Gaceta Sanitaria最新文献_第3页

Salud y bienestar del personal sanitario: condiciones de empleo y de trabajo más allá de la pandemia. Informe SESPAS 2024 [医护人员的健康和福祉：大流行病后的就业和工作条件]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102378

Fernando G. Benavides , Mireia Utzet , Consol Serra , Pia Delano , Montserrat García-Gómez , Amaia Ayala , Jordi Delclós , Elena Ronda , Vega García , Ana María García , en nombre del Grupo de Trabajo de la Sociedad Española de Epidemiología de Salud Laboral

{"title":"Salud y bienestar del personal sanitario: condiciones de empleo y de trabajo más allá de la pandemia. Informe SESPAS 2024","authors":"Fernando G. Benavides , Mireia Utzet , Consol Serra , Pia Delano , Montserrat García-Gómez , Amaia Ayala , Jordi Delclós , Elena Ronda , Vega García , Ana María García , en nombre del Grupo de Trabajo de la Sociedad Española de Epidemiología de Salud Laboral","doi":"10.1016/j.gaceta.2024.102378","DOIUrl":"10.1016/j.gaceta.2024.102378","url":null,"abstract":"<div><p>Healthcare workers are people who work in health activities, whether or not they have direct contact with citizens. Currently, around 1.3 million people (70% women) work in healthcare activities in Spain. This represents around 10% of the active population, having increased by 33% since 2008, especially the number of women, which has doubled. Healthcare organizations, especially hospitals, are extremely complex workplaces, with precarious working and employment conditions, especially in more hierarchical occupations, exposing healthcare workers to numerous occupational hazards, mainly from ergonomic and psychosocial conditions. These causes frequent musculoskeletal and mental disorders, highlighting burnout, which is estimated at 40% in some services such as intensive care units. This high morbidity is reflected in a high frequency of absences due to illness, around 9% after the pandemic. The pandemic, and its consequences in the last three years, has put extreme pressure on the health system and has clearly shown its deficiencies in relation to working and employment conditions. The hundreds of occupational health professionals, technicians and healthcare workers, who are part of the structures of health organizations, constitute very valuable resources to increase the resilience of the NHS. We recommend the strengthening in resources and institutionally of the occupational health services of health centers and the creation of an Observatory of working, employment and health conditions in the National Health Service, as an instrument for monitoring changes and proposing solutions.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102378"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000256/pdfft?md5=2bec6aede7afaa61f2f844e21ebe7261&pid=1-s2.0-S0213911124000256-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141163124","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

Distrés moral: ¿un concepto útil? [道德困境：一个有用的概念？］

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102412

Maria Verdaguer , Patricia Beroiz-Groh , Xavier Busquet-Duran , Eduard Moreno-Gabriel , Antonia Arreciado Marañón , Maria Feijoó-Cid , Miquel Domènech , Lupicinio Íñiguez-Rueda , Núria Vallès-Peris , Glòria Cantarell-Barella , Pere Torán-Monserrat

引用次数: 0

Tensiones profesionales en la práctica clínica de la eutanasia: el papel del distrés moral [安乐死临床实践中的专业紧张关系：道德困扰角色]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102411

Margarita Bofarull Buñuel , Francesc Torralba Roselló , José Antonio Suffo Aboza , Rogelio Altisent Trota , Montserrat Esquerda Aresté , Joan Bertran Muñoz

引用次数: 0

Self-perceived quality of life by institutionalised adults with cerebral palsy in Spain 西班牙养老院成年脑瘫患者的自我感觉生活质量。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102416

Diana Marcela Nova Díaz , María Errea Rodríguez , Juan Manuel Cabasés Hita , Eduardo Sánchez Iriso

