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Search Results: 1 - 10 of 205611 matches for " Serrano-Aguilar P. "
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Los costes socioeconómicos de las enfermedades cardiovasculares y del cáncer en las Islas Canarias en 1998
López-Bastida,J.; Serrano-Aguilar,P.; Duque-González,B.;
Gaceta Sanitaria , 2003, DOI: 10.1590/S0213-91112003000300007
Abstract: objective: to evaluate the economic impact in terms of direct and indirect costs of the cardiovascular disease and cancer in the canary islands in 1998. methods: the cost-of-illness method was used. direct and indirect costs were estimated using prevalence costs, i.e., the costs produced in 1998. direct costs were divided into hospitalization costs, outpatient costs, primary health care costs, and drug costs while indirect costs were obtained through transformation of physical units into monetary units using the approach of human capital theory and the friction cost method. results: the total costs of cardiovascular disease and cancer were 246.11 and 193.72 million euros respectively. the direct costs of the two diseases were 134.44 and 58.04 million euros respectively, representing 55% and 30% of total costs and 16% of total health care expenditure in this region. the indirect costs of these two diseases were 111.68 and 135.68 million euros respectively, representing 45% and 70% of total costs. use of the friction cost method revealed that indirect costs decreased by 88% for cardiovascular disease and those for cancer decreased by 77%. conclusions: although this study adopts a conservative approach by omitting costs associated with pain and suffering, permanent disability, and those of at-home care provided by the family, the annual socioeconomic cost of cardiovascular disease and cancer in the canary islands was high, amounting to 440 million euros.
Los costes socioeconómicos de las enfermedades cardiovasculares y del cáncer en las Islas Canarias en 1998
López-Bastida J.,Serrano-Aguilar P.,Duque-González B.
Gaceta Sanitaria , 2003,
Abstract: Objetivo: Evaluar el impacto económico, en términos de costes directos e indirectos, de las enfermedades cardiovasculares y del cáncer, en Canarias, durante el a o 1998. Métodos: El enfoque que se ha utilizado es el método del coste de la enfermedad. Los costes directos e indirectos se han estimado utilizando los costes de la prevalencia, es decir, los costes que se produjeron durante el a o 1998. Los costes directos se han desglosado en costes de las hospitalizaciones, consultas externas, atención primaria y fármacos. Los indirectos se han obtenido a partir de unidades físicas mediante su transformación en unidades monetarias utilizando el enfoque de la teoría del capital humano y el método del período de fricción. Resultados: Los costes totales de las enfermedades cardiovasculares y del cáncer ascendieron a 246,11 y 193,72 millones de euros, respectivamente, utilizando el método del capital humano. Los costes directos atribuibles a las mismas fueron de 134,44 y 58,04 millones de euros, respectivamente, representando el 55 y 30% de los costes totales y el 16% del gasto total sanitario en esta región. Los costes indirectos de estas dos enfermedades ascendieron a 111,68 y 135,68 millones de euros, respectivamente, representando el 45 y 70% del total. Utilizando el método del período de fricción, los costes indirectos se redujeron en un 88% para enfermedades cardiovasculares y en un 77% en el cáncer. Conclusiones: A pesar de haberse adoptado un enfoque conservador, dado que en este estudio no se incluyen los costes asociados con el dolor y el sufrimiento, la invalidez permanente y la atención en el hogar por parte de los familiares, el elevado coste socioeconómico anual de las enfermedades cardiovasculares y del cáncer en Canarias alcanzó los 440 millones de euros.
