Gaceta Sanitaria最新文献

{"title":"Aborto en Melilla: barreras de océano y frontera","authors":"Eva Estévanez Jiménez ,&nbsp;Maite Cruz Piqueras","doi":"10.1016/j.gaceta.2024.102355","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102355","url":null,"abstract":"<div><h3>Objective</h3><p>To provide insights into the challenges faced by women seeking abortion services in Melilla, Spain. It seeks to describe the journey these women undertake and to identify and analyze the barriers they encounter in accessing abortion care.</p></div><div><h3>Method</h3><p>A qualitative research approach was employed, involving a series of eight semi-structured interviews during 2022. Three interviews were conducted with national experts in the field of abortion, while five interviews were conducted with healthcare professionals from the Melilla Health Area who are directly involved in providing abortion services and supporting women throughout the process. The study was guided by a theoretical framework that focuses on barriers to abortion access and sexual and reproductive rights. The collected data was analyzed using content analysis and categorized based on key dimensions of the study.</p></div><div><h3>Results</h3><p>The study identified several significant barriers to abortion care access in Melilla. These include conscientious objection among healthcare providers, the geographical remoteness of Melilla, the legal challenges faced by Moroccan women due to their irregular status, and the requirement of parental consent for minors aged 16 and 17. Consequently, women seeking abortion services are forced to travel to mainland Spain, continue with undesired pregnancies, or resort to unsafe clandestine abortions in Morocco, thereby endangering their lives in the worst cases.</p></div><div><h3>Conclusions</h3><p>The barriers to abortion access identified in this study represent a violation of women's reproductive rights in Melilla. Urgent action is required to review the current process, ensuring that access is improved and the right to safe abortion is guaranteed for all women residing in Melilla.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102355"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000025/pdfft?md5=51bfe659080b31405fb4ca03b370b8c4&pid=1-s2.0-S0213911124000025-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674791","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}

{"title":"Niveles para la orientación comunitaria de la atención primaria en Colombia","authors":"José Ivo Montaño-Caicedo","doi":"10.1016/j.gaceta.2024.102414","DOIUrl":"10.1016/j.gaceta.2024.102414","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102414"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000669/pdfft?md5=38c40b9490c50fdaf768206d235e06df&pid=1-s2.0-S0213911124000669-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141732397","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}

{"title":"The lack of data and the conceptual mistakes in assessing public-private partnerships as a form of healthcare privatization","authors":"Guillem López-Casasnovas","doi":"10.1016/j.gaceta.2024.102363","DOIUrl":"10.1016/j.gaceta.2024.102363","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102363"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000104/pdfft?md5=8fa323df8f3aea7a9823e972446746ac&pid=1-s2.0-S0213911124000104-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708851","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}

{"title":"Attitude towards health promotion in university students. Construction and validation of a scale","authors":"Francisca María García-Padilla,&nbsp;Miriam Sánchez-Alcón,&nbsp;Elena Sosa-Cordobés,&nbsp;Ángela María Ortega-Galán,&nbsp;Almudena Garrido-Fernández","doi":"10.1016/j.gaceta.2024.102395","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102395","url":null,"abstract":"<div><h3>Objective</h3><p>To construct and validate a questionnaire about the attitude of university students toward health promotion.</p></div><div><h3>Method</h3><p>A cross-sectional study. A questionnaire of 14 questions was designed and administered to 1486 first-year undergraduates. The principal axes factoring method with oblique rotation was applied and a confirmatory factor analysis was carried out. Reliability was calculated through internal consistency with Cronbach's alpha and item-total correlation for the global scale and its subscales.</p></div><div><h3>Results</h3><p>A 14-item scale was constructed, with two dimensions. Its Cronbach's alpha was 0.872, and 0.852, and 0.718 for its subscales. The adjustment values of the confirmatory factor analysis were adequate.</p></div><div><h3>Conclusions</h3><p>The attitude towards health promotion scale has shown to have adequate psychometric properties. It is an instrument that will help to detect referents and health assets for future interventions.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102395"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000426/pdfft?md5=9e485d925a9021bfe5d9cd705c98225f&pid=1-s2.0-S0213911124000426-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141083377","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}

