Abstract:
:Waiting lists for non-urgent medical care, in diagnostic or therapeutic procedures, occur mainly in public health systems such as those found in Spain and many other European countries. If waiting lists are moderate they can be useful in the process of managing these patients and are accepted by health professionals and health services users. Waiting lists for surgical procedures can be interpreted, erroneously, as a simple imbalance between the supply and demand for a particular procedure. If that were the case, we would only have to progressively increase resources until eliminating the lists.However, considerable evidence suggests that the isolated increase of resources does not solve the problem since the mean waiting time is reduced but the waiting list becomes longer. Therefore, other management measures are required. The management of waiting lists is necessary at the levels of society, health administration and especially health centers. Clinical management by departments and individual health professionals is essential, using the criteria of inclusion of scientific evidence in the indication for treatment and in the results expected for each patient (effectiveness of the procedure) as well as ethical criteria and considerations of resource use efficiency. Prioritizing patients according to severity, probability of improvement and social criteria is an unavoidable obligation in improving the problem of waiting lists. In this process of prioritization, society should also be able to voice an opinion since non-medical factors may influence the distribution and prioritization of resources and in this context the experience of other countries should be analyzed. Finally, as Archie Cochrane said "all effective treatment should be free" which, put another way would be: in a public system, the financing of procedures that do not provide significant benefits to patients is not justified.
journal_name
Gac Sanitjournal_title
Gaceta sanitariaauthors
Martí Jdoi
10.1016/s0213-9111(02)71954-7subject
Has Abstractpub_date
2002-09-01 00:00:00pages
440-3issue
5eissn
0213-9111issn
1578-1283pii
13037120journal_volume
16pub_type
杂志文章相关文献
Gaceta Sanitaria文献大全abstract:OBJECTIVE:To describe trends in tobacco, alcohol, and cannabis consumption among secondary school pupils in Barcelona between 1987 and 1999. METHODS:Cross-sectional surveys administered to representative samples of pupils in the second year of secondary school between 1987 and 1999. The questionnaires were anonymous a...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(03)71727-0
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:Qualitative methods may help to understand features related to health urban inequalities as a way to include citizens' perceptions of their neighbourhoods in relation to their health-related behaviours. The aim of this article is to describe the methods and design of a qualitative urban health study. METHODS...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2018.07.010
更新日期:2019-01-01 00:00:00
abstract::Since the nineteen seventies, high- and low-income countries have undergone a pattern of transnational economic and cultural integration known as globalization. The weight of the available evidence suggests that the effects of globalization on labor markets have increased economic inequality and various forms of econo...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2010.09.013
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Road traffic accidents cause substantial morbidity and disease burden; few studies have examined their impact on disability. OBJECTIVE:To estimate the magnitude and distribution of disability due to road traffic accidents according to socio-demographic variables, and its main socioeconomic and health determ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2015.01.009
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:To estimate the number of incident cases of cancer in Spain between 1993 and 1996. METHODS:We used data on the incidence of cancer from nine Spanish population-based cancer registries published in the monograph Cancer incidence in Five Continents, vols. VI and VII (period 1983-92). The National Institute of ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(01)71591-9
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:Despite the clear political will to promote telemedicine and the large number of initiatives, the incorporation of this modality in clinical practice remains limited. The objective of this study was to identify the barriers perceived by key professionals who actively participate in the design and implementati...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2011.01.004
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To analyze whether the effectiveness of combined antiretroviral therapy in delaying progression to AIDS and death is affected by social inequities in a cohort of HIV-positive injecting drug users (IDUs). METHODS:A cohort of 3,122 HIV-positive IDUs identified in the AIDS Information and Prevention Centers of ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(08)75352-4
更新日期:2008-11-01 00:00:00
abstract::The conditions of death are studied in a sample of oncological patients who died at home. By interviewing people, relatives or not, who assumed the main responsibility for the patient's care, information was gathered about different aspects of the patient's life in its terminal period. In this study, information was c...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(90)70999-5
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine the reliability and construct validity of the three dimensions of the Job Content Questionnaire (JCQ): demand, control and job support among hospital nursing staff. METHODS:The minimun reduced version of the JCQ was used, which include three dimensions: psychological de...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(01)71533-6
更新日期:2001-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the association between nosocomial infections (NI) and the mortality of Intensive Care Unit (ICU) patients, adjusting for the effect on mortality of other predictive variables. METHODS:Prospective study on 944 concurrent patients admitted for at least 24 hours in the ICU of a tertiary level hospi...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(98)76439-8
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:To describe the process performed in Catalonia (Spain) to design an information system for monitoring new cases of HIV infection. METHODS:A survey was used to evaluate perception of the need for notification of HIV infection by health care professionals (n = 106), as well as their opinions of the various pos...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(03)71695-1
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:To evaluate changes in influenza vaccination coverage in Spain by autonomous communities between 2001 and 2003 and to compare the influenza vaccination coverage obtained in Spanish National Health Surveys (NHS) with other official sources. METHODS:A total of 42,722 cases from the NHS for 2001 (n = 21,072) a...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1157/13099114
更新日期:2007-01-01 00:00:00
abstract::This study was carried out with the aim of evaluating the handicapped care quality in a Primary Health Care Centre. This was a two phase evaluation (both of a year): first evaluation with 4 quality indicators and 142 patients; and the reevaluation with 10 quality indicators and 203 patients. We used explicits and norm...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(93)71164-4
