Abstract:
OBJECTIVE:To evaluate preventive interventions on alcohol consumption has been long recommended in Spain. The impact evaluation of structured programs and specific actions for the prevention and treatment of alcohol consumption (PAPTCA) would allow making better informed decisions on public health financing based on the efficiency criteria. To the best of our knowledge, there is no scientific document that illustrates the situation of the PAPTCAs' evaluation in Spain. This paper aims to classify and describe PAPTCAs in Spain, focused on their impact evaluation and information on financing for accountability to society. METHODS:A systematic literature review of the PAPTCAs implemented in Spain, from 2000 till 2017, at regional (autonomous communities) and local level was carried out, and a descriptive analysis of the PAPTCA database obtained from the literature review was carried out. RESULTS:145 structured programs and 45 specific actions were identified. Only 25% of structured programs provided an impact evaluation, besides, only 15% presented some information about their financing. Regarding the specific actions, the numbers were less encouraging where 10% provided an impact evaluation while a similar figure of PAPTCAs showed financing information. CONCLUSIONS:There is a need to systematize the information of the PAPTCA that serves as an instrument to conduct impact evaluations in Spain. This should ease the scarce presence of evaluative culture in this area and promote the accountability of resources spent on public health to society. OBJETIVO:Hace tiempo que se recomienda evaluar las intervenciones preventivas en España. La evaluación del impacto de los programas estructurados y de las acciones puntuales de prevención y tratamiento del consumo de alcohol (PAPTCA) permitiría tomar las decisiones de financiación mejor informadas en materia de salud pública, desde el punto de vista de la eficiencia. No obstante, no se conoce un documento que ilustre la situación de la evaluación de los PAPTCA en España. Este artículo pretendió clasificar y describir los PAPTCA en España, prestando especial atención a la evaluación de impacto y a la información sobre financiación para la rendición de cuentas. METODOS:Se realizó una revisión bibliográfica sistematizada de los PAPTCA implementados en España tanto a nivel regional (comunidades autónomas) como local durante el periodo 2000-2017, y se llevó a cabo un análisis descriptivo de la base de datos obtenida de los PAPTCA a partir de la revisión de la bibliografía realizada. RESULTADOS:Se identificaron 145 programas estructurados y 45 acciones puntuales. Solo el 25% de los programas estructurados evaluaron los resultados. Además, únicamente un tercio de ellos presentaron alguna información sobre su financiación. Por su parte, los números fueron menos alentadores en las acciones puntuales, donde solo el 10% evaluaron sus resultados, y una cifra similar aportó información sobre su financiación. CONCLUSIONES:Existe una necesidad de sistematizar la información de los PAPTCA, para que sirva de instrumento en la evaluación de su impacto en España y, de esta manera, paliar la escasa presencia de cultura evaluativa en este ámbito y promover la rendición de cuentas a la sociedad de los recursos en salud pública.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
García-Lorenzo B,Trapero-Bertran Msubject
Has Abstractpub_date
2020-06-18 00:00:00eissn
1135-5727issn
2173-9110journal_volume
94pub_type
杂志文章abstract:BACKGROUND:Little is known today about the characteristics of individuals diagnosed with fibromyalgia, their degree of disability and the health system response system response to this condition. The objectives of this work include: to establish the sociodemographic, clinical and psychosocial profile of male and female...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272005000600008
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:The province of Havana City, the capital and most densely populated city in Cuba, totals around 27% of the new cases of tuberculosis. This article is for the purpose of describing the distribution and trend of the tuberculosis cases rates from 1986 to 1998, by municipalities and age groups in this province. ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
abstract:BACKGROUND:Calcium supplements and vitamin D are involved in current debates of health, as cardiovascular safety of calcium, and correction of vitamin levels. The aim is to review the possibilities of making better use of supplements marketed in Spain, depending on their availability, information and related epidemiolo...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272012000500002
更新日期:2012-10-01 00:00:00
abstract::The results of the meningococcal vaccination campaign carried out in Cantabria in February-March 1997 are presented. In the short term, the campaign reduced the rate of incidence in the risk group from 21.33/100,000 in the previous 12 months, to zero in the 12 months following the campaign. In the medium term (2 and a...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Gender is a structural health determinant. This study analyses the changes in gender development inequalities in Spain and its regions (1980-2005). METHODS:Ecological study of the evolution of Gender Development Index and its components (Education, Income, Life Expectancy at Birth) by sex in Spain and its r...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272010000100003
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:In the last decade, public policy makers are applying new tools to promote healthy habits, starting from the behavioral economics sciences and social psychology. These tools are known as nudges, and before being applied, the degree of acceptance that the population presents about them must be analyzed. The ob...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-07-24 00:00:00
abstract:BACKGROUND:The Medical Death Certificate and the Death Statistics Bulletin were unified and implemented in the year 2009 in Spain. National statistics detected an unusual increase for diabetes mellitus (DM) and hypertensive disease (HT) deaths in 2009, in relation to previous years trend.The objective is to study the d...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272012000300003
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Dance is essentially an artistic discipline, with the dancer being exposed, as in any other occupation, to occupational risk factors. This document aims at identifying the characteristics about Professional Dance and its impact on the dancer's health. METHODS:Bibliographical review of all the material index...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272009000400004