{"title":"Self-perceived quality of life by institutionalised adults with cerebral palsy in Spain","authors":"Diana Marcela Nova Díaz , María Errea Rodríguez , Juan Manuel Cabasés Hita , Eduardo Sánchez Iriso","doi":"10.1016/j.gaceta.2024.102416","DOIUrl":"10.1016/j.gaceta.2024.102416","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the self-perceived quality of life of institutionalized adults with cerebral palsy and to identify factors that influence their well-being, including sociodemographic, clinical, and diagnostic characteristics, as well as the degree of institutionalization.</p></div><div><h3>Method</h3><p>A descriptive cross-sectional study was conducted using the San Martin Quality of Life Scale among adults with cerebral palsy. Data were collected in 2021 and 2022 in a sample of adults with cerebral palsy in Navarra, Spain. Multivariate regression was used to explore the relationship between quality of life and various influential factors.</p></div><div><h3>Results</h3><p>The self-determination dimension positively influenced quality of life scores, whereas the social inclusion dimension had the opposite effect. Descriptive and regression analyses revealed that factors such as residing outside the city and a high degree of dependency had a negative influence on quality of life, while the degree of institutionalization had a positive impact.</p></div><div><h3>Conclusions</h3><p>It is important to highlight the positive effects of the degree of institutionalization on rehabilitation and well-being, as it seeks to enhance autonomy and social integration when talking about patient-centered models of institutionalization.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102416"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000682/pdfft?md5=68078e7a651decd950d1712114a59845&pid=1-s2.0-S0213911124000682-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891364","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

Luces y sombras en la implementación de la acción comunitaria para la salud 实施社区健康行动的光与影

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102387

Pablo Nogueira González , Diana Gil González , Carlos Álvarez-Dardet Díaz

{"title":"Luces y sombras en la implementación de la acción comunitaria para la salud","authors":"Pablo Nogueira González , Diana Gil González , Carlos Álvarez-Dardet Díaz","doi":"10.1016/j.gaceta.2024.102387","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102387","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the experiences of individuals who develop projects and interventions where community participation-action constitutes a strategic tool for reducing health inequalities.</p></div><div><h3>Method</h3><p>Qualitative study based on semi-structured, in-depth online interviews with individuals considered experts in the development of health promotion strategies involving community participation. A total of 12 individuals from the healthcare, social healthcare, academic, and associative backgrounds were selected. The texts were analyzed following the thematic content analysis approach.</p></div><div><h3>Results</h3><p>The prominent strength of the processes involving the interviewed individuals is their participatory approach. However, there is no genuine commitment to promoting community participation from primary healthcare, and precarity has been identified as a significant weakness in the development of participatory health promotion projects. The sustainability of participatory processes relies on the transfer of knowledge to the community and their empowerment.</p></div><div><h3>Conclusions</h3><p>Participatory processes have demonstrated their ability to reposition the community as an essential part of the healthcare system. It would be interesting to use a measurement tool for participation in all community health actions, both to guide their design and planning and to assess the depth of participation and its impact on the process. Enhancing community action expectations for health in the near future involves promoting a community-oriented approach in primary care and intersectoral collaboration, which requires a significant institutional and policy commitment.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102387"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000347/pdfft?md5=401c2ef057c579c13403ee0a522d06c8&pid=1-s2.0-S0213911124000347-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140543414","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

Female authorship positions in health economic evaluations: a cross-sectional analysis 健康经济评估中的女性作者位置：横断面分析。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102402

Lisa Caulley , Laura Tejedor-Romero , Manuel Ridao , Ferrán Catalá-López

{"title":"Female authorship positions in health economic evaluations: a cross-sectional analysis","authors":"Lisa Caulley , Laura Tejedor-Romero , Manuel Ridao , Ferrán Catalá-López","doi":"10.1016/j.gaceta.2024.102402","DOIUrl":"10.1016/j.gaceta.2024.102402","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the gender of the authors who publish articles of health economic evaluations in medicine and healthcare journals.</p></div><div><h3>Method</h3><p>We evaluated a random sample of economic evaluations indexed in MEDLINE during 2019. Gender of the first, last and corresponding author was determined by review of the author's first name. Data were summarized as frequency and percentage for categorical items and median and interquartile range (IQR) for continuous items. We also calculated the index of authors per paper.</p></div><div><h3>Results</h3><p>We included 200 studies with 1365 authors (median of 6 authors per paper; IQR: 4-9). Gender identification was possible for all authors in the study sample: 802 (59%) were men and 563 (41%) were women. The number of female first, last, and corresponding authors respectively were 78 (39%), 68 (34%), and 80 (40%) for health economic evaluations.</p></div><div><h3>Discussion</h3><p>Female scientists were underrepresented as co-authors and in prominent authorship positions in health economic evaluations. This study serves as a call to action for the scientific community to actively work towards equity and inclusion.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102402"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000530/pdfft?md5=d4c304c762fe58d44ccac4f68630671a&pid=1-s2.0-S0213911124000530-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184435","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

