[The impact of drugs on social welfare. 2008 SESPAS Report].

Abstract:

:The reasons and rationale for state intervention in the pharmaceutical industry are discussed with emphasis on two of the most frequent perspectives: the health-focused view and the income-centered approach; these perspectives tend to be ignored, to come into conflict, or to be confused in Spain. The growing impact of drugs on health and on the productivity of a knowledge-intensive industry - such as the pharmaceutical sector - is discussed. The impact of drugs on welfare will depend on how prescription is dealt with within the framework of some macro policies that could clearly be improved. The present article focuses on the effectiveness of Spanish pharmaceutical policy and assesses three families of policies. Several recommendations are made: greater use of price competition, regulatory signals rewarding the most innovative drugs (those that offer the greater incremental cost-effectiveness with respect to the already existing alternatives), a shake-up of the national system of innovation, and the indispensable alignment of prescriber incentives and the health system. An integrated pharmaceutical policy would help to bridge the quality chasm of the Spanish health system by making it more desirable, and therefore sustainable.

journal_name

Gac Sanit

journal_title

Gaceta sanitaria

authors

Ortún V

doi

10.1016/s0213-9111(08)76082-5

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

111-7

eissn

0213-9111

issn

1578-1283

pii

13118095

journal_volume

22 Suppl 1

pub_type

杂志文章
  • The parliamentary political agenda: a tool for policy analysis of diabetes priorities in Spain.

    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

    authors: Agudelo-Suárez AA,Ruiz-Cantero MT,González-Zapata LI,Restrepo-Medrano JC,Ortiz-Barreda GM

    更新日期:2012-11-01 00:00:00

  • [Health care support for cancer patients who died in their homes in Mallorca].

    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

    authors: Pons Sureda O,Catalán Fernández G,Avellà Mestre A,Recober Martínez A,Carbonero Malberti JM,Garau Llinás I

    更新日期:1990-03-01 00:00:00

  • [Patients' rights. More than a question of attitude].

    abstract:OBJECTIVES:To analyze hospital and primary care physicians' knowledge of certain patients' rights recently modified by Spanish Law 41/2002 (law of patient autonomy). MATERIAL AND METHODS:We performed a voluntary survey of hospital and primary care physicians who were presented with three problem situations drawn from ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2010.01.012

    authors: Mira JJ,Lorenzo S,Vitaller J,Guilabert M

    更新日期:2010-05-01 00:00:00

  • [Health services access survey for Colombian households].

    abstract:OBJECTIVE:The aim of this study was to design and validate a health services access survey for households in Colombia to provide a methodological tool that allows the country to accumulate evidence of real-life access conditions experienced by the Colombian population. METHODS:A validation study with experts and a pil...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2016.05.008

    authors: Arrivillaga M,Aristizabal JC,Pérez M,Estrada VE

    更新日期:2016-01-01 00:00:00

  • [The economic crisis at the beginning of the XXI century and mortality in Spain. Trend and impact on social inequalities. SESPAS Report 2014].

    abstract::This study aimed to assess the impact of the current economic crisis on mortality trends in Spain and its effect on social inequalities in mortality in Andalusia. We used data from vital statistics and the Population Register for 1999 to 2011, as provided by the Spanish Institute of Statistics, to estimate general and...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2014.01.005

    authors: Ruiz-Ramos M,Córdoba-Doña JA,Bacigalupe A,Juárez S,Escolar-Pujolar A

    更新日期:2014-06-01 00:00:00

  • Access to sterile syringes among young drug injectors in Madrid and Barcelona and its association with risk behaviour.

    abstract:BACKGROUND AND OBJECTIVE:To evaluate access to sterile syringes and its association with injection risk behaviour in Madrid and Barcelona. MATERIALS AND METHODS:Cross-sectional community study by computer-assisted personal interview in 465 young heroin injectors between 2001 and 2003. RESULTS:Some 4.2% had not obtain...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1157/13119320

    authors: Bravo MJ,Royuela L,Barrio G,Brugal MT,Domingo A,de la Fuente L,Itínere Project Group.

