[Variations in hospitalization rates for selected surgical procedures. Use of small area analysis].

Abstract:

:The analysis of small area variation (SAV) is useful to correlate hospital utilization rates with supply. In this paper the SAV techniques are applied to 26 areas of Catalonia, whose population is covered by the same hospital or group of hospitals in more than 75% of occasions, and hospitalization rates for several surgical procedures (appendectomy, herniorraphy, cholecystectomy, prostatectomy, hysterectomy, tonsillectomy and lens extraction) are analyzed. For these purposes, 26482 discharges recorded in the Minimum Basic Data Set of Hospital Discharges in 1993 were studied. The obtained results show a great variability between areas, which sometimes is larger than the reported in the literature. For amigdalectomy, the ratio between highest and lowest hospitalization rates is 8.8. For prostatectomy and lens extraction the ratios are 4.8 and 4.5, respectively.

journal_name

Gac Sanit

journal_title

Gaceta sanitaria

authors

Jané Camacho E,Barba Albós G,Salvador Vilalta X,Salas Ibáñez T,Sánchez Ruiz E,Bustins Poblet M

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

211-9

issue

56

eissn

0213-9111

issn

1578-1283

journal_volume

10

pub_type

杂志文章
  • [Leisure time physical activity and its association with demographic variables and other behaviors related with health].

    abstract:OBJECTIVES:To describe leisure-time physical activity at the levels considered more beneficial for health and to analyze the association with sociodemographic variables and other health behaviors, among the population older than 14 years in Barcelona, Spain. METHODS:A sample of 4,171 adults answered the Health Intervi...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:

    authors: Domínguez-Berjón MF,Borrell C,Nebot M,Plasència A

    更新日期:1998-05-01 00:00:00

  • [Representation of women in health-related scientific societies in Spain in 2014].

    abstract:OBJECTIVE:To describe the presence of women in the governance of health-related scientific societies in Spain today. METHODS:Spanish scientific societies were identified by vising the websites of the Ministry of Health, Social Services and Equality, and Fisterra. The sex of the president, executive officers and the bo...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2014.09.010

    authors: Casado-Mejía R,Botello-Hermosa A

    更新日期:2015-05-01 00:00:00

  • [Health promotion and prevention in the economic crisis: the role of the health sector. SESPAS report 2014].

    abstract::This article reviews trends in lifestyle factors and identifies priorities in the fields of prevention and health promotion in the current economic recession. Several information sources were used, including a survey of 30 public health and primary care experts. Between 2006 and 2012, no significant changes in lifesty...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2014.01.012

    authors: Márquez-Calderón S,Villegas-Portero R,Gosalbes Soler V,Martínez-Pecino F

    更新日期:2014-06-01 00:00:00

  • [Perceptions of female immigrant domestic workers on the effects of the sector regulation in Spain].

    abstract:OBJECTIVE:To examine the perceptions of female immigrant domestic workers of the effect of Royal Decree 1620/2011, which regulates the relationship of domestic workers in the family home and their employment conditions in Spain. METHODS:An exploratory study was performed using qualitative content analysis of three foc...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2013.06.011

    authors: Briones Vozmediano E,Agudelo Suárez AA,López Jacob MJ,Vives Cases C,Ballester Laguna F,Ronda Pérez E

    更新日期:2014-03-01 00:00:00

  • [Trends in socioeconomic inequalities in mortality over a twenty-two-year period in the city of Barcelona (Spain)].

    abstract:OBJECTIVE:To analyze the trend in socioeconomic inequalities in all-cause mortality in Barcelona from 1983 to 2004. METHODS:We performed an ecological study of trends over 4 cross-sections (1983-1988, 1989-1994, 1995-1999 and 2000-2004), with the basic health area (BHA) as the unit of analysis. The study population co...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2009.05.015

    authors: Dalmau-Bueno A,García-Altés A,Marí-Dell'Olmo M,Pérez K,Kunst AE,Borrell C

    更新日期:2010-01-01 00:00:00

  • [Burnout syndrome: prevalence and associated factors among workers in a district hospital].

    abstract:AIM:Burnout syndrome refers to a kind of occupational stress that can have psychosomatic, behavioral, emotional, familial, and social repercussions; it can also cause absenteeism and loss of efficacy at work. The aim of this study was to determine the prevalence of burnout among staff in a district hospital, as well as...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(02)71968-7

    authors: Pera G,Serra-Prat M

    更新日期:2002-11-01 00:00:00

  • [Epidemiology of Lyme disease in a healthcare area in north-west Spain].

