Anales del sistema sanitario de Navarra最新文献

Lessons learned from the COVID-19 pandemic on the global health needs of young children: A cross-sectional study.

Anales del sistema sanitario de Navarra Pub Date : 2025-01-31 DOI: 10.23938/ASSN.1097

Itsaso Elizalde, Olga Lopez-Dicastillo, Hazel Helen Andueza-Wood, Sara Sola-Cía, Cristina Lozano-Ochoa, Agurtzane Mujika, Naia Hernantes, Beatriz Pereda-Goikoetxea, Elena Antoñanzas-Baztán, María Jesús Pumar-Méndez

{"title":"Lessons learned from the COVID-19 pandemic on the global health needs of young children: A cross-sectional study.","authors":"Itsaso Elizalde, Olga Lopez-Dicastillo, Hazel Helen Andueza-Wood, Sara Sola-Cía, Cristina Lozano-Ochoa, Agurtzane Mujika, Naia Hernantes, Beatriz Pereda-Goikoetxea, Elena Antoñanzas-Baztán, María Jesús Pumar-Méndez","doi":"10.23938/ASSN.1097","DOIUrl":"https://doi.org/10.23938/ASSN.1097","url":null,"abstract":"Background: This cross-sectional study assessed the global health needs of children aged 2 to 6 years and examined how socio-demographic characteristics influenced children's health needs observed following the COVID-19 pandemic.Methodology: Cross-sectional study conducted between January and March 2021 in three regions of northern Spain with similar household incomes. Participants were selected through one-stage cluster sampling. A self-reported questionnaire, Necesidades de salud de la Población Infantil, was used to assess children's health needs across seven dimensions and 125 items.Results: A total of 301 parents or caregivers completed the questionnaire. The dimensions parental self-efficacy, professional advice, child socio-emotional aspects, and situational influence were the most frequently reported as significant, while parent socio-emotional aspects, lifestyle, promotion of healthy lifestyles, and influence of significant people were the least emphasized. Life-style-related needs were particularly affected by the limited access to healthcare professionals and were more pronounced when children had a disability.Conclusions: The findings of this study provide valuable insights for the development of strategies, programs, and interventions aimed at promoting children's health by addressing the identified needs.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Communication as a strategic tool for person-centered care]. [沟通作为以人为本的护理的战略工具]。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-27 DOI: 10.23938/ASSN.1106

María Sánchez-Marco, Antonio Esteve-Ríos, Silvia Escribano

引用次数: 0

Unmet health care needs among the working-age population: Evidence from the Great Recession in Spain (2008-2012). 劳动年龄人口未满足的保健需求：来自西班牙大衰退的证据（2008-2012年）。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-24 DOI: 10.23938/ASSN.1093

Carla Blázquez-Fernández, David Cantarero-Prieto, Patricio Perez

{"title":"Unmet health care needs among the working-age population: Evidence from the Great Recession in Spain (2008-2012).","authors":"Carla Blázquez-Fernández, David Cantarero-Prieto, Patricio Perez","doi":"10.23938/ASSN.1093","DOIUrl":"10.23938/ASSN.1093","url":null,"abstract":"Background: This study examines the relationship between unmet healthcare needs and employment status, with a focus on how this relationship was influenced by the Spanish economic recession of 2008-2012.Methods: Data were obtained from the Spanish National Health Survey for 2006 and 2011-2012. The outcome variable was the presence of unmet healthcare needs, describing its reasons. The analysis included the period (pre-crisis/crisis), demographic variables (sex, age, Spanish citizenship), employment status, social factors (level of education, marital status, social-class), and health indicators (self-assessed health, chronic conditions, and limitations). Logistic regression was used to predict unmet health needs based on the period, employment status, and control variables.Results: The frequency of unmet healthcare needs was low and decreased further during the crisis (5% pre-crisis vs 3% during the crisis). Unmet healthcare needs were more strongly associated with health status than with employment status. However, among the unemployed, unmet healthcare needs increased during the crisis compared to the pre-crisis.Conclusions: The most vulnerable groups, characterized by higher unmet healthcare needs, included women, individuals with lower levels of education, and those in poorer health. These groups may require more targeted attention. These findings should be interpreted in the context of the Spanish National Health System, which is fully decentralized and provides healthcare and protection to all residents.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142884032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Translation and transcultural adaptation of the Person-Centered Practice Inventory-Care for Spanish patients]. [以人为中心的实践清单-西班牙患者护理的翻译和跨文化适应]。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-21 DOI: 10.23938/ASSN.1099