    更新日期:2008-03-01 00:00:00

  • [Fall prevention in older people and their families: a qualitative synthesis].

    abstract:OBJECTIVE:To analyse and synthesize the evidence on fall prevention of people older than 65 years and their family care providers METHOD: Qualitative synthesis, which is a part of a convergent systematic integrative review. Forty-one qualitative studies were retained for full text scrutiny. Nine studies on family care ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审

    doi:10.1016/j.gaceta.2019.10.004

    authors: de la Cuesta-Benjumea C,Arredondo-González CP,Lidón-Cerezuela B,Abad-Corpa E

    更新日期:2020-10-22 00:00:00

  • Increased syphilis trend among patients in an AIDS information and prevention center.

    abstract:OBJECTIVE:A rebound of syphilis cases has recently been observed. This study describes the trend in syphilis infection among persons attending the AIDS information and prevention center of Valencia, Spain. METHODS:We performed a cohort study of all persons attended from 2000 to 2006. The calendar effect was assessed b...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2010.04.007

    authors: Hurtado I,Alastrue I,Pavlou M,Tasa T,Pérez-Hoyos S

    更新日期:2011-09-01 00:00:00

  • [Compulsory vaccination programs in the light of legislation].

    abstract::The adequate development of immunization programs deals with the problem of obtaining a good vaccination coverage, an essential aspect for the control and eradication of the disease in the population. One way of facing this deals with the implementation of coercion measures. The present paper analyzes Spanish legislat...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(90)71031-x

    authors: de la Mata Barranco I,de la Mata Barranco NJ

    更新日期:1990-09-01 00:00:00

  • [Universalization, parity and evolution of the demand of epidural analgesia in labor in Andalusia (Spain)].

    abstract:OBJECTIVE:Assess whether the universalization of epidural analgesia supplied in hospitals of the Andalusia Public Health Service (SSPA) has ended up with the inequalities shown in previous studies regarding to their demand: the percentage of women who rejected epidural analgesia was higher among the users having low ed...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2018.05.002

    authors: García-de-Diego JM,Serrano-Del-Rosal R

    更新日期:2019-01-01 00:00:00

  • [Features and functions of environmental epidemiology].

    abstract::The interest of epidemiology in the environmental effects has grown up in recent years. The present paper discusses the role of environmental epidemiology based on a revision of the medical literature appeared in 1989, and on a review of the strategy in setting up standards. Different aspects of the exposure measure, ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(90)71018-7

    authors: Sunyer J

    更新日期:1990-07-01 00:00:00

  • [Current status of research in breast cancer screening in Spain: implications for prevention].

    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

    authors: Sala M,Salas D,Zubizarreta R,Ascunce N,Rué M,Castells X,en nombre de los grupos de investigación RAFP e INCA.

    更新日期:2012-11-01 00:00:00

  • Reduction of pharmaceutical expenditure by a drug appropriateness intervention in polymedicated elderly subjects in Catalonia (Spain).

    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

    authors: Campins L,Serra-Prat M,Palomera E,Bolibar I,Martínez MÀ,Gallo P

    更新日期:2019-01-01 00:00:00

  • [What would a person in a medical uniform know about communities? Dialogue on community health and its many varied forms. SESPAS Report 2018].

    abstract::Terms such as community or community health are used more and more frequently and in multiple contexts. As healthcare workers, we acknowledge the need to reflect upon these concepts in order to shed light on the different meanings we bestow on community health. This dialogue approaches the notion of the community exam...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2018.06.009

    authors: Aragón Martín B,Ruiz Peralta E,García Blanco D,Caravantes Vidriales R

    更新日期:2018-10-01 00:00:00

  • [Analysis and classification of hospital emergencies through Ambulatory Patient Groups].