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVE:To describe the sociodemographic and clinical characteristics of tuberculosis cases registered in Guipúzcoa and their management and to investigate possible differences depending on the country of origin of affected individuals. MATERIAL AND METHODS:We performed a population-based descriptive analysis of cas...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2009.09.009
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To analyze the political agenda on diabetes in Spain under democracy by considering the frequency and content of initiatives in the Spanish parliament. METHODS:A systematic search of parliamentary interventions (1979-2010) reported on the Spanish Congress of Deputies' web page was carried out using the key w...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2012.03.002
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:To study the relationship between formal and informal care for the dependent population in a number of European countries. METHOD:Data from the Survey of Health, Aging and Retirement in Europe for 2004 were used and a bivariate probit model was estimated. Unlike other studies, the present analysis includes t...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2011.07.004
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVE:To ascertain the survival by stage of cervical cancer in Mallorca (Spain), to explore factors collected by the Mallorcan Cancer Registry associated with survival, and to determine the distribution of cervical cases by stage. METHOD:Retrospective follow-up study of cases diagnosed with cervical cancer between...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2019.04.007
更新日期:2020-01-01 00:00:00
abstract::Our objective was to describe the methodological limitations and recommendations identified by authors of original articles on immigration and health in Spain. A literature review was conducted of original articles published in Spanish or English between 1998 and 2012 combining keywords on immigration and health. A to...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2015.07.012
更新日期:2015-11-01 00:00:00
abstract::This field note presents the conclusions and recommendations made at the meeting 'How to reduce social inequalities in cancer screening programmes?' held at the XXVI School of Public Health of Mahon (Menorca, Spain). Participants developed recommendations based on experiences of population-based screening programmes (...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2016.01.008
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To compare the incidence rates of gastric cancer among cancer survivors with those in the general population, and estimate the probability of a gastric second primary cancer being diagnosed 10 years after any other first primary cancer. METHOD:A cohort of first primary cancers (other than gastric) diagnosed ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2018.08.010
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To determine therapeutic compliance when brand name amlodipine and simvastatin are substituted for generic drugs, and to determine patients' and physicians' opinions of this substitution. PATIENTS AND METHODS:We performed an observational study with a control group, based on a review of the medical records i...
journal_title:Gaceta sanitaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.gaceta.2010.07.007
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:The consolidation of breast cancer screening programs, with full coverage of the target population in all Spanish regions, has encouraged the beginning of a joint research strategy. This strategy aims to improve the effectiveness of breast cancer screening by gathering information from distinct screening prog...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2011.11.013
更新日期:2012-11-01 00:00:00
abstract::In this article, we describe the different stages of the rise and decline of Primary Health Care and, in particular, its community approach; we do so by providing a historical journey of the relationship between the Spanish National Health System and community health, outlining the connections and disconnections with ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2018.06.004
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES:To study the return to paid work between the 5th and 12th month after the birth of a child depending on socioeconomic and occupational characteristics of employed mothers. Furthermore, to analyse the differences at the time of returning to work (5th or 12th month) according to these characteristics. METHODS...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(97)71293-7
更新日期:1997-07-01 00:00:00
abstract:OBJECTIVE:To assess the monetary savings resulting from a pharmacist intervention on the appropriateness of prescribed drugs in community-dwelling polymedicated (≥8 drugs) elderly people (≥70 years). METHOD:An evaluation of pharmaceutical expenditure reduction was performed within a randomised, multicentre clinical tr...
journal_title:Gaceta sanitaria
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.gaceta.2017.09.002
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To explore the views of the Internet in childhood, identifying both health assets and risks. METHOD:A qualitative study was performed using 14 focus groups, eight of which comprised boys and girls, four of which comprised parents and two of which were mixed (children and parents) in primary schools in urban ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2019.07.006
更新日期:2020-05-18 00:00:00
abstract:OBJECTIVE:To determine health-related quality of life (HRQoL) measured with the 36-item Short-Form (SF-36) questionnaire in women workers in the fishing industry, compared with norm-based values in the reference population and other similar samples of persons with musculoskeletal disorders. METHOD:A cross-sectional st...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2013.01.011
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:Mental health conditions are associated with a significant burden on individuals. Using data from a large population health survey, the present study aimed to quantify the burden of emotional disorders (depression and anxiety) on health-related quality of life (HRQoL) in the region of Catalonia (Spain) for ev...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2011.05.019
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:To assess the quality of prescriptions in primary care area through indicators established by a team of physicians and to analyze the relationship between these indicators and those used by the Spanish public health system (INSALUD) in the same area. METHODS:An observational, cross sectional study was perfo...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(03)71773-7
更新日期:2003-09-01 00:00:00
abstract::This article provides a critical review of the World Health Organization's (WHO) report, WHO Health Systems: improving performance. The political context in which the report was presented, the ideological suppositions underlying the report's evaluation of the efficiency and efficacy of the health systems, their degree...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(01)71601-9
更新日期:2001-09-01 00:00:00