Análisis de costes y ahorros potenciales relacionados con la utilización de pruebas preoperatorias en los hospitales de Canarias
López-Bastida,J.; Serrano-Aguilar,P.; Duque-González,B.; Talavera-Déniz,A.;
Gaceta Sanitaria , 2003, DOI: 10.1590/S0213-91112003000200007
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 60% of the total in the chs. the questionnaire paid special attention to the most frequently used preoperative tests: chest radiograph, electrocardiogram, laboratory tests, and spirometry. the mean unit costs for the various preoperative tests were obtained from the two hospitals participating in the study. to calculate the potential cost savings derived from the appropriate use of preoperative tests, several scenarios were considered. these were characterized by different hypotheses or degrees of fulfillment of a protocol based on scientific knowledge and considered as the gold standard. results: in the ideal scenario in which the recommended scientific protocol was fulfilled in 100% of the 16 179 patients with an american society of anesthesiologists (asa) grade of i-ii, the economic impact would be notable, since it would free sensitive resources that could be used for other health programs. these figures could amount to approximately 1.02 million euros, without considering the cost of preoperative hospital stay. this figure could increase by up to approximately 2.13 million euros if one day of preoperative hospital stay were included and by up to 3.24 million euros if two days of preoperative hospital stay were included. conclusions: the recent literature review and the results of the questionnaire applied in the chs indicate that preoperative tests are of greatest benefit to patients and to society if their use is guided by scientific knowledge. in addition, resources can be freed by better selection and utilization of preoperative tests.
Sociodemographic and clinical predictors of compliance with antidepressants for depressive disorders: systematic review of observational studies
Rivero-Santana A, Perestelo-Perez L, Perez-Ramos J, Serrano-Aguilar P,De las Cuevas C
Patient Preference and Adherence , 2013, DOI: http://dx.doi.org/10.2147/PPA.S39382
Abstract: ciodemographic and clinical predictors of compliance with antidepressants for depressive disorders: systematic review of observational studies Review (420) Total Article Views Authors: Rivero-Santana A, Perestelo-Perez L, Perez-Ramos J, Serrano-Aguilar P,De las Cuevas C Published Date March 2013 Volume 2013:7 Pages 151 - 169 DOI: http://dx.doi.org/10.2147/PPA.S39382 Received: 20 October 2012 Accepted: 27 November 2012 Published: 04 March 2013 Amado Rivero-Santana,1 Lilisbeth Perestelo-Perez,2,3 Jeanette Pérez-Ramos,1 Pedro Serrano-Aguilar,2,3 Carlos De las Cuevas2,4 1Canary Islands Foundation of Health and Research, 2Red de Investigacion en Servicios de Salud en Enfermedades Cronicas (REDISSEC), Santa Cruz de Tenerife, 3Evaluation Unit, Canary Islands Health Service, Santa Cruz de Tenerife, 4Department of Psychiatry, University of La Laguna, Canary Islands, Spain Background: The literature shows that compliance with antidepressant treatment is unsatisfactory. Several personal and disease-related variables have been shown to be related to compliance behavior. The objective of this study was to review the literature about sociodemographic and clinical predictors of compliance in patients with depressive disorders. Methods: The Medline, Embase, Cochrane Central, PsycInfo, and Cinahl databases were searched until May 2012. Studies that analyzed sociodemographic and clinical predictors or correlates of compliance in patients with depressive disorder were included. A quantitative synthesis was not performed because of the heterogeneity and availability of the data reported. For similar reasons, the results were not classified according to the different phases of treatment. The search was limited to studies published in English and Spanish. Results: Thirty-two studies fulfilled the inclusion criteria. The most consistent associations with compliance were found for age (older patients showed more compliance) and race (white patients were more likely to adhere to treatment than minority ethnic groups). Few studies assessed clinical factors, and the most plausible predictors of compliance were certain comorbidities and substance abuse. Severity of depression did not play an important role in predicting compliance. Conclusion: The impact of the variables studied on compliance behavior appeared to be inconsistent. Identifying potential predictors of compliance with antidepressant treatment is important, both for the routine practice of the mental health professional and for refining interventions to enhance adherence and target them to specific populations at risk of noncompliance.
Análisis de costes y ahorros potenciales relacionados con la utilización de pruebas preoperatorias en los hospitales de Canarias
López-Bastida J.,Serrano-Aguilar P.,Duque-González B.,Talavera-Déniz A.
