Gaceta Sanitaria最新文献

{"title":"Raza, salud y sistema sanitario: la necesidad de abordar el racismo institucional en España","authors":"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","doi":"10.1016/j.gaceta.2024.102425","DOIUrl":"10.1016/j.gaceta.2024.102425","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102425"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378721","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":"Calidad de la información en salud de México en el contexto de la OCDE: 2017-2021","authors":"Pedro Jesús Saturno-Hernández,&nbsp;Omar Acosta-Ruíz,&nbsp;Arturo Cuauhtémoc Bautista-Morales,&nbsp;Ofelia Poblano-Verástegui,&nbsp;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}

{"title":"Evaluación del rendimiento y compensación en centros sanitarios de gestión directa. Parte 2: el Sistema Nacional de Salud. Informe SESPAS 2024","authors":"José Ramón Repullo Labrador,&nbsp;José Manuel Freire Campo","doi":"10.1016/j.gaceta.2024.102368","DOIUrl":"10.1016/j.gaceta.2024.102368","url":null,"abstract":"<div><p>In Spain, the compensation model for statutory health personnel is complex, heterogeneous, and more oriented to rewarding complementary functions and activities, than to paying for the actual performance in the position of employee. The various attempts to incorporate incentives have been distorted by a civil service egalitarianist culture, and weak systemic governance. External attractors (private practice, etc.) for healthcare professionals are becoming more important and neutralize many intramural incentives. There are few prospects of relevant or general changes, since the main actors involved are reforms-averse; but some environmental factors can lead to incremental improvements in employment contracts, in the information available to improve benchmarking, and in the creation of islands of good clinical governance and management. The economic scenario, increasingly concerned about inflationary trends and sustainability risks, may have a revitalizing effect of some governance and management reforms.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102368"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000153/pdfft?md5=e791befa34e19af8d289eb1e48b80a8d&pid=1-s2.0-S0213911124000153-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984864","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":"Trends in Parkinson's mortality in Mexico 2000–2020","authors":"Myrna L. Yeverino Gutiérrez ,&nbsp;María del Rosario González González ,&nbsp;Omar González Santiago","doi":"10.1016/j.gaceta.2024.102361","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102361","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the recent trends in Parkinson's disease mortality in Mexico during 2000-2020.</p></div><div><h3>Method</h3><p>The adjusted mortality rate per 100,000 inhabitants was calculated using the direct method and the world standard population. Trend analysis was performed with the Joinpoint software.</p></div><div><h3>Results</h3><p>The average mortality rate was 1.26/100,000 inhabitants (SD: 0.09), and males showed higher mortality than females (M/F ratio<!--> <!-->=<!--> <!-->1.60). Older individuals ≥<!--> <!-->70 years old showed higher mortality rates than the rest of the age groups. During the period of study, a significant increase in mortality was observed from 2000 to 2005, while from 2005 to 2020 no significant trend was observed in all the studied groups.</p></div><div><h3>Conclusions</h3><p>In Mexico, males and older individuals showed the highest mortality rates. The socioeconomic regions with high levels of wellness showed the highest mortality rates levels. Parkinson's mortality rate has remained constant since 2005 in Mexico.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102361"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000086/pdfft?md5=dbe04255b0c93ee3b589d837cb041d71&pid=1-s2.0-S0213911124000086-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139992412","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 eutanasia: un estudio de metodología mixta sobre la experiencia de los referentes en Cataluña","authors":"Núria Masnou ,&nbsp;Anna Quintanas ,&nbsp;Carla Planas ,&nbsp;Albert Planes","doi":"10.1016/j.gaceta.2024.102435","DOIUrl":"10.1016/j.gaceta.2024.102435","url":null,"abstract":"<div><h3>Objective</h3><div>To identify strengths and challenges in the provision of assistance in dying (PAM) based on the experiences of the Catalan Health Institute (ICS) euthanasia referents.</div></div><div><h3>Method</h3><div>Mixed-methods study (n<!--> <!-->=<!--> <!-->31), using two closed-ended questionnaires (quantitative analysis) and two structured interviews with open-ended fields (qualitative analysis), self-administered via email. All ICS referents (n<!--> <!-->=<!--> <!-->50) received them. The first questionnaire (n<!--> <!-->=<!--> <!-->31) and interview (n<!--> <!-->=<!--> <!-->12) were addressed to all referents. The second questionnaire (n<!