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Research concerning the prevalence of Parkinson's disease in our community was scarce. In addition, this had been carried out using different methodologies. Therefore it was not possible to determine its true impact on public health in our community. Research into the consumption of specific and compulsory d...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract:BACKGROUND:Mental health of caregivers is damaged by caregiving tasks. Studies are needed to determine the influence of several variables on the association between informal care and mental health. The aim of this paper is to analyse the effects of the time devoted to informal caregiving on the mental health of women a...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011000300004
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:To determine the short-term impact of air pollution on mortality in the city of Valencia throughout the 1994-1996 period by employing the analysis method of the Spanish multicenter study with regard to the relationship between air pollution and the mortality (EMECAM Project). METHODS:The daily levels of bla...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,多中心研究
doi:
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Tuberculosis continues to be a major public health problem. Knowing the incidence, trend and geographical spread of reported tuberculosis may serve to evaluate the prevention and control measures implemented and point to further needs. METHODS:Retrospective study of the reported cases of tuberculosis in the...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-05-01 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:BACKGROUND:The aim of this study was to evaluate the screening strategy (quantitative immunological test vs biochemical test) in a population-based screening program for colorectal cancer (CRC) in Catalonia. METHODS:The fourth round of a screening program for CRC with a fecal occult blood test was implemented in Hospi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011120000008
更新日期:2011-12-01 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:BACKGROUND:The Hospital Morbidity Survey (EMH) includes, at the moment, 85% of hospitals and 90% of discharges, and is the only national data source that allows to deepen with information about diagnostics, gender or age, in the study of hospitals as place of death. This work aims to analyze the presence of inhospital ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272008000600010
更新日期:2008-11-01 00:00:00
abstract::Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) initiative developed recommendations on what s...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272008000300002
更新日期:2008-05-01 00:00:00
abstract::This work presents some data of relevance from the National Survey on Working Conditions, carried out in Spain in 1993. A cross-section survey was undertaken on a representative sample of the industry and services sectors (3,148 workers), both through an individual interview which took place at their places of work, a...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:In the world scientific literature, analytical research on tuberculosis has not been meta-analyzed. The objective of this study was to identify risk factors for tuberculosis infection with drug resistance and meta-analyze the causal relationship of prior antibiotic use. METHODS:Systematic review with meta-a...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2018-09-07 00:00:00
abstract:BACKGROUND:The high number of computer workers wearing contact lenses raises the question whether the sum of these two risk factors for eye health may cause a worsening of Computer Vision Syndrome. The aim of this review is to synthesize the knowledge about ocular and visual alterations related with computer use in con...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272014000200004
更新日期:2014-03-01 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::The evolution of epidemiology from a risk factor centred approach to a population epidemiology, focused in etiologic theories and more connected with the social and environmental context could support but not guarantee the implementation of public policies oriented to improve population health. In this article, we com...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000500005
更新日期:2006-09-01 00:00:00
abstract::The precautionary principle is a response to uncertainty in the face of risks to health or the environment. In general, it involves taking measures to avoid potential harm, despite lack of scientific certainty. In recent years it has been applied, not without difficulties, as a legal and political principle in many co...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272005000200003
更新日期:2005-03-01 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:The evaluation of the process is an essential condition to correctly measure the impact of educational interventions on behaviour, its psychosocial determinants and the state of change, in the context of health promotion. The aim was to evaluate the quality of the implementation of the FAPACAN Programme, des...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:To Study the incidence of coronary heart disease (CHD) and all-cause mortality in a cohort of men followed during 28 years, and their association with serum cholesterol, systolic blood pressure, glycemia, cigarette smoking and body mass index measured at baseline. METHODS:A cohort of 1,059 men aged 30 to 59...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272004000200009
更新日期:2004-03-01 00:00:00
abstract::Not only are there large number of guides, protocols and other support tools available for the clinical decision-making process in the Spanish National Health System, but there is also a major degree of variability among them, reflecting inconsistencies and low quality of those documents. This study is aimed at conduc...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272004000400004
更新日期:2004-07-01 00:00:00
abstract::The aim of this study is to Mortality show the protocol of analysis which was set out as part of the EMECAM Project, illustrating the application thereof to the effect of pollution has on the mortality in the city of Valencia. The response variables considered will be the daily deaths rate resulting from all causes, e...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,多中心研究
doi:
更新日期:1999-03-01 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::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