Abstract:
:The aim was to develop a conceptual framework for the assessment of new healthcare initiatives on chronic diseases within the Spanish National Health System. A comprehensive literature review between 2002 and 2013, including systematic reviews, meta-analysis, and reports with evaluation frameworks and/or assessment of initiatives was carried out; integrated care initiatives established in Catalonia were studied and described; and semistructured interviews with key stakeholders were performed. The scope and conceptual framework were defined by using the brainstorming approach.Of 910 abstracts identified, a total of 116 studies were included. They referred to several conceptual frameworks and/or assessment indicators at a national and international level. An overall of 24 established chronic care initiatives were identified (9 integrated care initiatives); 10 in-depth interviews were carried out. The proposed conceptual framework envisages: 1)the target population according to complexity levels; 2)an evaluation approach of the structure, processes, and outcomes considering the health status achieved, the recovery process and the maintenance of health; and 3)the dimensions or attributes to be assessed. The proposed conceptual framework will be helpful has been useful to develop indicators and implement them with a community-based and result-oriented approach and a territorial or population-based perspective within the Spanish Health System. This will be essential to know which are the most effective strategies, what are the key elements that determine greater success and what are the groups of patients who can most benefit. :El objetivo del trabajo fue desarrollar un marco conceptual para la evaluación de nuevos programas de gestión clínica y asistencial de carácter integrado en el Sistema Nacional de Salud para la atención a las personas con enfermedades crónicas. Se realizó una revisión exhaustiva de la literatura entre 2002-2013 incluyendo revisiones sistemáticas, metaanálisis e informes con modelos de evaluación y/o evaluaciones de programas. Se estudiaron y describieron programas locales de atención a la cronicidad implementados en Cataluña y se realizaron entrevistas semiestructuradas con expertos clave en el ámbito catalán. El alcance y el marco conceptual se definieron mediante la técnica del brainstorming. De 910 resúmenes identificados, se incluyeron 116 documentos que se referían a marcos conceptuales e indicadores de evaluación a nivel español e internacional. Se identificaron 24 programas de atención a la cronicidad (9 de carácter integrado). El marco conceptual propuesto contempló: 1) la población diana según niveles de complejidad; 2) un enfoque de evaluación de la estructura, procesos y resultados teniendo en cuenta el estado de salud conseguido, el proceso de recuperación y mantenimiento de la salud; y 3) las dimensiones o atributos que se deben evaluar. El marco conceptual propuesto permite desarrollar indicadores e implementarlos con un enfoque comunitario, orientados a los resultados y tener una visión territorial o poblacional, que será imprescindible para saber cuál es la estrategia más efectiva, cuáles son los elementos que determinan un mayor éxito y cuáles son los grupos de pacientes que más se pueden beneficiar.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
Espallargues M,Serra-Sutton V,Solans-Domènech M,Torrente E,Moharra M,Benítez D,Robles N,Domíngo L,Escarrabill Sanglas Jsubject
Has Abstractpub_date
2016-07-07 00:00:00pages
e1-e16eissn
1135-5727issn
2173-9110journal_volume
90pub_type
杂志文章abstract:BACKGROUND:A wave of influenza A (H1N1) 2009 was registered in the summer of 2009. We evaluated its repercussion on primary care consultations not diagnosed as influenza. METHODS:We analysed primary care consultations in the Navarre Health Service from 21 June to 21 September 2009 with a diagnosis of influenza (Intern...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011000100014
更新日期:2011-01-01 00:00:00
abstract::The Millennium Development Goals (MDGs) are now at the midterm of their target period, as 2015 is the date scheduled by the United Nations Organisation (UN) for their attainment. The purpose of this article is to review the current situation of the MDGs worldwide and to analyse the barriers which are preventing them f...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272008000500002
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:Terminal patients and their relatives must know their real situation, and be treated according to the principle of autonomy, to establish therapeutic objectives adapted each one, according to their needs and decisions. The objective of this study is to identify the sufficient existence of records in the Medic...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-05-05 00:00:00
abstract:BACKGROUND:Diabetic Education is a basic part of treating Diabetes Mellitus and is intended to improve a patient's quality of life. An analysis was made of the effectiveness of a diabetic education program at the Algeciras Regional Hospital. METHODS:Results achieved by the Diabetic Education Unit were measured accordi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:the C-section rate has been criticized as a performance indicator for not considering that different hospitals manage deliveries with diverse risks. In this work we explore the characteristics of a new indicator restricted to low C-section risk deliveries. METHODS:retrospective cohort of all births (n=214,6...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272014000300002
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:The evaluation of vaccination programmes using cost estimation is an essential tool for immunization policy. The aim of this study was to describe the cost of vaccination through-out life in Spain, both in healthy and risk groups persons. METHODS:Description of cost of vaccination following the national immu...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-02-11 00:00:00
abstract:BACKGROUND:There are conflicting results on the role of neuroticism as a risk factor for post-traumatic stress disorder (PTSD). The objectives of this study were to estimate the magnitude and direction of the association between neuroticism and PTSD, and to analyze the influence of different moderator variables on effe...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,meta分析,评审
doi:10.4321/S1135-57272014000100003
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:There are different scales in Spanish for cognitive and behavioral assessment of patients with severe dementia. The objective of this study was to select those scales that are more accessible, useful and with better psychometric properties, both for clinical practice and for research. METHODS:Literature rev...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:
更新日期:2020-09-21 00:00:00
abstract::Child day-care attendance is considered to be an acute early childhood disease risk factor, the studies available however not affording the possibility of fully quantifying this risk. A systematic review of clinical trials and cohort studies was conducted, in which the effects child day-care attendance had on the heal...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272007000200003
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to establish the prevalence of Chronic obstructive pulmonary disease [COPD] in a rural health area and its stratification according different risk factors. METHODS:A cross-sectional, observational study was performed in Yunquera de Henares (Guadalajara, Spain) in the year 2014. A qu...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2016-02-05 00:00:00