Mónica Vázquez-Calatayud, Ana Choperena, Begoña Errasti-Ibarrondo, Marta Lizarbe-Chocarro, Yvonne Gavela-Ramos, Virginia La Rosa-Salas, Brendan McCormack, María José Galán-Espinilla, Ana Carvajal-Valcárcel

{"title":"[Translation and transcultural adaptation of the Person-Centered Practice Inventory-Care for Spanish patients].","authors":"Mónica Vázquez-Calatayud, Ana Choperena, Begoña Errasti-Ibarrondo, Marta Lizarbe-Chocarro, Yvonne Gavela-Ramos, Virginia La Rosa-Salas, Brendan McCormack, María José Galán-Espinilla, Ana Carvajal-Valcárcel","doi":"10.23938/ASSN.1099","DOIUrl":"10.23938/ASSN.1099","url":null,"abstract":"Background: Person-centered care (PCC) positively impacts individuals by enhancing self-care, autonomy, well-being, skills, quality of life, and satisfaction with their care experience. The Person-Centered Practice Inventory-Care (PCPI-C), grounded in the Person-Centered Practice theoretical framework, is designed to assess healthcare users' perceptions of the PCC they receive. This study aims to develop the first Spanish version of the PCPI-C, translated and adapted to the Spanish context.Methods: The translation and cultural adaptation process followed the \"Translation and Cultural Adaptation of Patient-Reported Outcomes Measures: Principles of Good Practice\" guideline, which included a session with a group of experts and healthcare users. The clarity and relevance of each item, as well as the whole instrument, were assessed using the content validity index.Results: No difficulties were found during the process. The committee unanimously agreed to include the definition of compassion in the instrument due to its complexity and potential confusion with other terms. Regarding clarity and relevance, the content validity index revealed excellent results for all 18 items in terms of relevance and for 16 items in terms of clarity. The overall validity index for the instrument showed excellent result for both clarity and relevance (=0.95).Conclusions: The first Spanish-adapted version of the PCPI-C, conceptually and semantically aligned with the original, is now available and demonstrates excellent scores for both clarity and relevance.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[New management models or traditional hospital management? Transition of a hospital-foundation in a Euroregion]. 新的管理模式还是传统的医院管理？欧洲地区医院基金会的转型[j]。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-21 DOI: 10.23938/ASSN.1100

Juan Cueva Ares, Mateo Cacho Uzal, Fe Lopez-Juiz, Francisco Reyes-Santías

{"title":"[New management models or traditional hospital management? Transition of a hospital-foundation in a Euroregion].","authors":"Juan Cueva Ares, Mateo Cacho Uzal, Fe Lopez-Juiz, Francisco Reyes-Santías","doi":"10.23938/ASSN.1100","DOIUrl":"10.23938/ASSN.1100","url":null,"abstract":"Background: This study aims to assess the impact of transitioning a hospital/foundation from indirect management to direct management on the efficiency of hospital resource management.Methodology: Until 2010, the Virxe da Xunqueira hospital/foundation, located in the Galicia-North Portugal Euroregion, operated under indirect management. In 2010, it transitioned to direct management as a health centre within the Galician Health Service (Spain). Public management of hospital resources was compared using data development analysis for two periods: indirect management (2005-2009) and direct management (2011-2015). Inputs included labour (number of workers) and capital (number of beds), while outputs were measured by the number of consultations, emergencies, interventions, admissions (inpatients), hospital stays, patients on waiting the list, average length of stay, waiting times, and hospital occupancy rate. The synthetic index used was the basic care units.Results: Virxe da Xunqueira demonstrated greater efficiency as a hospital/foundation in terms of the number of consultations, emergencies, admissions, inpatients, and indicators related to patient stay (including number and average length of stay). After transitioning to direct management, the hospital showed improved efficiency in average waiting times, the number of patients on the waiting list, and the number of surgical interventions. The production factors exhibited decreasing returns to scale in both types of governance.Conclusions: Both type of management show greater efficiency in certain inputs. However, there is insufficient evidence to conclude that the previous management model (indirect management) is more efficient than direct management.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Vulnerability, chronicity and aging: older adults' medication experience should be integrated in Pharmaceutical Care]. 【虚弱、慢性和衰老：老年人用药经验应融入药学服务】。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-20 DOI: 10.23938/ASSN.1092

Martha Milena Silva-Castro

引用次数: 0

[Reputational risks associated with nurses' presence on social media: proposed actions following the Vall d'Hebron case]. [与护士在社交媒体上的存在相关的声誉风险：瓦尔德希布伦案后的建议行动]。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-19 DOI: 10.23938/ASSN.1095

