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Search Results: 1 - 10 of 678 matches for " Francesc "
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Dificultades para incorporar la telemedicina en las organizaciones sanitarias: perspectivas analíticas
Roig,Francesc; Saigí,Francesc;
Gaceta Sanitaria , 2009, DOI: 10.1590/S0213-91112009000200013
Abstract: socioeconomic transformations at the end of the twentieth century and the beginning of the twentyfirst century pose major challenges to health systems, particularly to western societies with high technological systems and an aging population, in a political context of health expense reduction. the incorporation of information and communication technologies to health care systems, which has been called ?e-health?, has created enormous expectations in this context. telemedicine has been one of pioneer experiences. despite the early beginnings of telemedicine and the efforts invested, more widespread use of this technology remains difficult and controversial. most projects last just the feasibility phase and are then forgotten. the traditional model of medical technologies assessment explains this phenomenon, based on the difficulty of obtaining the empirical evidence needed to support widespread adoption of telemedicine, as a consequence of the problems of conducting traditional studies of clinical efficacy and cost-effectiveness. in the last few years, a different analytical approach has emerged. this perspective indicates that the consolidation (or otherwise) of telemedicine projects will depend on the results of interaction between technology and the context where it is applied and not only on clinical results. better and deeper empirical knowledge of these interaction processes is needed to increase the spread of telemedicine.
Barreras para la normalización de la telemedicina en un sistema de salud basado en la concertación de servicios
Roig,Francesc; Saigí,Francesc;
Gaceta Sanitaria , 2011, DOI: 10.1590/S0213-91112011000500010
Abstract: objective: despite the clear political will to promote telemedicine and the large number of initiatives, the incorporation of this modality in clinical practice remains limited. the objective of this study was to identify the barriers perceived by key professionals who actively participate in the design and implementation of telemedicine in a healthcare system model based on purchasing of healthcare services using providers' contracts. methods: we performed a qualitative study based on data from semi-structured interviews with 17 key informants belonging to distinct catalan health organizations. results: the barriers identified were grouped in four areas: technological, organizational, human and economic. the main barriers identified were changes in the healthcare model caused by telemedicine, problems with strategic alignment, resistance to change in the (re)definition of roles, responsibilities and new skills, and lack of a business model that incorporates telemedicine in the services portfolio to ensure its sustainability. conclusions: in addition to suitable management of change and of the necessary strategic alignment, the definitive normalization of telemedicine in a mixed healthcare model based on purchasing of healthcare services using providers' contracts requires a clear and stable business model that incorporates this modality in the services portfolio and allows healthcare organizations to obtain reimbursement from the payer.
Analysing Economic and Financial Power of Different Countries at the End of the Twentieth Century  [PDF]
Juan Carlos Molero, Francesc Pujol
Modern Economy (ME) , 2012, DOI: 10.4236/me.2012.32028
Abstract: This paper offers further evidence to “The Economist” index of economic power developed by Pujol (2002, 2003, and 2009). The original index is composite by construction and it gives information about year 2000, comparing the results with year 1990. Testing the robustness of the ranking of selected countries obtained by Pujol’s index; this paper applies the same methodology to two specific years: 1995 and 2001. The research tries to ascertain if the evolution of the rank- ing of countries among years 1990 and 2000 is not merely a chance. The number of times each country appears in tables and graphs of the different “The Economist” issues for year 1995 confirms the evolution of the index between 1990 and 2000. Data for year 2001 gives continuity and support to the ranking developed in year 2000. The data analyzed from this magazine make sense, because at the end it gives the same information that the one obtained from other more tradi- tional and sophisticated ways. Empirical results tend to confirm that unconventional composite index can produce relevant data sets for scientists and practitioners.
La sostenibilidad del sistema hospitalario en Catalu?a: El balance de una década
Cots,Francesc;
Gaceta Sanitaria , 2004, DOI: 10.1590/S0213-91112004000100011
Abstract: concern about the viability of the hospital system has increased as demand has continued to grow and as the expected increase in public resources to meet this demand remains below requirements. the central de balances of catsalut, which groups all the economic results of the catalan public hospital network (cphn), has enabled determination of the relationship between activity and resources in the hospitals within the public sector from 1993 to 2000. we analyzed data from the central de balances to determine hospital functioning throughout the 1990s, paying special attention to the development of the hospital system's general productivity over this period. the annual accumulative growth in activity was 4.1%, that of expenses was 1.8% and that of revenues was 1.9%. unitary cost in 2000 was 85.3% of the unitary cost in 1993.
Psicoeducación, el litio de las psicoterapias Algunas consideraciones sobre su eficacia y su implementación en la práctica diaria*
Colom,Francesc;
Revista Colombiana de Psiquiatría , 2011,
Abstract: the physician-patient relationship must evolve towards greater interactivity and the promotion of pro-activity. for such a purpose, it is indispensable to have therapeutic educational programs for patients. prognosis of many non-psychiatric pathologies i.e., cardiopathies, breathing diseases, diabetes, asthma) clearly improves with such programs and the same happens with psychiatric pathologies, such as bipolar disorder. the first psycho-educational programs were focused on information, while current approaches have a much more therapeutic focus, including work on the disease significance, identifying personal triggers as well as prodromes, managing symptoms and overcoming problems of adherence to pharmaceutical drugs. today, psychoeducation is part of the routine of bipolar treatment, suitable to the physician's model. psycho-education has likewise demonstrated its efficiency in the prophylaxis of all sorts of two and five-year relapses, remarkably reducing episode duration, hospitalizations and adherence problems. besides, as time passes, its efficiency is maintained, something that does not occur with other sorts of psycho-therapies. furthermore, its implementation saves health resources. however, this type of programs is recommended as soon as possible, in the course of the disease. this article introduces a series of evidences and practical considerations on the implementation of psycho-education, which in the bipolar disorder psychotherapy has the same role than lithium in pharmacotherapy.