{"title":"Violando la confidencialidad: consecuencias para las trabajadoras","authors":"Blanca Obón-Azuara ,&nbsp;Ángel Gasch-Gallén ,&nbsp;Isabel Gutiérrez-Cía","doi":"10.1016/j.gaceta.2024.102437","DOIUrl":"10.1016/j.gaceta.2024.102437","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102437"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758917","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}

{"title":"Proyecto Alifara: experiencia de un análisis de salud participativo en comunidades rurales de la Comunidad Valenciana","authors":"Consuelo García Carbó ,&nbsp;Viola Cassetti ,&nbsp;Manel Monfort Lázaro","doi":"10.1016/j.gaceta.2024.102426","DOIUrl":"10.1016/j.gaceta.2024.102426","url":null,"abstract":"<div><div>A description of the Alifara Project is provided a participatory process to promote community health. In 2020, a core working group was created in the rural region of Els Ports, in the north of the Valencian Community, Spain, with the participation of 39 people, including professionals and community members. The core group itself designed the first health needs assessment survey, based on the health determinants they considered relevant in their context, and 1180 responses were collected. The results were presented in each town through focus groups or world café to gather suggestions for health promoting activities to implement locally. Finally, the process set the basis for the creation of a local health council, to implement the new Community Health Care Plan of the Valencian Community. Community engagement and partnerships were the key to the success of the process, while the limited resources and lack of training in data analysis were the main challenges.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102426"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484105","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}

{"title":"Experiencias menstruales y aceptabilidad de una intervención sobre equidad menstrual en adolescentes en Cataluña","authors":"Andrea García-Egea ,&nbsp;Tomàs López-Jiménez ,&nbsp;Constanza Jacques-Aviñó ,&nbsp;Anna María Morero Beltrán ,&nbsp;Aina Pi Sánchez ,&nbsp;Cristina Martínez-Bueno ,&nbsp;Neus Carrilero-Carrió ,&nbsp;Anna Berenguera ,&nbsp;Laura Medina-Perucha","doi":"10.1016/j.gaceta.2024.102415","DOIUrl":"10.1016/j.gaceta.2024.102415","url":null,"abstract":"<div><h3>Objective</h3><p>To explore menstrual knowledge, menstrual management, the use of menstrual products, the prevalence of menstrual poverty and to assess the acceptability of a menstrual equity intervention among students in the fourth grade of compulsory secondary education in Catalonia (Spain).</p></div><div><h3>Method</h3><p>Post-intervention mixed-methods study (cross-sectional study and qualitative study with focus groups) with a critical and gender perspective. It was conducted between July 2022 and March 2023. Descriptive and bivariate statistical analyses stratified by gender were carried out. Qualitative data were analysed using thematic analysis.</p></div><div><h3>Results</h3><p>Women and people who menstruate rated the intervention favourably, while some men were reluctant. The intervention promoted the use of some reusable menstrual products, although some barriers to use menstrual cups were identified. Participants reported institutional barriers to menstrual management in the school setting and 19.4% stopped attending school during menstruation in the 6 months prior to the study. Between 10.9-16.4% reported menstrual poverty in the 6 months prior to the study, and 29,0% took actions to reduce the environmental impact of menstrual products.</p></div><div><h3>Conclusions</h3><p>This study highlights the need for co-designing menstrual interventions that consider gender dynamics and sexist attitudes with students, as well as targeting it to teachers. The provision of reusable menstrual products can be helpful in promoting their use, although accompaniment should be provided. In parallel, it is crucial to strengthen menstrual education, as well as to reduce menstrual poverty and school absenteeism during menstruation.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102415"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000670/pdfft?md5=f5df787c09134ffa5af5a31ef6b60de0&pid=1-s2.0-S0213911124000670-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763488","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}