    abstract:AIM:To assess the feasibility and results of application of Ambulatory Patient Groups (APG) patient's classification system to the case-mix of patients seen at the Emergency Departments (ED) of 6 Barcelona metropolitan area hospitals. METHODS:Development of a minimum discharge data set specific for the Emergency Depar...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0213-9111(03)71790-7

    authors: Conesa A,Vilardell L,Muñoz R,Casanellas JM,Torre P,Gelabert G,Trilla A,Asenjo MA

    更新日期:2003-11-01 00:00:00

  • [Meta-analysis in epidemiology (2): quantitative methods].

    abstract::The main goal of this paper is to offer an introduction to the quantitative methods of meta-analysis used in epidemiology/public health, emphasizing on the most widespread used. We give also a brief reference of the methods to recognize publication bias. The limitations and advantages of the methods commented on are d...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审

    doi:10.1016/s0213-9111(92)71090-5

    authors: Delgado Rodríguez M,Sillero Arenas M,Gálvez Vargas R

    更新日期:1992-01-01 00:00:00

  • [Impact of primary care socio-educational groups in mental health of women].

    abstract:OBJECTIVE:To present part of the results of the evaluation of this strategy. METHOD:Longitudinal (pre-post) and quasi-experimental (experimental and control group) design, collecting information from 228 women (114 each group) in four moments (one month before the program; one month after the end of the program; six m...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2020.02.005

    authors: Palacios-Gálvez MS,Morales-Marente E,Iáñez-Domínguez A,Luque-Ribelles V

    更新日期:2020-04-28 00:00:00

  • [Evolution of health inequalities in Catalonia [Spain]].

    abstract:OBJECTIVE:To analyze the evolution of social inequalities in health in Catalonia (Spain) in the last 20 years. METHODS:Mortality in 354 small areas of Catalonia (288 cities in Catalonia and 66 health areas in the city of Barcelona) was analyzed for the 1984-98 period. Indicators of self-perceived health status, lifest...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1157/13093210

    authors: Borrell C,Benach J,CAPS-FJ Bofill Working Group.

    更新日期:2006-09-01 00:00:00

  • ICF disability measured by WHO-DAS II in three community diagnostic groups in Madrid, Spain.

    abstract:OBJECTIVE:The planning, provision and monitoring of medical and support services for patient groups with chronic ailments may require disability assessment and registration. The purpose of this study was to assess disability in three groups of patients with chronic obstructive pulmonary disease (COPD), chronic heart fa...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2011.08.005

    authors: de Pedro-Cuesta J,Alberquilla Á,Virués-Ortega J,Carmona M,Alcalde-Cabero E,Bosca G,López-Rodríguez F,García-Sagredo P,García-Olmos L,Salvador CH,Monteagudo JL

    更新日期:2011-12-01 00:00:00

  • [Listening to the voice of the patient: an imperative. 2008 SESPAS Report].

    abstract::To democratize health services, citizen participation should be free, informed and involve choice. To achieve this, a formal and public system of health services' evaluation is required. The present article aims to argue the need to promote the participation of patients and persons affected by disease to achieve great...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(08)76092-8

    authors: Jovell AJ,Navarro Rubio MD

    更新日期:2008-04-01 00:00:00

  • [Length of work disability and associated factors].

    abstract:OBJECTIVE:To estimate the mean length of temporary work disability (TD) and to assess some of its possible determinants. METHODS:During 1995, we registered 12,570 cases of TD among people from the Inspection Area of Alcala of Henares. We obtained a random sample of 600 cases. In addition to TD length, we obtained info...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(99)71348-8

    authors: Royo-Bordonada M

    更新日期:1999-05-01 00:00:00

  • [Evaluation of the quality of attention given to the chronically handicapped patient at a health center].