abstract:OBJECTIVE:One in four pregnant women has at least one fall during their pregnancy. The objective of this research was to develop a written educational material on fall prevention for pregnant women, promoting self-efficacy and the expectations of results based on the social cognitive theory. It was also intended to eva...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-01-21 00:00:00
abstract:BACKGROUND:On the 4th of February 2008, 2 cases of measles, epidemiologically linked (2 members of the crew of the Fast-Ferry Jaime I from the company Balearia, which performs the route Algeciras-Tangier), were notified to the Epidemiological Surveillance Network in Andalusia (SVEA). The aim of this paper is to epidemi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272010000200007
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Taking into account that one of the Spanish National Epidemological Surveillance Network's missions is that of providing information for taking action, it is then absolutely essential that its information be disseminated in a timely manner. This study is aimed at ascertaining what information is being publis...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000600011
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVE:Only very few instruments have been developed to assess sexual knowledge and practices. Most of the research to date has been carried out with adolescent samples, but not with university students, who are also at a particularly risky stage. The aim of this study was to design and validate a brief questionnair...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:To ascertain the degree to which AIDS is officially reported in Catalunya. METHOD:The request for T CD4+ white blood cell counts and the prescribing of antiretroviral drugs in seven university hospitals in Catalunya from January 1, 1994 to June 31, 1994 were used as data-comparison sources. A case was consi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract:BACKGROUND:Olive oil, as fundamental fat in the Mediterranean diet, has contributed to a decrease in obesity in several epidemiological studies. It is unknown whether olive oil itself can decrease the weight independently of the diet used. The objective of this work was to determine the efficacy of olive oil in reducin...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,meta分析
doi:
更新日期:2018-11-21 00:00:00
abstract:BACKGROUND:Knowing Influenza absenteeism in the educational environment. Making health education in the same medium. METHODS:Among other actions carried out in the pandemic plan, the absences were monitored by flu-like symptoms in children from kindergarten, primary and secondary public schools and reached epidemiolog...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272010000500019
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Most patient classification systems have been designed in the United States for the purpose of availing of a tool providing a means of gauging the use of resources. This study was aimed at calculating the mean relative weights (MRW's) for the cost of care at several primary care health facilities as compared...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000100006
更新日期:2006-01-01 00:00:00
abstract::Falls in the elderly are a serious problem that results in large health care expenditures. To prevent them, it has been shown that the key is an epidemiologic knowledge of the target population. The purpose of this systematic review was to identify the incidence, risk factors and consequences of falls in the Spanish p...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272008000100004
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:A high proportion of those seeking help to quit smoking have psychiatric disorders. The aim of this work is to analyze the effectiveness of those group smoking cessation programs who are usually employed in Primary Care and to compare their results to those obtained with non psychiatric patients. METHODS:A ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272013000600007
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:The measurement of inequalities using composite indicators facilitates the prioritization and implementation of public health actions. The most commonly source of information used for this has been the Population and Housing Census of 2011 (PCH_2011).The objective of this study was to evaluate the use of PHC_...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2018-12-10 00:00:00
abstract::The following article shows the evolution of the schools contribution to the Health Education of children and young people. Moving on from the traditional concept of health, today, Health Education has a general and global meaning, which encompasses all of the physical, psychological and social aspects of health. Thes...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:This a prospective study of the incidence, etiology and epidemiological profile of human brucellosis in the regions of Pallars Jussà y Sobirà (Lleida) for the 1995-1998 period. METHODS:Fifty-five patients diagnosed as having brucellosis were studied. Information was recorded regarding the gender, age, town ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::Performance measurement, in their different meanings--either balance scorecard or outputs measurement--have become an essential tool in today's organizations (World-Class organizations) to improve service quality and reduce costs. This paper presents a performance measurement system for the hospital supply chain. The ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract::In the midst of the SARS-CoV-2 public-health pandemic emergency, it is important to understand its zoonotic origin and how an animal virus finally infects humans. Identifying the circumstances in which a virus jumps species boundaries to infect humans so productively is objective of this work and will help us to deter...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-09-30 00:00:00
abstract:BACKGROUND:the prevalence of chronic viral hepatitis in Spain could vary because of the immigrants coming from countries having an elevated with a higher endemicity of hepatitis B and C virus. Hepatitis B and hepatitis C virus infections are an important health problem worldwide taking into account their chronic conseq...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272014000600012
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Regular physical exercise is not a widespread habit among the population. Early childhood in a crucial stage for acquiring this habit. The objective of this study was that of ascertaining the behavior of school-age children with regard to the degree of physical activity they do and to examine the factors inv...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:In order for vaccination programs to be carried out properly, it is essential for the vaccination coverage to be known. On the Balearic Islands, the reported coverage was much less than for the rest of Spain. The objective of this study is that of estimating the coverage of the vaccinations included on the r...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract::Although various measures have been implemented in Spain with the aim to modifying the behavior of motor vehicle users, it has not been observed a descending trend in traffic accident and injuries from traffic accident. This article considers the question of whether the measures taken to reduce motor vehicle crash-rel...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract::The NO-DO, a weekly projection of the Franco regime, created as a diffusion service of obligatory exhibition in Spanish cinemas, constitutes the greatest audiovisual historical background for the contemporary history of Spain in the 20th century. The analysis and study of these newsreels and documentaries illustrate p...
journal_title:Revista espanola de salud publica
pub_type: 历史文章,杂志文章
doi:
更新日期:2020-06-24 00:00:00