Abstract:
Introduction:Background: the legislation currently regulating the inclusion of Food for Special Medical Purposes (FSMP) among the benefits of the National Health System (SNS) was made approximately 15 years ago. The evolution of the technical characteristics of the FSMP justifies an analysis of the current regulation and the consideration of possible regulatory modifications that would allow the incorporation of the progress achieved. Material and methods: four successive focus groups of experts, mostly doctors (91%), hospital specialists in disciplines related to nutrition (73%), from 8 different hospitals and 6 autonomous communities. Previously, 4 documents summarizing different technical aspects of the regulation on FSMP in Spain were sent to the participants. The audio of the meetings was transcribed anonymously and its content was codified. Results: the contents of the focus groups were grouped into 9 codes: 1) problems and regulation; 2) clinical benefits and evidence of efficacy or effectiveness; 3) clinical indications; 4) international context and comparisons with other countries; 5) budgetary impact; 6) cost-effectiveness; 7) risks and reasons for maintaining current regulation; 8) proposals for progress, feasibility and aspects that make implementation difficult; and 9) other issues. Conclusions: based on the technological development and clinical application of the FSMP carried out in recent years, an update of the regulation of these products can be proposed for financing by the National Health System in Spain. Most of these changes do not imply an increase in expenditure if current conditions regarding indications and maximum prices are maintained. Introducción:Antecedentes: la normativa que regula la inclusión de alimentos para usos médicos especiales (ADUME) entre las prestaciones del Sistema Nacional de Salud (SNS) fue elaborada hace unos 15 años, si bien la nutrición enteral domiciliaria se comenzó a regular en 1998. La evolución de las características técnicas de los ADUME justifica un análisis de la actual normativa y la consideración de posibles modificaciones que permitan la incorporación de avances tecnológicos. Material y métodos: reuniones estructuradas siguiendo la metodología del grupo focal, con expertos en su mayoría médicos (91 %), mujeres (55 %) y especialistas hospitalarios en disciplinas relacionadas con la nutrición (73 %) de 8 hospitales y 6 comunidades autónomas. Previamente, los participantes recibieron 4 documentos resumen de diferentes aspectos técnicos de la regulación sobre ADUME en España. Se transcribió de forma anonimizada el audio de las reuniones y se codificó su contenido en 9 códigos: 1) problemática y regulación; 2) beneficios clínicos y evidencia de eficacia o efectividad; 3) indicaciones clínicas; 4) contexto internacional y comparaciones con otros países; 5) impacto presupuestario; 6) coste-efectividad; 7) riesgos y motivos para mantener la regulación actual; 8) propuestas de avance, factibilidad y aspectos que dificultan la implementación; y 9) otros temas. Resultados: los grupos señalaron la necesidad de modificar aspectos regulatorios relacionados con la exclusión de financiación de las fórmulas de densidad calórica superior a 2,1 kcal/ml, exclusión de la financiación de los ADUME obtenidos total o parcialmente a partir de alimentos ordinarios, preferencia por la alimentación por sonda y exclusividad de la financiación de fórmulas completas para los ADUME que se empleen por vía oral como complemento de una ingesta insuficiente. Conclusiones: sobre la base del desarrollo tecnológico y la aplicación clínica de los ADUME en los últimos años, el SNS debería actualizar la regulación de la financiación de estos productos. La mayor parte de estos cambios no implican incremento del gasto si se mantienen las condiciones actuales en cuanto a indicaciones y precios máximos.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Peiró Moreno S,Del Llano Señarís JE,Gol-Montserrat Jdoi
10.20960/nh.03082subject
Has Abstractpub_date
2020-12-16 00:00:00pages
1246-1280issue
6eissn
0212-1611issn
1699-5198journal_volume
37pub_type
杂志文章abstract:OBJECTIVE:The present study is a literature review to identify the effects of a very low birth weight newborn on family. This is an important instrument to clarify epidemiological issues and to suggest the directions for health policy efforts. METHOD:A three-step review was carried out using databases of journals inde...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2007-03-01 00:00:00
abstract::Sustainability represents a major concern in recent years due to climate change pressure. The diet itself contribute to the emission of greenhouse gasses, water and land use, energy consumption and environment contamination. The Mediterranean diet should be understood not only as a set of foods but also as a cultural ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.2133
更新日期:2018-06-12 00:00:00
