Gaceta Sanitaria最新文献

{"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}

{"title":"La protección de la salud de jóvenes y adolescentes exige una subida urgente de los precios del tabaco","authors":"Josep M. Suelves ,&nbsp;Ángel López-Nicolás ,&nbsp;Eduardo Satué de Velasco ,&nbsp;Anna García-Altés","doi":"10.1016/j.gaceta.2024.102405","DOIUrl":"10.1016/j.gaceta.2024.102405","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102405"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000566/pdfft?md5=125def502e75d7dcfe61962dcebb533b&pid=1-s2.0-S0213911124000566-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181654","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":"Differential rates of induced abortion in Spain: educational attainment and age among native and immigrant women","authors":"Miguel Requena ,&nbsp;Mikolaj Stanek","doi":"10.1016/j.gaceta.2024.102419","DOIUrl":"10.1016/j.gaceta.2024.102419","url":null,"abstract":"<div><h3>Objective</h3><p>Analyzing the variations in induced abortion (IA) rates across different subpopulations in Spain based on country of origin, while considering educational and age composition.</p></div><div><h3>Method</h3><p>Using 2021 Voluntary Termination of Pregnancy register and 2021 Spanish Census microdata, we calculated crude IA rates and age-specific abortion rates. We used age-standardized IA rates (ASIAR) to account for the confounding effect of age composition. We compared seven subpopulations residing in Spain, taking into account simple ages and educational levels aggregated into four categories.</p></div><div><h3>Results</h3><p>Immigrant women, especially those from Sub-Saharan and Latin American countries, consistently had higher IA rates compared to native Spanish women. According to age-specific IA rates, university-educated women had considerably fewer abortions than women with other education levels at any age. Age-standardized rates stratified by migratory origin revealed that native Spanish women with primary education or less had higher IA rates than their immigrant counterparts. There was a clear non-linear, association between educational level and IA rates among immigrants. The highest propensity for IA was found among secondary school graduates, while university graduates had the lowest IA rate.</p></div><div><h3>Conclusions</h3><p>The study demonstrated that variability in sociodemographic characteristics had an impact on IA rates. Young women with middle educational attainment and immigrant background had a higher likelihood of undergoing IA in Spain. The relationship between educational level and IA rates was complex, with variations observed among different groups and changes over time.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102419"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000712/pdfft?md5=3ed209b019af3d76eff4314c9dd420f6&pid=1-s2.0-S0213911124000712-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918357","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":"Recensión bibliográfica","authors":"José Pulido Manzanero","doi":"10.1016/j.gaceta.2024.102396","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102396","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102396"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000438/pdfft?md5=e0b471ece746b2676a4e79a0aa4730b8&pid=1-s2.0-S0213911124000438-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140918824","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 piloto del programa «Transformem els patis» en escuelas de primaria de Barcelona","authors":"Jesús Periañez ,&nbsp;Xavier Continente ,&nbsp;Marta Sanz-Mas ,&nbsp;Gemma Drou ,&nbsp;Albert Espelt ,&nbsp;Emma Cortés ,&nbsp;María José López","doi":"10.1016/j.gaceta.2024.102429","DOIUrl":"10.1016/j.gaceta.2024.102429","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the “Transformem els patis” (Let's transform the schoolyards) program in Barcelona in terms of schoolyard use, social interaction, physical activity, and diverse forms of play with a gender perspective.</div></div><div><h3>Method</h3><div>A cross-sectional pilot evaluation study with mixed methodology involving eight primary schools (four in intervention group and four in control group). For the quantitative analysis, 16 systematic observations were performed in the schoolyards of both groups. The group size, group composition according to sex, physical activity, the carried-out activity and play structures or material use, and environmental variables were analyzed. For the qualitative analysis, three structured group interviews were held with teachers and the monitoring team of the intervention group. A thematic content analysis with a phenomenological perspective was conducted, exploring changes related to the physical schoolyard transformation, its educational use, and interactions among children, and the overall assessment of the schoolyard transformation.</div></div><div><h3>Results</h3><div>192 groups of schoolchildren were observed in the intervention group and 203 in the control group. The transformed schoolyards had more natural elements, play structures, places to sit and non-cemented flooring. Compared to the non-transformed schoolyards, both in the boys’ and girls’ groups, a higher proportion of active play was registered, as well as a higher proportion of non-sport games and imaginative games among boys and a lower proportion of girls watched the schoolyard.</div></div><div><h3>Conclusions</h3><div>Transformed the schoolyards are more inclusive, naturalized, playable, and equitable, with a greater diversity of elements and play structures.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102429"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607674","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":"Editorial. Recursos humanos en sanidad: más de lo mismo no es una solución. Informe SESPAS 2024","authors":"Miguel Ángel Negrín ,&nbsp;Vicente Ortún","doi":"10.1016/j.gaceta.2024.102391","DOIUrl":"10.1016/j.gaceta.2024.102391","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102391"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000384/pdfft?md5=64630ceaed8f4d87cb4937f5a58e3d03&pid=1-s2.0-S0213911124000384-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086509","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}