Conclusions
Francesc Morata
Revista CIDOB d'Afers Internacionals , 2006,
Abstract: In his conclusions on the general subject of “Turkey and the EU: Charting the Course Ahead”, the author points out the main challenges that Turkey and the EU must confront on their long road to integration, and he manifests the importance of building bridges, using all of the political resources available, as well as taking advantage of one of theprincipal resources of European governance: networks.
EVOLUCIóN: DE LA ESPECIE HUMANA AL CYBORG
Francesc Mestres
Sociología y Tecnociencia , 2011,
Abstract: The human being has been able to adapt to the environment due to the biological and cultural evolution. One option to improve the human characteristics could be to obtain a cyborg or a bionic human being with a computational chip directly connected to the brain. This and other possibilities are discussed in the present paper.
La utilización del concepto de ADN en nuestra sociedad: tecnociencia, frases hechas y errores científicos
Francesc Mestres
Sociología y Tecnociencia , 2012,
Abstract: Technology based on DNA and its applications has revolutionized our society. Information regarding these advances has rapidly spread by the media. Furthermore, people have incorporated the DNA technology concepts in their worldview. Several set phrases based on DNA have had a depth media success, but someone contain severe scientific mistakes. This paper is focused in presenting this errors and proposing different ways to overcome them.
The Asiatic Crisis and Models of Sub-Development
Francesc Granell
Revista CIDOB d'Afers Internacionals , 1998,
Abstract: The re-thinking of the Theories of Development and the analysis of the limited results of the traditional focus on cooperation gave rise to a new approach whose aim was for the developing countries to adjust to the global system and to attain macroeconomical balance by way of implementing plans of economic restructuring. Many are still convinced that only in such an economic context can the process of attracting international and domestic investment be generated that would lead to economic and social progress.The pressure to reduce public spending that has brought on budgetary discipline has, however, led to serious cut backs on social policies and has negatively impacted on the under-privileged sectors of the populations. Today, poverty relief has turned into one of the driving forces for cooperation, unlike years earlier when such relief contained a global-state characteristic and largely failed to evaluate how such relief would affect a societyís different sectors.The high rates of economic growth in the so-called Asian Tigers unleashed great expectations regarding the surging, successful model of Asian development, despite both the flagrant democratic deficit in the regimes that upheld the model and the evidence that social progress lagged far behind economic progress. The monetary and fnancial crisis that whiplashed these countries at the end of 1997 has since led to the questioning of both the solidity of the system and the validity of using, exclusively, macroeconomic statistics as the basic indicators of development. As result of the recent UN summits and conferences, a higher sensitivity towards the interdependencies that globalization imposes on all nations has been reached, and it is to this sensitivity which Cooperation for development must heed in promoting actions aimed at a generalized enjoyment of Human Rights.
Psycho-education, the Lithium of Psycho-therapies. Some Considerations Regarding its efficiency and Implementation in Daily Practice Psicoeducación, el litio de las psicoterapias Algunas consideraciones sobre su eficacia y su implementación en la práctica diaria*
Francesc Colom
Revista Colombiana de Psiquiatría , 2011,
Abstract: The physician-patient relationship must evolve towards greater interactivity and the promotion of pro-activity. For such a purpose, it is indispensable to have therapeutic educational programs for patients. Prognosis of many non-psychiatric pathologies i.e., cardiopathies, breathing diseases, diabetes, asthma) clearly improves with such programs and the same happens with psychiatric pathologies, such as bipolar disorder. The first psycho-educational programs were focused on information, while current approaches have a much more therapeutic focus, including work on the disease significance, identifying personal triggers as well as prodromes, managing symptoms and overcoming problems of adherence to pharmaceutical drugs. Today, psychoeducation is part of the routine of bipolar treatment, suitable to the physician's model. Psycho-education has likewise demonstrated its efficiency in the prophylaxis of all sorts of two and five-year relapses, remarkably reducing episode duration, hospitalizations and adherence problems. Besides, as time passes, its efficiency is maintained, something that does not occur with other sorts of psycho-therapies. Furthermore, its implementation saves health resources. However, this type of programs is recommended as soon as possible, in the course of the disease. This article introduces a series of evidences and practical considerations on the implementation of psycho-education, which in the bipolar disorder psychotherapy has the same role than lithium in pharmacotherapy. La relación entre el médico y su paciente debe evolucionar hacia una mayor interactividad y fomentar la proactividad. Para ello, es imprescindible contar con programas de educación terapéutica de los pacientes. El pronóstico de muchas patologías no psiquiátricas (cardiopatías, enfermedades respiratorias, diabetes, asma) mejora claramente con estas intervenciones, y lo mismo ocurre con las psiquiátricas, como el trastorno bipolar. Los primeros programas psicoeducativos se centraban en la información, mientras que los actuales hacen énfasis en un enfoque más terapéutico, que incluye trabajar con el significado de la enfermedad, identificar los desencadenantes individuales y los pródromos, manejar los síntomas y superar los problemas de adherencia a los fármacos. Hoy la psicoeducación forma parte de las rutinas de tratamiento del trastorno bipolar, y encaja en su modelo médico. Así mismo, ha mostrado su eficacia en la profilaxis de todo tipo de recaídas a los dos y a los cinco a os, con lo cual se ha reducido de forma notoria la duración de los episodios, las hospi
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