    abstract:OBJECTIVE:To evaluate the influence of some risk factors on the incidence rate of Lyme disease and the main clinical manifestations. METHODS:A retrospective study of Lyme disease (2006-2013) was performed in north-west Spain; we included only patients who fulfilled the epidemiological surveillance criteria defined by ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2015.01.008

    authors: Vázquez-López ME,Pego-Reigosa R,Díez-Morrondo C,Castro-Gago M,Díaz P,Fernández G,Morrondo P

    更新日期:2015-05-01 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

  • [Inequality in access to health care services. Policy recommendations aimed at achieving equity].

    abstract::This article reveals the presence of inequalities in access to health care that may be considered unfair and avoidable. These inequalities are related to coverage of clinical needs, to the financial problems faced by families in completing medical treatments, or to disparities in waiting times and the use of services ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2016.01.012

    authors: Urbanos-Garrido R

    更新日期:2016-11-01 00:00:00

  • [Opportunity for the integration of the gender perspective in health research and innovation in Europe: COST Network genderSTE].

    abstract::The European Commission supports several routes for incorporating the gender perspective. The Commission currently supports the new Horizon 2020 program, and also funds projects such as "gendered innovations", which show how gender innovations increase the quality of research and professional practice for health and w...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2014.04.005

    authors: Sánchez de Madariaga I,Ruiz Cantero MT

    更新日期:2014-09-01 00:00:00

  • [Tobacco use in the province of La Garrotxa. Comparative study 1982-1986].

    abstract::The objective of this study is to compare the prevalence of smoking among young students of the area of La Garrotxa between 1982 and 1986. Two surveys were made, following the same methodology, interviewing two samples of student population 13 to 25 years old. The total number of interviewed students were 1,039 in 198...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(91)71058-3

    authors: Vallescar Piñana R,Moreno Aguado V,Sarquella Geli J,Vilar Subiras S,Martín Mateo M

    更新日期:1991-05-01 00:00:00

  • [Validation of the Job Content Questionnaire in hospital nursing staff].

    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

    authors: Escribà-Agüir V,Más Pons R,Flores Reus E

    更新日期:2001-03-01 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

  • Accuracy of cancer death certificates in Spain: a summary of available information.

    abstract:OBJECTIVES:Differences in mortality rates within Europe might be partly due to the quality of mortality statistics. The present article summarizes the available data on the quality of cancer death certification in Spain. A short description of the temporal distribution of the proportion of deaths due to ill-defined tum...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1157/13101089

    authors: Pérez-Gómez B,Aragonés N,Pollán M,Suárez B,Lope V,Llácer A,López-Abente G

    更新日期:2006-12-01 00:00:00

  • [The use of incidence density in assessing the risk factors for nosocomial infection].

    abstract::Several authors have suggested that incidence density should be used in studying nosocomial infection. We assess several risk factors for hospital infection by two ratios, the incidence density ratio (IDR) and the relative risk (RR), in an historical cohort of 843 patients. The variables analyzed were: operation, its ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(90)71036-9

    authors: Delgado Rodríguez M,Lardelli Claret P,López Gigosos R,Oliver Yáñez S,Rodríguez-Contreras Pelayo R,Gálvez Vargas R

    更新日期:1990-11-01 00:00:00

  • [Cost analysis and potential savings related to the use of preoperative tests in the hospitals of the Canary Islands [Spain]].

    abstract:OBJECTIVE:To estimate the potential cost savings that might take place in the Canary Islands Health Service (CHS) through the appropriate scientific use of preoperative tests, using information obtained from five public university hospitals. METHODS:A questionnaire was completed by 55 anesthesiologists, representing 6...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(03)71710-5

    authors: López-Bastida J,Serrano-Aguilar P,Duque-González B,Talavera-Déniz A

    更新日期:2003-03-01 00:00:00

  • [Costs analysis of ambulatory blood pressure monitoring in mild hypertension].

    abstract:BACKGROUND:To contrast the costs of conventional and ambulatory blood pressure monitoring (ABPM) methods in the diagnosis, treatment and follow-up of mild hypertensive patients. METHODS:Among patients with conventional diagnosis of mild hypertension, the ABPM would discriminate patients with sustained hypertension, wh...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(99)71389-0

    authors: Mar J,Pastor R,Abásolo R

    更新日期:1999-09-01 00:00:00

  • [An evaluation of the statistical significance and calculation of the confidence interval for the standardized mortality ratio].

    abstract::The standardized mortality ratio (SMR) is the ratio of the number of deaths observed (D) to the number expected (E), on the basis of the mortality rates of some reference population. Several procedures have been proposed in order to test its significance and to estimate its confidence intervals. In this study, the SMR...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(93)71156-5

    authors: Regidor E,de Mateo S,Rodríguez C,Gutiérrez-Fisac JL

    更新日期:1993-09-01 00:00:00

  • [Predicting individual risk of high healthcare cost to identify complex chronic patients].