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

Escasez de enfermeras en España: del caso global a la situación particular. Informe SESPAS 2024 [西班牙护士短缺：从全球情况到特殊情况。SESPAS 报告 2024]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102376

Paola Galbany-Estragués , Pere Millán-Martínez

{"title":"Escasez de enfermeras en España: del caso global a la situación particular. Informe SESPAS 2024","authors":"Paola Galbany-Estragués , Pere Millán-Martínez","doi":"10.1016/j.gaceta.2024.102376","DOIUrl":"10.1016/j.gaceta.2024.102376","url":null,"abstract":"<div><p>The nursing shortage is a multi-causal phenomenon that affects all countries and currently a global concern. The shortage of nurses jeopardizes the sustainability of health systems and the population health outcomes. Spain has historically had no difficulties in attracting new generations of nurses. The shortage of nurses is caused by the precarious working conditions and lack of professional development that have led to episodes of high international migration and abandonment of the profession. In this paper we focus on the evolution of different indicators of the working conditions of non-specialist nurses, who make up the bulk of the profession. These indicators allow us to analyse the abandonment of the profession, the duration of contracts, their full-time or part-time dedication and the excessive hiring. We have analysed the effect of COVID-19 and the labour reform on these indicators. COVID-19 reduced the abandonment of the profession and is currently at its lowest level, it has also accelerated the need to improve working conditions by increasing the percentage of permanent contracts and reducing the multiplicity of contracts in the same month. The labour reform has helped reduce the percentage of temporary contracts until reaching around 80% of the total contracts, and has reduced the number of nurses in Spain with more than one contract in the same month to below 3000 nurses on a sustained basis.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102376"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000232/pdfft?md5=41c4e12e98103338bbb007b384d31643&pid=1-s2.0-S0213911124000232-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867944","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

Captación, selección y retención de profesionales sanitarios en entidades de gestión indirecta y de gestión privada. Informe SESPAS 2024 [间接管理和私营管理实体卫生专业人员的招聘、遴选和留用]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102392

Olga Pané Mena, Pau Gomar Sánchez

{"title":"Captación, selección y retención de profesionales sanitarios en entidades de gestión indirecta y de gestión privada. Informe SESPAS 2024","authors":"Olga Pané Mena, Pau Gomar Sánchez","doi":"10.1016/j.gaceta.2024.102392","DOIUrl":"10.1016/j.gaceta.2024.102392","url":null,"abstract":"<div><p>The recruitment and retention of professionals in indirectly managed and privately managed health care institutions is governed by a different regulatory framework than in directly managed institutions. That legal framework is the Workers’ Statute, which contains its own regulatory elements in terms of bargaining power and general basic conditions, among others. The regulatory framework of the Workers’ Statute allows for a broad capacity for management, negotiation and agreement in the field of human resources management, and specifically in the processes of recruitment, selection and retention, but for some years now basic legislation and interventions by public control bodies have been incorporated which have modified this discretionarily for indirect management entities, bringing them closer and closer to the system of administrative management for civil servants/statutory employees, and consequently limiting the capacity for decision making and adaptation typical of business/private management. This article attempts to explain the similarities and differences between the different areas of management and to explore the weaknesses and opportunities of each of them in terms of recruitment, selection, and retention policies, offering a specific reflection on the selection of executives and managers, as well as an analysis and assessment of the retention of professionals in healthcare institutions.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102392"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000396/pdfft?md5=53bcb46fe8c7dac015a27a03ab70bb06&pid=1-s2.0-S0213911124000396-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066606","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

Raza, salud y sistema sanitario: la necesidad de abordar el racismo institucional en España [种族、健康和卫生系统：西班牙需要解决体制性种族主义问题]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102425

Yolanda González-Rábago , Daniel La Parra-Casado , Constanza Jacques-Aviñó , (por el Grupo de Trabajo de Determinantes Sociales de la Salud de la Sociedad Española de Epidemiología), Mba Bee Nchama , Jaime Manzano Lorenzo

引用次数: 0