{"title":"La práctica dual público-privada en la sanidad española. ¿Solución o problema? Informe SESPAS 2024","authors":"Ariadna García-Prado ,&nbsp;Paula González","doi":"10.1016/j.gaceta.2024.102379","DOIUrl":"10.1016/j.gaceta.2024.102379","url":null,"abstract":"<div><p>The Spanish public health system is overburdened. As a result, heath care professionals are showing symptoms of burnout, while private health services are expanding more than ever. As revealed by numerous strikes in recent years, health care professionals want better pay and work conditions and feel frustrated by their inability to give proper time and care to their patients. The institutional response from regional governments in Spain has been to remove the exclusivity clause that provided a salary bonus for physicians who worked entirely in the public sector; now all physicians receive this bonus, effectively promoting dual (public and private) practice. Although dual practice may increase the income of physicians and other health professionals, it poses several challenges that are analyzed in this paper. We also discuss alternative and more far-reaching policies that we believe should be implemented by the government in order to deal with the current crisis of the health system.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102379"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000268/pdfft?md5=687eddb9c106d2aae98da69c10a83746&pid=1-s2.0-S0213911124000268-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871769","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}

{"title":"Recursos humanos del Sistema Nacional de Salud. Formación. Informe SESPAS 2024","authors":"Felipe Rodríguez de Castro ,&nbsp;Teresa Carrillo Díaz ,&nbsp;Arcadi Gual i Sala ,&nbsp;Jordi Palés Argullós","doi":"10.1016/j.gaceta.2024.102380","DOIUrl":"10.1016/j.gaceta.2024.102380","url":null,"abstract":"<div><p>The problems posed by medical education in Spain are diverse. This paper analyzes the system currently used to select candidates who will be admitted to a public faculty of medicine in Spain and some issues arising from the unprecedented increase in both public and private medical schools in our country. The importance of generic competencies in today's medicine and the need to return to a core design in specialist training are other aspects that are discussed. The degree of development of advanced accreditation diplomas and areas of specific competence is also subject to analysis. Finally, the authors emphasize the importance of continuous professional development and the idea of professional recertification as a system that guarantees patients the quality of the care they receive.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102380"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021391112400027X/pdfft?md5=6e1c1c9846edf4e1cbddb28c61cef436&pid=1-s2.0-S021391112400027X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873941","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}

{"title":"An overview of health workforce mobility in the European Union under the current supply challenges. SESPAS Report 2024","authors":"Angela Blanco Moreno","doi":"10.1016/j.gaceta.2024.102393","DOIUrl":"10.1016/j.gaceta.2024.102393","url":null,"abstract":"<div><h3>Objective</h3><p>Providing a general overview of the European Union's health workforce mobility under the challenges facing health systems regarding the supply of health workers.</p></div><div><h3>Method</h3><p>We use a descriptive method<em>,</em> based on the analysis of secondary data, qualitative and quantitative, concerning the European Semester from the European Union, complemented with statistical data from both the Union and some international organisations.</p></div><div><h3>Results</h3><p>The mobility of health professionals in the Union, associated to strong reliance on recruiting abroad and shortages due to emigration, was identified as a challenge in the European Semester process in a significant number of times during 2017-2023. The pandemic aggravated pre-existing shortages and the need to strike a balance between maintaining the resolution capacity of health systems while abiding by the free movement of health professionals. The information shows that Romania, Slovakia, Spain, Lithuania, Latvia, Portugal, Bulgaria, Greece, Croatia, Hungary, Italy, and Slovenia could be flagged with an <em>“issuer profile”.</em> Luxembourg, Ireland, Malta, and Sweden could be flagged with a <em>“recipient profile”.</em> We benefited from improvements in the information system concerning the Union's health workforce. Further advances regarding the harmonisation of health professions’ definition are needed, especially for nurses.</p></div><div><h3>Conclusions</h3><p>The European Union faces internal migrations of health professionals. Mobility is used as a solution to shortages. The pandemic aggravated pre-existing shortages bringing to the forefront the need to strike a balance between health objectives and internal market objectives. Member States are immersed in health reforms, some financed with European Funds. Promoting health workforce planning and forecasting would emerge as a necessary action, including improving harmonised information. Drawing in a systematic way on the available information from the European Semester reports may provide some clues to give answers to policymaking concerning health professionals’ mobility.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102393"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000402/pdfft?md5=8630c8e61dfe4dd9c58eafe3376cc9fa&pid=1-s2.0-S0213911124000402-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878211","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}