    abstract:OBJECTIVE:To develop a predictive model for the risk of high consumption of healthcare resources, and assess the ability of the model to identify complex chronic patients. METHODS:A cross-sectional study was performed within a healthcare management organization by using individual data from 2 consecutive years (88,795...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2014.03.003

    authors: Coderch J,Sánchez-Pérez I,Ibern P,Carreras M,Pérez-Berruezo X,Inoriza JM

    更新日期:2014-07-01 00:00:00

  • [Fear of falling in elderly community-dwelling individuals].

    abstract:OBJECTIVE:To determine the association between fear of falling and health status, a history of previous falls and personal characteristics in a representative sample of elderly people. METHOD:We conducted an observational, cross-sectional prevalence study in the community setting in Albacete (Spain) of 921 people olde...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2010.09.009

    authors: Martínez IP,Bravo BN,Pretel FA,Muñoz JN,Molina RP,Hidalgo JL

    更新日期:2010-11-01 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

  • [Adaptation and validation of a questionnaire on susceptibility, benefits and barriers in breast cancer screening with mammography].

    abstract:OBJECTIVES:To adapt the on breast cancer screening to Spanish, and to asses its validity and reliability. METHODS:We assessed validation of a scale with 3 dimensions (susceptibility, benefits and barriers) with Likert responses in a case-control study. Cases were women not participating in a brea...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1157/13108499

    authors: Esteva M,Ripoll J,Sánchez-Contador C,Collado F,Tebé C,Castaño E,Torrent M

    更新日期:2007-07-01 00:00:00

  • [Policies encouraging price competition in the generic drug market: Lessons from the European experience].

    abstract:OBJECTIVES:To describe alternative policies aimed at encouraging price competition in generic drug markets in countries with strict price regulation, and to present some case studies drawn from the European experience. METHODS:Systematic literature review of articles and technical reports published after 1999. RESULT...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审

    doi:10.1016/j.gaceta.2009.12.003

    authors: Puig-Junoy J

    更新日期:2010-05-01 00:00:00

  • [The health status of older people with insomnia].

    abstract:OBJECTIVES:To evaluate the perceived health status of elderly patients with insomnia, whether primary, secondary to a medical illness, or associated with another mental disorder. METHODS:We conducted a cross-sectional study in a representative sample of 926 persons aged over 65 years. A psychiatric interview was used ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2011.11.014

    authors: López-Torres Hidalgo J,avarro Bravo BN,Párraga Martínez I,Andrés Pretel F,Rabanales Sotos J,Simarro Herráez MJ

    更新日期:2013-01-01 00:00:00

  • [Agreements and disagreements between community health and the Spanish health system. SESPAS Report 2018].

    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

    authors: Martínez Cía N,Pérez Pérez M,Heras-Mosteiro J,Gutiérrez Ávila G,Díaz-Olalla JM,Ruiz-Giménez Aguilar JL

    更新日期:2018-10-01 00:00:00

  • [Neurobiological consequences of child sexual abuse: a systematic review].

    abstract:OBJECTIVE:The results of several studies suggest that there is a critical timeframe during development in which experiences of maltreatment and sexual abuse may lead to permanent or long-lasting neurobiological changes that particularly affect the hypothalamus-pituitary-adrenal axis response. The aim of the present stu...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/j.gaceta.2010.12.004

    authors: Pereda N,Gallardo-Pujol D

    更新日期:2011-05-01 00:00:00

  • [Survival analysis with competing risks: estimating failure probability].

    abstract:OBJECTIVE:To show the impact of competing risks of death on survival analysis. METHOD:We provide an example of survival time without chronic rejection after heart transplantation, where death before rejection acts as a competing risk. Using a computer simulation, we compare the Kaplan-Meier estimator and the multiple ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审

    doi:10.1016/s0213-9111(04)71850-6

    authors: Llorca J,Delgado-Rodríguez M

    更新日期:2004-09-01 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

  • [Estimation of the variances of the variables in the Barcelona health survey].

    abstract::Variance estimation of surveys with complex sampling designs (stratified or multistage design) is biased if design effects are not taken into account. In this article we estimate the variance of some of the variables included in the 1986 health interview survey of Barcelona (survey of 2,205 households--clusters--that ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章

    doi:10.1016/s0213-9111(89)70962-6

    authors: Murillo Fort C,Guillén Estany M

    更新日期:1989-05-01 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