Hildegart González-Luis, Ana Azurmendi, Blanca Basanta-Vázquez, Francesc Pujol

{"title":"[Reputational risks associated with nurses' presence on social media: proposed actions following the Vall d'Hebron case].","authors":"Hildegart González-Luis, Ana Azurmendi, Blanca Basanta-Vázquez, Francesc Pujol","doi":"10.23938/ASSN.1095","DOIUrl":"10.23938/ASSN.1095","url":null,"abstract":"Background: A Spanish nurse posted a video on TikTok criticizing the requirement of a certain level of Catalan to work in the public health system of Catalonia (Spain). The video went viral, eliciting reactions from social media users, politicians, and professional nursing organizations. This study aims to evaluate the reputational damage suffered by the nurse, her hospital, and the nursing profession, with the goal of proposing actions to prevent, avoid, or manage similar situations.Methodology: A sequential exploratory mixed-methods design was used to analyse the content of the video, its impact on the press and social media, and the management of the communication crisis by the hospital and nursing organizations involved.Results: The nurse exercised her right to freedom of expression. However, her choice to convey the message, wearing the uniform that identified her as a staff member of a specific hospital, and her criticism of the language level requirement, led to reputational damage after the video spread via the press and Twitter/X. The hospital's reputation was affected due to the nurse being identified as one of its employees. In contrast, the reputation of the nursing profession was not significantly harmed, as multiple information sources suggested the incident was isolated. The creation of a safe, self-regulatory framework and training in social media and communication management are proposed as measures for healthcare centres, nursing organizations, and academic institutions to implement.Conclusions: The reputations of both the nurse and her hospital were impacted. A methodological model for analysing similar situations is proposed.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Trends in the epidemiology of pertussis in Malaga, Spain (2017-2024)]. [西班牙马拉加百日咳流行病学趋势（2017-2024）]。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-05 DOI: 10.23938/ASSN.1091

Ignacio Rodriguez-Vergara Pérez, David Moscoso Sánchez, Julián Manuel Domínguez Fernández, Sara Estefanía Montenegro Jaramillo, María Amores Alguacil

{"title":"[Trends in the epidemiology of pertussis in Malaga, Spain (2017-2024)].","authors":"Ignacio Rodriguez-Vergara Pérez, David Moscoso Sánchez, Julián Manuel Domínguez Fernández, Sara Estefanía Montenegro Jaramillo, María Amores Alguacil","doi":"10.23938/ASSN.1091","DOIUrl":"10.23938/ASSN.1091","url":null,"abstract":"Background: Description of the epidemiological evolution of pertussis in the province of Malaga, Spain (2017 - 2024), disease severity, and vaccination coverage.Methods: A cross-sectional study was conducted using reported cases from the Andalusian Notifiable Diseases Network (RedAlerta). The incidence of pertussis was calculated per 100,000 inhabitants for each health district, quarter, and year. Additionally, the relationship between severe cases (hospitalizations) and vaccination status was analyzed.Results: A total of 181 pertussis cases were identified. Of these, 56.4% were reported during the pre-pandemic period (2017-2019), while 9.95% occurred between 2020 and 2023. An increase in cases was observed in the first quarter of 2024 (n = 61; 33.7% of the total cases), compared to previous years (1 to 46 cases). The 0 to 20-year group accounted for 71.3% of cases, of which 57.4% had received at least partial vaccination prior to contracting pertussis. Severe disease requiring hospitalization occurred in 25.6% of cases, with a higher frequently among unvaccinated individuals (70% vs 18.3%; p < 0.001). Among hospitalized cases, 42.4% had not received any prior doses of the vaccine. Additionally, 47.1% of the 17 pertussis cases in children aged =1 year had not received any vaccination and had no history of maternal vaccination during pregnancy.Conclusions: An increase in reported pertussis cases is observed in early 2024 in Malaga, but hospitalization rates among confirmed cases remained stable. A significant association is found between prior vaccination against pertussis and reduced disease severity (hospitalization) in the 0 to 20-year-old age group.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Validity of the PEDOMETER® mobile application for evaluating cardiorespiratory fitness and fatigue resistance in cardiac rehabilitation. A pilot study]. [PEDOMETER®移动应用程序在心脏康复中评估心肺健康和疲劳抵抗的有效性][初步研究]。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-02 DOI: 10.23938/ASSN.1078