--> <!-->=<!--> <!-->7) and interview (n<!--> <!-->=<!--> <!-->6) were directed only to those who had also directly participated in a PAM. The results were triangulated and are presented as an integrated analysis.</div></div><div><h3>Results</h3><div>From the integration of quantitative and qualitative responses, six thematic blocks emerged: 1) dedication and compensation; 2) training; 3) weak points and difficulties; 4) emotional and psychological impact; 5) considerations on end-of-life issues; and 6) motivations and advice from contacts. From the joint analysis, proposals for improvement were concluded: compensate for the workload that PAM implies, improve training, ensure that conscientious objection is in accordance with the law, and review aspects of the LORE, as procedures, deadlines, interdisciplinarity, ambiguities, and excluded cases. It was established: the usefulness of the referent role; respecting patient autonomy offsets negative emotions in professionals; PAM promotes reflection on the purposes of medicine.</div></div><div><h3>Conclusions</h3><div>Euthanasia referents’ experiences can guide other professionals and suggest guidelines for institutional leaders and health managers.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102435"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782230","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 ley de eutanasia y experiencias profesionales: tensiones en la práctica clínica","authors":"Maria Verdaguer ,&nbsp;Patricia Beroiz-Groh ,&nbsp;Xavier Busquet-Duran ,&nbsp;Eduard Moreno-Gabriel ,&nbsp;Antonia Arreciado Marañón ,&nbsp;Maria Feijoo-Cid ,&nbsp;Miquel Domènech ,&nbsp;Lupicinio Íñiguez-Rueda ,&nbsp;Núria Vallès-Peris ,&nbsp;Gloria Cantarell-Barella ,&nbsp;Pere Toran-Monserrat","doi":"10.1016/j.gaceta.2024.102373","DOIUrl":"10.1016/j.gaceta.2024.102373","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the process of assisted death provision in Catalonia and identify the main tensions, difficulties, and/or sources of discomfort related to professional practice.</div></div><div><h3>Method</h3><div>A qualitative study was conducted based on interviews (n<!--> <!-->=<!--> <!-->29) and focus groups (n<!--> <!-->=<!--> <!-->19) with professionals who participated in the euthanasia process. The selection of participants combined the snowball and maximization of variability procedures, taking into account the variables of professional profile, setting, gender, age and territoriality. Intentional and theoretical sampling process.</div></div><div><h3>Results</h3><div>The assisted death process is divided into four main moments: 1) reception of the request, 2) medical-bureaucratic procedure, 3) the actual procedure, and 4) closure. At each of these moments, difficulties arise that can be a source of discomfort and have to do with the limits and tensions between the legal and moral, the conception of one's own professional role, the lack of recognition of some professional roles, stress and overload, the lack of formal and informal support, and the relationship with the patient and his/her family. The bureaucratic-administrative stress derived from a protective law, with both prior and subsequent verifying control, stands out, given that it stresses the professionals immersed in a healthcare system already under high pressure after budget cuts and the COVID-19 epidemic.</div></div><div><h3>Conclusions</h3><div>Throughout the assisted death process, the sources of distress are diverse and of a psychological, psychosocial, and structural nature. These results may lead to interventions for psychological and peer support, information, training, institutional involvement, and burden reduction.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102373"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112489","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":"Primera cita de Aedes albopictus para Galicia, obtenida mediante ciencia ciudadana por Mosquito Alert","authors":"Yasmina Martínez-Barciela ,&nbsp;Alejandro Polina González ,&nbsp;José Manuel Pereira Martínez ,&nbsp;Fernando Cobo Gradín ,&nbsp;Josefina Garrido González ,&nbsp;Xabier Abalo Costa ,&nbsp;Ánxela Pousa Ortega ,&nbsp;Elvira Íñiguez Pichel ,&nbsp;Manuel Álvarez Cortiñas ,&nbsp;Roger Eritja","doi":"10.1016/j.gaceta.2024.102374","DOIUrl":"10.1016/j.gaceta.2024.102374","url":null,"abstract":"<div><div>The first detection of the tiger mosquito, <em>Aedes (Stegomyia) albopictus</em> (Skuse, 1894), in the autonomous community of Galicia (Spain) is reported. The finding has been possible thanks to the collaboration between citizens, the citizen science application Mosquito Alert and the Rede Galega de Vixilancia de Vectores (ReGaViVec). At the beginning of August 2023, a same person submitted through the app several reports consistent with the tiger mosquito in the municipality of Moaña, in Pontevedra. The ReGaViVec entomological team confirmed the species and conducted vector surveillance in the area by placing traps (11 ovitraps and 3 BG-Sentinel 2 with BG-Lure attractant) with a weekly collection frequency. This finding represents the most northwestern detection of the tiger mosquito in the Iberian Peninsula and shows the crucial role of citizen science in vector surveillance.