abstract::T2DM involves at least two primary pathogenic mechanisms: (a) a progressive decline in pancreatic islet cell function resulting in reduced insulin secretion and (b) peripheral insulin resistance resulting in a decrease in the metabolic responses to insulin. This dynamic interaction between insulin secretion and insuli...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.sup2.6717
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:Obesity and diabetes are diseases with high prevalence worldwide. There is currently no effective medical treatment for combat the weight gain. It is precursor of diseases such as diabetes or metabolic syndrome. It is necessary to know if weight gain has cumulative effects on the glycemic and lipid metabol...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.5.7288
更新日期:2014-05-01 00:00:00
abstract::Advances in HIV infected patients' treatment have modified their prognosis, making possible to consider their admission to the ICU for acute complications. HIV infected patients show nutritional impairments onto which changes due to acute disease are added. Thus, they are candidate to receive specialized nutritional s...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
abstract:INTRODUCTION:there is high prevalence of overweight and poor food habits among adolescents, and these factors contribute to the development of chronic diseases. OBJECTIVE:the aim of this study was to evaluate the effectiveness of an educational intervention designed to reduce the consumption of high-calorie foods in p...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.2.9183
更新日期:2015-08-01 00:00:00
abstract::Given the high numbers of nutritional supplements and enteral diets which are supplied for patients suffering from cystic fibrosis, by the departments of hospital pharmacy, the present study aims to review which are the characteristics of this disease which determine the appearance of malnutrition in these patients. A...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:1997-03-01 00:00:00
abstract:AIM:To present the results of the Spanish home enteral nutrition (HEN) registry of the NADYA-SENPE group for the year 2013. MATERIAL AND METHODS:From January 1st to December 31st 2013 data was recorded for the HEN registry and further descriptive and analytical analysis was done. RESULTS:In this period 3 223 patients...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.6.8983
更新日期:2015-06-01 00:00:00
abstract::A large number of recreational and elite athletes use nutritional supplements in hopes of improving performance. These aids can be costly and potentially harmful, and the advertised ergogenic gains are often based on little or no scientific evidence. Due to the lack of regulation of the dietary supplement industry, an...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVES:To ascertain the relationship between maternal weight gain and birth weight, in every pre-gestational body mass index (BMI) category. MATERIAL AND METHODS:A two-stage sampling observational and descriptive study was carried out in the health department of La Ribera (Valencia, Spain). The sample was divided ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8495
更新日期:2015-04-01 00:00:00
abstract:Introduction:Water intake has been proposed for weight loss; however, the evidence of its efficacy is limited. The aim of this study was to systematically review the randomized clinical trials that assessed the effect of water consumption on weight with a follow up ≥ 12 weeks. A systematic query-based search was perfor...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02746
更新日期:2019-12-26 00:00:00
abstract:BACKGROUND:The origin of most non-communicable diseases (NCDs) is in early life. Consequently obtaining information on risk factors for NCDs is important for preventive purposes. However, there is no information available on the prevalence of obesity, metabolic syndrome (MS) and insulin resistance (IR) in Chilean child...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nutr hosp.v28in06.6770
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION:Epidemiological studies show that during the last two decades childhood obesity has increased dramatically to become, one of the major public health concerns. Dietary habits, lack of physical activity and the degree of obesity rates and worsen over the years making overweight children overweight adults. A...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.1.7785
更新日期:2015-01-01 00:00:00
abstract::Intrahepatic cholestasis is a condition often observed in patients receiving parenteral nutrition, especially in new born babies who are underweight (< 1,000 g.) Some authors find an alteration in the amino acids transulphuration passage, which gives rise to a deficit of taurina. This makes it impossible to achieve a ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract:OBJECTIVE:we analyzed the rural-urban differences of the nutritional status by residence (DRU) of the Basque male population during the Industrial Revolution. METHODS:We used data from the military recruitment of 1876-1936 (cohorts born in 1856-1915). We analyzed the heights of 12,747 conscripts in six municipalities ...
