one, based on a Delphi methodology, 16 experts in tobacco epidemiology completed two questionnaires and attended a group session. In stage two, triangulation interviews were conducted with six experts from the Delphi study to provided in-depth reflection on the domains identified in stage one. The recorded transcriptions were analyzed using a thematic approach.</div></div><div><h3>Results</h3><div>The experts discussed the importance of assessing SHS exposure in specific scenarios, highlighting the home, workplace, leisure venues, and private transport. They discussed the importance of asking about cohabiting with smokers when assessing exposure at home. The experts stressed the importance of differentiating between leisure venues, by prioritizing closed over open spaces. In population-based health surveys, the experts recommended that the recall time should be recent, referring to the last seven days. In etiological studies, they suggested that lifetime exposures should be explored.</div></div><div><h3>Conclusions</h3><div>This study marks the first step toward identifying the dimensions and domains for assessing self-reported SHS exposure. Question standardization when ascertaining SHS exposure is critical to permit cross study comparisons and to analyze trends in the evolution of SHS exposure.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102508"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144314009","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}
Gaceta SanitariaPub Date : 2025-01-01DOI: 10.1016/j.gaceta.2025.102500
Fernando G. Benavides , Cynthia Basualto-Cárcamo , Nora Gray-Gariazzo
{"title":"Proteger la salud de las personas mayores de 55 años que trabajan, un reto cada día más urgente","authors":"Fernando G. Benavides , Cynthia Basualto-Cárcamo , Nora Gray-Gariazzo","doi":"10.1016/j.gaceta.2025.102500","DOIUrl":"10.1016/j.gaceta.2025.102500","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102500"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084276","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}
Gaceta SanitariaPub Date : 2025-01-01DOI: 10.1016/j.gaceta.2025.102524
Ana Teijeiro , Carla Guerra-Tort , Raquel Fernández-Casal , Lucía Martín-Gisbert , Guadalupe García , Leonor Varela-Lema , Mónica Pérez-Ríos
{"title":"Consumo de cannabis en población adulta de España (2022)","authors":"Ana Teijeiro , Carla Guerra-Tort , Raquel Fernández-Casal , Lucía Martín-Gisbert , Guadalupe García , Leonor Varela-Lema , Mónica Pérez-Ríos","doi":"10.1016/j.gaceta.2025.102524","DOIUrl":"10.1016/j.gaceta.2025.102524","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the evolution of cannabis use and problematic use between 2013-2022 in population aged 15-64 years in Spain, and to characterize people with problematic use.</div></div><div><h3>Method</h3><div>Data from the EDADES 2013-2022 survey were analyzed and prevalence of consumption by sex and age group was estimated. Prevalence maps were drawn up for autonomous communities in 2022. To characterize individuals with problematic use, logistic regression models were fitted.</div></div><div><h3>Results</h3><div>Lifetime cannabis use increased in Spain between 2013 (30.4%) and 2022 (40.8%). In 2022, prevalence of cannabis use in the last year was estimated in 10.6% with a problematic use in 49.9% of users. Prevalence varied among autonomous communities. Being male, with basic education, unemployed, presenting alcohol risk consumption and being a tobacco smoker in the last year were associated with problematic cannabis use. The variable that best reflected problematic cannabis use was smoking alone.</div></div><div><h3>Conclusions</h3><div>The results of this study place cannabis as a public health issue in Spain. It is necessary to implement health education measures at a global level and secondary prevention measures aimed at people at risk of problematic use, especially among those who report smoking cannabis alone or smoking cannabis before noon.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102524"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145154503","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}
Gaceta SanitariaPub Date : 2025-01-01DOI: 10.1016/j.gaceta.2025.102489
Raúl Payá Castiblanque , David Luque Balbona
{"title":"Salud laboral en personas trabajadoras mayores en España: el papel de la negociación colectiva","authors":"Raúl Payá Castiblanque , David Luque Balbona","doi":"10.1016/j.gaceta.2025.102489","DOIUrl":"10.1016/j.gaceta.2025.102489","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102489"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785383","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}
Gaceta SanitariaPub Date : 2025-01-01DOI: 10.1016/j.gaceta.2025.102460
Laura Vallejo-Torres , David J. Vanness , Mike Paulden , Karl Claxton
{"title":"The opportunity cost of funding new medicines: an attempt to measure the invisible","authors":"Laura Vallejo-Torres , David J. Vanness , Mike Paulden , Karl Claxton","doi":"10.1016/j.gaceta.2025.102460","DOIUrl":"10.1016/j.gaceta.2025.102460","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102460"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551477","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}
Gaceta SanitariaPub Date : 2025-01-01DOI: 10.1016/j.gaceta.2024.102439
Marta Trapero-Bertran , Jaume Puig-Junoy , Emilio J. Alegre-del-Rey , Ana Clopés , Félix Lobo , Ana Ortega