Gaceta Sanitaria , 2003,
Abstract: Objetivos: Estimar el ahorro potencial que podría tener lugar en el Servicio Canario de Salud (SCS), a partir de una utilización apropiada científica de las pruebas preoperatorias, haciendo uso de la información obtenida de los 5 hospitales universitarios de la red pública. Métodos: Un total de 55 anestesiólogos (60%) del SCS cumplimentaron un cuestionario. En éste se prestó especial atención a las pruebas preoperatorias más frecuentemente utilizadas, como la radiografía de tórax, el electrocardiograma, las pruebas de laboratorio y la espirometría. Los costes unitarios medios para las diferentes pruebas preoperatorias se obtuvieron de 2 hospitales participantes en el estudio. Para calcular los ahorros potenciales derivados del uso apropiado de las pruebas preoperatorias se han considerado varios escenarios caracterizados por diferentes hipótesis o grados de cumplimiento de un protocolo basado en el conocimiento científico, considerado como parámetro de referencia. Resultados: En el caso ideal de que se cumpliera el protocolo científico recomendado en el 100% de los 16.179 pacientes considerados ASA I y II, la repercusión económica sería notable, pues supondría una liberación de recursos sensible que podría ser utilizada para otros programas de salud. Estas cifras podrían alcanzar aproximadamente los 1,02 millones de euros, sin considerar el coste de la estancia preoperatoria. Esta cifra podría incrementarse hasta, aproximadamente, los 2,13 millones de euros si incluimos un día de estancia preoperatoria, y hasta los 3,24 millones de euros incluyendo 2 días de estancia preoperatoria. Conclusiones: La revisión reciente de la literatura científica y los resultados proporcionados por el cuestionario aplicado en el SCS indican que las pruebas preoperatorias alcanzan los mayores beneficios para los pacientes y para la sociedad si se guían por el conocimiento científico. Es posible, además, liberar recursos a partir de una mejor selección y utilización de las pruebas preoperatorias.
Sociodemographic and clinical predictors of compliance with antidepressants for depressive disorders: systematic review of observational studies
Rivero-Santana A,Perestelo-Perez L,Perez-Ramos J,Serrano-Aguilar P,De las Cuevas C
Patient Preference and Adherence , 2013,
Abstract: Amado Rivero-Santana,1 Lilisbeth Perestelo-Perez,2,3 Jeanette Pérez-Ramos,1 Pedro Serrano-Aguilar,2,3 Carlos De las Cuevas2,4 1Canary Islands Foundation of Health and Research, 2Red de Investigacion en Servicios de Salud en Enfermedades Cronicas (REDISSEC), Santa Cruz de Tenerife, 3Evaluation Unit, Canary Islands Health Service, Santa Cruz de Tenerife, 4Department of Psychiatry, University of La Laguna, Canary Islands, Spain Background: The literature shows that compliance with antidepressant treatment is unsatisfactory. Several personal and disease-related variables have been shown to be related to compliance behavior. The objective of this study was to review the literature about sociodemographic and clinical predictors of compliance in patients with depressive disorders. Methods: The Medline, Embase, Cochrane Central, PsycInfo, and Cinahl databases were searched until May 2012. Studies that analyzed sociodemographic and clinical predictors or correlates of compliance in patients with depressive disorder were included. A quantitative synthesis was not performed because of the heterogeneity and availability of the data reported. For similar reasons, the results were not classified according to the different phases of treatment. The search was limited to studies published in English and Spanish. Results: Thirty-two studies fulfilled the inclusion criteria. The most consistent associations with compliance were found for age (older patients showed more compliance) and race (white patients were more likely to adhere to treatment than minority ethnic groups). Few studies assessed clinical factors, and the most plausible predictors of compliance were certain comorbidities and substance abuse. Severity of depression did not play an important role in predicting compliance. Conclusion: The impact of the variables studied on compliance behavior appeared to be inconsistent. Identifying potential predictors of compliance with antidepressant treatment is important, both for the routine practice of the mental health professional and for refining interventions to enhance adherence and target them to specific populations at risk of noncompliance. Keywords: adherence, antidepressants, compliance, depression, predictors
Meta-Review of CSF Core Biomarkers in Alzheimer’s Disease: The State-of-the-Art after the New Revised Diagnostic Criteria
Daniel Ferreira,Lilisbeth Perestelo-Pérez,Eric Westman,Lars-Olof Wahlund,Antonio Sarría,Pedro Serrano-Aguilar
Frontiers in Aging Neuroscience , 2014, DOI: 10.3389/fnagi.2014.00047
Abstract: Background: Current research criteria for Alzheimer’s disease (AD) include cerebrospinal fluid (CSF) biomarkers into the diagnostic algorithm. However, spreading their use to the clinical routine is still questionable.