journal_title:Nutricion hospitalaria
pub_type: 历史文章,杂志文章
doi:10.20960/nh.2084
更新日期:2018-06-04 00:00:00
abstract::A prospective study was carried out in 207 patients with benign and neoplastic diseases of the digestive tract who were candidates for elective surgery, in order to evaluate the influence of the nutritional status and perioperative transfusions on the appearance of postoperative infections. All patients were subjected...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:1998-09-01 00:00:00
abstract::Flavonoids are a group of natural substances that are located in sources of vegetal origin. More than 4,000 varieties of flavonoids have been identified. All of them are phenyl-benzopyrones of low molecular weight with a basic structure formed by two benzene rings united through a heterocyclic pyrane or pyrone. Beside...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2007-05-01 00:00:00
abstract:INTRODUCTION:Food craving consists of a strong motivational state whereby a person is driven to seek and ingest a specifically desired food. OBJECTIVES:To explore the influence of mental imagery on the food craving experience as well as to analyse the role of different psychological variables. METHODS:Participants co...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.6.6043
更新日期:2012-11-01 00:00:00
abstract::The problems of disintubation and obstruction of nutritional catheters are common during treatment with enteral nutrition. This prospective study has been designed to evaluate the differences in the frequency of obstruction between two different types of enteral nutrition catheter. Catheter A (Silk, Ibys) with one sin...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract::Obesity has become an important problem of public health in all developed countries. It has slightly different connotations in women because, apart from its greater prevalence, low socio-economic level is a risk factor solely for women. As well as a cardiovascular risk factor in women, it is associated with an increas...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVE:To report the data of the Home Parenteral Nutrition (HPN) registry of the NADYA-SENPE working group for the year 2006. METHODOLOGY:We compiled the data from the on-line registry introduced by the responsible Units for the monitoring of HPN from January 1st to December 31st 2006. RESULTS:103 patients with HP...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract:Introduction:Objectives: to review the knowledge about the nutritional situation of the population of Extremadura and about the gastronomy of the Extremadura region as necessary elements for the welfare and health of the population. Methods: Bibliographic search in relation to the subject. Results: in Extremadura there...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.02704
更新日期:2019-07-02 00:00:00
abstract::The literature contains a large number of published articles indicating a strong relationship between obesity and morbidity-mortality due to different cause. There are also various short- to medium-term studies demonstrating the benefits of a moderate weight loss on the control of obesity-related risk factors. Nonethe...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVE:To compare the accuracy of three BMI-forage references (World Health Organization reference, WHO; the updated International Obesity Task Force reference, IOTF; and Centers for Disease Control and Prevention (CDC) growth charts) to diagnose obesity in Mexican children. METHODS:A convenience sample of Mexican ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.6.8639
更新日期:2015-06-01 00:00:00
abstract::Phospholipids are amphipathic lipids, which are found in all the cell membranes, organized as a lipid bilayer. They belong to the glycerol-derived lipids, showing a similar structure as triglycerides. The current interest of them comes from its effectiveness to incorporate different fatty acids in the cell membrane, a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.31.1.7961
更新日期:2014-09-12 00:00:00
abstract:BACKGROUND:Obesity and the metabolic syndrome affect a considerable segment of the population worldwide, including health professionals. In fact, several studies have reported that physicians tend to have more cardiovascular risk factors than their patients. The present cross-sectional study assessed whether the Health...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.1.6185
更新日期:2013-01-01 00:00:00
abstract:INTRODUCTION:We may define Modular Parenteral Nutrition (MPN) as parenteral nutrition (PN) mixtures obtained from adding different macronutrients to standard formulations (SPN) both binary (amino acids and glucose) and ternary (amino acids, lipids, and glucose). OBJECTIVES:The aim of this study is to demonstrate that ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract:INTRODUCTION:The lifestyle changes in college, students go through periods of physical inactivity and irregular meal times, which leads to increased consumption of processed foods and fast food. OBJECTIVE:To calculate vitamins and minerals intakes for groups in the diet of Chilean university students. METHODS:We stud...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.3.6397
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:childhood obesity is a worldwide health concern. For this issue different intervention have being planned to increase physical activity patterns and reduce the excess of weight in children with limited or no success. OBJECTIVE:the aim of this study is to evaluate the results of a pilot intervention consis...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.4.9514
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:Aluminium has lately been implicated as one of the possible causal factors contributing to Alzheimer's disease and other neurodegenerative disorders due to this metal is conducive to oxidative stress in the brain. According to different researches, it has been suggested that silicon may interfere in the toxic...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2007-05-01 00:00:00