{"title":"Reform of economic evaluation of medicines in Spain: proposals from the Advisory Committee for Pharmaceutical Financing","authors":"Marta Trapero-Bertran , Jaume Puig-Junoy , Emilio J. Alegre-del-Rey , Ana Clopés , Félix Lobo , Ana Ortega","doi":"10.1016/j.gaceta.2024.102439","DOIUrl":"10.1016/j.gaceta.2024.102439","url":null,"abstract":"<div><div>This paper describes the reforms recommended by the Advisory Committee on the Financing of Pharmaceuticals (CAPF) for the National Health System (NHS) of Spain from 2019 to 2024 for the drug pricing and reimbursement process, to integrate economic evaluations and improve efficiency and sustainability. The CAPF has proposed a three-phase reform of the economic evaluation (EE) and budget impact analysis (BIA) processes. The first phase involves the mandatory submission of EE and BIA by applicants for new drugs. The second phase involves the assessment of these submissions, coordinated by the Directorate-General for Pharmaceuticals. The third phase focuses on the application of these assessments to decision-making on drug positioning, pricing and financing. The CAPF's recommendations emphasise improved regulation, transparency and the development of methodological guidelines for economic evaluations. These proposals include a dynamic appraisal system and the creation of official NHS guidance on EE and BIA. The process is designed to ensure compliance with established criteria and to incorporate efficiency into decision-making. The initiatives of the CAPF aim to make progress towards the integration of efficiency in Spanish pharmaceutical policy seeking to improve the methodological quality and transparency of economic evaluations, ultimately contributing to more informed decision-making and sustainable healthcare practices.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102439"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018884","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}
Gaceta SanitariaPub Date : 2025-01-01DOI: 10.1016/j.gaceta.2024.102436
Diego Álvarez-Lourido , José Luis Paniza-Prados , Antonio Álvarez-Sousa
{"title":"The influence of COVID-19 on the practice of physical activity in the European Union countries","authors":"Diego Álvarez-Lourido , José Luis Paniza-Prados , Antonio Álvarez-Sousa","doi":"10.1016/j.gaceta.2024.102436","DOIUrl":"10.1016/j.gaceta.2024.102436","url":null,"abstract":"<div><h3>Objective</h3><div>Analyze how pandemics contribute to the increase in social inequalities in the health sector.</div></div><div><h3>Method</h3><div>Data are taken from Eurobarometer 97.3. We use the Generalized Structural Equation Model (GSEM) methodology for this analysis.</div></div><div><h3>Results</h3><div>People with lower socio-economic status, considered to be of lower social class, living in areas with worse infrastructure for practicing physical activity, and in countries with high levels of social inequality, are less likely to engage in leisure time physical activity. In addition, these individuals are more likely to interrupt physical activity practices as a result of COVID-19. In contrast, people of higher socio-economic status, considered to be of upper class, living in contexts where there are opportunities for physical activity, and in countries with low levels of social inequality, are more likely/ to belong to the group of those who increased the frequency of practicing physical activity in free time/ to have increased the frequency of their leisure time physical activity.</div></div><div><h3>Conclusions</h3><div>There are widespread inequalities in leisure time physical activity linked to personal variables (social status and subjective social class) and contextual variables (infrastructures and Gini Index) that were significantly aggravated with the COVID-19 pandemic.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102436"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018885","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}
Gaceta SanitariaPub Date : 2025-01-01DOI: 10.1016/j.gaceta.2025.102498
María Dalli Almiñana
{"title":"Desinformación sobre lactancia materna en contra de los derechos de la infancia y de las mujeres","authors":"María Dalli Almiñana","doi":"10.1016/j.gaceta.2025.102498","DOIUrl":"10.1016/j.gaceta.2025.102498","url":null,"abstract":"<div><div>A whole generation of breastfeeding mothers received advice about breastfeeding decades ago that was not based on scientific evidence: “breastfeed only every three hours”, “you will run out of milk”, “give them a bottle of formula with cereal and they will sleep better”. Although the World Health Organization and different scientific and professional societies currently have updated recommendations that contradict these myths, many breastfeeding mothers continue to receive this type of advice from health professionals that puts breastfeeding at risk and thus children continuing to receive the benefits that it entails. This text argues that these situations constitute a case of misinformation that violates the rights of patients, the best interests of the child and the reproductive rights of women. Therefore, it also argues that public authorities must promote professional training on breastfeeding as part of their obligations to protect human rights.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102498"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916720","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}