Miguel Gómez-Alguacil, Virginia Llanos-Ruíz, Leire Moreno-Galdós, María Madrigal-Azcona, Antonio López-Román, Roberto Cano-de-la-Cuerda, Isabel M Alguacil-Diego

{"title":"[Validity of the PEDOMETER® mobile application for evaluating cardiorespiratory fitness and fatigue resistance in cardiac rehabilitation. A pilot study].","authors":"Miguel Gómez-Alguacil, Virginia Llanos-Ruíz, Leire Moreno-Galdós, María Madrigal-Azcona, Antonio López-Román, Roberto Cano-de-la-Cuerda, Isabel M Alguacil-Diego","doi":"10.23938/ASSN.1078","DOIUrl":"10.23938/ASSN.1078","url":null,"abstract":"Background: A mobile application (app) may facilitate the administration of the 6-minute walk test (6MWT), a commonly used tool in cardiac rehabilitation. This pilot study, conducted with cardiac rehabilitation patients, aimed to evaluate: 1) the criterion validity of the PEDOMETER® app compared to the 6MWT in assessing cardiorespiratory fitness and fatigue resistance, and 2) the construct validity of the PEDOMETER ® app in relation to the Hospital Anxiety and Depression Scale (HADS) and the Health Index of the EuroQol-5D 3L questionnaire (EQ-5D).Methods: Twenty patients undergoing cardiac rehabilitation at HM Puerta del Sur Hospital (Mostoles, Spain) performed the 6MWT while using the PEDOMETER ® app on a smartphone worn on their arm. Pearson's correlation coefficient was calculated to assess the relationship between the distance recorded in meters during the 6MWT and that recorded by the app, as well as between the app and the anxiety and depression dimensions of the HADS, and the Health Index EQ-5D.Results: The criterion validity of the 6MWT and the PEDOMETER ® app was excellent (r = 0.981; p < 0.001). Regarding construct validity, the app showed a moderate negative correlation with the depression dimension of the HADS (r= -0.493), but not with the anxiety dimension or the EQ-5D.Conclusions: The free PEDOMETER ® app demonstrates excellent criterion validity when compared to the 6MWT. The app shows a moderate negative correlation with the depression dimension of the HADS.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11682700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Diagnostic comparison of bedside lung ultrasound and chest radiography in the intensive care unit]. [重症监护室床旁肺部超声和胸部放射摄影的诊断比较]。

Anales del sistema sanitario de Navarra Pub Date : 2024-11-15 DOI: 10.23938/ASSN.1088

Juan-Ambrosio Martínez-Molina, Miguel Angel Martínez-González, Marc Vives Santacana, Ariel Duilio González Delgado, Karlos Reviejo Jaka, Pablo Monedero

{"title":"[Diagnostic comparison of bedside lung ultrasound and chest radiography in the intensive care unit].","authors":"Juan-Ambrosio Martínez-Molina, Miguel Angel Martínez-González, Marc Vives Santacana, Ariel Duilio González Delgado, Karlos Reviejo Jaka, Pablo Monedero","doi":"10.23938/ASSN.1088","DOIUrl":"10.23938/ASSN.1088","url":null,"abstract":"Background: Bedside lung ultrasound (POCUS) offers advantages over chest X-ray, including better cost-effectiveness for diagnosing certain pulmonary pathologies. This study compares the diagnostic concordance between portable chest X-rays and bedside lung ultrasounds in the intensive care unit (ICU).Methods: Adult ICU patients were included. POCUS was performed using the abbreviated BLUE protocol. Diagnostic results from POCUS and chest radiographies were compared using the intensivist clinical diagnosis - based on clinical examinations and lung ultrasounds - as the reference. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the ultrasounds were calculated.Results: A total of 100 patients were included, 71 with pulmonary pathologies. The average time to perform the ultrasound was 308 seconds. Ultrasound identified pathology in 20 patients with a normal chest radiographs. Diagnostic discrepancies occurred in 30 patients, highlighting ultrasound´s superior sensitivity in detecting atelectasis, pleural effusions, and pulmonary edema. Ultrasound demonstrated sensitivity (S) of 85%, specificity (E) of 100%, positive predictive value (PPV) of 100%, and negative predictive value (NPV) of 55%.Conclusion: Lung point-of-care ultrasound at ICU admission detects more pathologies and does not miss significant abnormalities seen on chest X-rays. It also shows good diagnostic accuracy. These findings suggest that pulmonary POCUS, using an abbreviated protocol, could be a viable alternative to chest radiography for initial evaluation and follow-up of pulmonary pathologies in critically ill patients, potentially improving care quality and management.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0