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102374"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190500","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":"¿Se cumple la ley de control del tabaquismo en las terrazas de hostelería?","authors":"M. José López ,&nbsp;Marcela Fu ,&nbsp;Esteve Fernández ,&nbsp;Elisabet Henderson ,&nbsp;Xavier Continente","doi":"10.1016/j.gaceta.2024.102422","DOIUrl":"10.1016/j.gaceta.2024.102422","url":null,"abstract":"<div><h3>Objetivo</h3><p>Describir el consumo de tabaco y el cumplimiento de la normativa en las terrazas de hostelería de Barcelona.</p></div><div><h3>Método</h3><p>Estudio transversal en una muestra de 120 terrazas de hostelería de Barcelona. Se realizaron observaciones de 30 minutos mediante una ficha de registro estandarizada. Las variables de estudio fueron personas fumando, número de cigarrillos fumados, presencia de colillas, nivel socioeconómico del barrio, momento de la observación, normativa de consumo, número de sillas y número de personas.</p></div><div><h3>Resultados</h3><p>En el 97,5% de las terrazas había personas fumando en el momento de la observación, sin diferencias según el nivel socioeconómico del barrio o la normativa de consumo de tabaco en la terraza. La ley se incumplía en el 100% de las terrazas en las que estaba prohibido fumar.</p></div><div><h3>Conclusiones</h3><p>El incumplimiento generalizado de la actual ley pone de manifiesto la necesidad de implementar la prohibición de fumar sin excepciones en las terrazas de hostelería.</p></div><div><h3>Objective</h3><p>To describe tobacco consumption and the compliance with the law on hospitality terraces in Barcelona.</p></div><div><h3>Method</h3><p>Cross-sectional study by observation in a sample of 120 hospitality terraces in Barcelona. 30-minute observations were made using a standardized record sheet. The study variables were number of people smoking, number of cigarettes smoked, cigarette butts, socioeconomic status of the neighborhood, time of observation, consumption regulation, number of chairs and number of persons.</p></div><div><h3>Results</h3><p>There were people smoking at the time of the observation in 97.5% of the terraces, with no differences according to socioeconomic level of the neighborhood or the regulation of the terrace. There was no compliance with the law in 100% of the terraces where smoking was banned.</p></div><div><h3>Conclusions</h3><p>The widespread non-compliance with the current law indicates the need to implement a smoking ban without exceptions on hospitality terraces.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102422"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000748/pdfft?md5=855c9bf1a60acdc9328f9ff24e9145a6&pid=1-s2.0-S0213911124000748-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242879","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":"Desgaste profesional: tiempo para la política sanitaria","authors":"Vicente Ortún","doi":"10.1016/j.gaceta.2024.102389","DOIUrl":"10.1016/j.gaceta.2024.102389","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102389"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756759","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":"Los retos de la gobernanza de los recursos humanos de la sanidad pública. Informe SESPAS 2024","authors":"Javier Hernández Pascual","doi":"10.1016/j.gaceta.2024.102377","DOIUrl":"10.1016/j.gaceta.2024.102377","url":null,"abstract":"<div><p>Recurrent imbalances between supply, demand and personnel needs are one of the main challenges facing the National Health System (NHS). This situation has its origin both in supply factors and in the conditioning factors of the demand for human resources in the public health sector. The demographic structure of the NHS health professionals is generating an increasing number of outflows of doctors and nurses. On the other hand, the complex institutional architecture of the public health system produces dysfunctions in the structure of demand and in the form of recruitment. This paper argues for the need to articulate a strategic response that addresses the improvement of the governance of the human resources of the NHS and the reform of the instruments of coordination and harmonization of actions at the three levels of government of public healthcare.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102377"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000244/pdfft?md5=1e70c471989272847cae605b00317ee5&pid=1-s2.0-S0213911124000244-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872812","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}