    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

    authors: Espinosa Almendro JM,Burgos Varo ML,López Vargas C,Muñoz Cobos F,Salazar Agulló JA

    更新日期:1993-11-01 00:00:00

  • [Impact of new Spanish smoke-free legislation on the business activity of bars, cafes and restaurants].

    abstract:OBJECTIVE:to analyze the impact of Spanish smoke-free legislation (Law 42/2010) on the business activity of bars, cafés, and restaurants. METHODS:we used the micro-data from the Household Budget Survey for 2010 and 2011. The linking files allowed close follow-up of the households that remained in the sample for 2 cons...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2014.05.006

    authors: Caballero Hidalgo A,Pinilla Domínguez J

    更新日期:2014-11-01 00:00:00

  • [Immigration and aging: new challenges in public health].

    abstract::Foreign migration in Spain is at present a priority in the social and demographic context the country. At a worldwide level, trends in the evolution of population and social, political and economical indicators, appear to maintain for the coming years, the present trends on migrations from poor countries to the rich o...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1157/13086021

    authors: Jansà JM

    更新日期:2006-03-01 00:00:00

  • Misconduct as the main cause for retraction. A descriptive study of retracted publications and their authors.

    abstract:OBJECTIVE:To analyze the causes of retracted publications and the main characteristics of their authors. METHOD:A descriptive cross-sectional study was designed including all retracted publications from January 1st, 2013-December 31st, 2016 indexed in PubMed. The causes of retraction were classified as: data managemen...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2018.01.009

    authors: Campos-Varela I,Ruano-Raviña A

    更新日期:2019-01-01 00:00:00

  • Measuring the performance of health care services: a review of international experiences and their application to urban contexts.

    abstract:BACKGROUND:The objective of performance assessment is to provide governments and populations with appropriate information about the state of their health care system. The objective of this paper is to present the most recent developments in performance assessment and their application in urban contexts. METHODS:Litera...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审

    doi:10.1157/13091148

    authors: García-Altés A,Zonco L,Borrell C,Plasència A,Barcelona Group on the Performance of Health Care Services.

    更新日期:2006-07-01 00:00:00

  • [Trihalomethane and haloacetic acid concentrations in drinking water and their estimated intake during pregnancy in the INMA cohort (Guipúzcoa, Spain)].

    abstract:OBJECTIVES:To report trihalomethane (THM) and haloacetic acid (HAA) concentrations in drinking water, assess variations in these concentrations depending on source and over time, and estimate individual intake during pregnancy. METHODS:Water taken from 33 representative points of the water supply network of the 25 mun...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2010.03.003

    authors: Santa Marina L,Ayerdi M,Lertxundi A,Basterretxea M,Goñi F,Iñaki Alvare J,Arranz L,Blarduni E,María Ibarluzea J

    更新日期:2010-07-01 00:00:00

  • [Using consumer panels in public health observational studies].

    abstract::Consumer panels are a market research method useful for gathering information about low-frequency or difficult-access customers. The objective of this field-note is to explain our experience using this method in a cross-sectional public health study on the use of electronic cigarettes. After taking into account other ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2017.03.011

    authors: Matilla-Santander N,Fu M,Ballbè M,Lidón-Moyano C,Martín-Sánchez JC,Fernández E,Martínez-Sánchez JM

    更新日期:2017-01-01 00:00:00

  • [The follow-up and monitoring of forecasts: the case of asthma epidemics in Barcelona].

    abstract::In this work we discuss several procedures of evaluation of time series models and analyze practical aspects of the management of a data base relative to a health information system devoted to the epidemiological surveillance and the detection of unusual values that could correspond to epidemic events. The analyzed st...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(93)71142-5

    authors: Murillo C,Sáez M

    更新日期:1993-05-01 00:00:00

  • [Screening induced by health services: impact and consequences. Ethical issues].

    abstract::The main aim of screening is to identify people with an increased probability to benefit from preventive interventions, generally from secondary prevention but also from primary prevention activities. The goal is to facilitate early diagnosis and treatment in order to modify positively the prognosis (the former case),...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审

    doi:10.1157/13086031

    authors: Segura-Benedicto A

    更新日期:2006-03-01 00:00:00