Attitudes toward concordance in psychiatry: a comparative, cross-sectional study of psychiatric patients and mental health professionals
Carlos De las Cuevas, Amado Rivero-Santana, Lilisbeth Perestelo-Pérez, Jeanette Pérez-Ramos, Pedro Serrano-Aguilar
BMC Psychiatry , 2012, DOI: 10.1186/1471-244x-12-53
Abstract: This study compares the attitudes of 225 mental health professionals (125 psychiatrists and 100 psychiatry registrars) and 449 psychiatric outpatients towards SDM and concordance in medicine taking by using the "Leeds Attitude toward Concordance Scale" (LATCon).The internal consistency of the scale was good in all three samples (Cronbach's α: patients?=?0.82, psychiatrists?=?0.76, and registrars?=?0.82). Patients scored significantly lower (1.96?±?0.48) than professionals (P?<?.001 in both cases), while no statistically significant differences between psychiatrists (2.32?±?0.32) and registrars (2.23?±?0.35) were registered; the three groups showed a positive attitude towards concordance in most indicators. Patients are clearly in favor of being informed and that their views and preferences be taken into account during the decision-making process, although they widely consider that the final decision must be the doctor's responsibility. Among mental health professionals, the broader experience provides a greater conviction of the importance of the patient's decision about treatment.We observed a positive attitude towards concordance in the field of psychotropic drugs prescription both in professionals and among patients, but further studies are needed to address the extent to which this apparently accepted model is reflected in the daily practice of mental health professionals.In the last few decades there has been an increasing interest in the involvement of patients in their treatment decisions [1]. The so called "disease-centered model" in healthcare, where physicians make treatment decisions based on their technical knowledge and clinical data, has evolved towards a ”patient-centered model”, where patients become active participants in their own care and their individual needs and preferences are taken into account when making decisions about their treatment or diagnostic procedures [1-4]. Patient-centered care is currently recognized as a measure of the quality
Avoidable costs of physical treatments for chronic back, neck and shoulder pain within the Spanish National Health Service: a cross-sectional study
Pedro Serrano-Aguilar, Francisco M Kovacs, Jose M Cabrera-Hernández, Juan M Ramos-Go?i, Lidia García-Pérez
BMC Musculoskeletal Disorders , 2011, DOI: 10.1186/1471-2474-12-287
Abstract: Chronic patients referred from the SNHSCI to private physical therapy centres for NP, BP or SP, between 2004 and 2007, were identified. The cost of providing physical therapies to these patients was estimated. Systematic reviews (SRs) and clinical practice guidelines (CPGs) for NP, BP and SP available in the same period were searched for and rated according to the Oxman and AGREE criteria, respectively. Those rated positively for ≥70% of the criteria, were used to categorise physical therapies as Effective; Ineffective; Inconclusive; and Insufficiently Assessed. The main outcome was the cost of physical therapies included in each of these categories.8,308 chronic cases of NP, 4,693 of BP and 5,035 of SP, were included in this study. Among prescribed treatments, 39.88% were considered Effective (physical exercise and manual therapy with mobilization); 23.06% Ineffective; 13.38% Inconclusive, and 23.66% Insufficiently Assessed. The total cost of treatments was € 5,107,720. Effective therapies accounted for € 2,069,932.Sixty percent of the resources allocated by the SNHSCI to fund physical treatment for NP, BP and SP in private practices are spent on forms of treatment proven to be ineffective, or for which there is no evidence of effectiveness.Back, neck and shoulder problems are the most common causes of pain and occupational disability [1-3]. They reduce health-related quality of life (HRQL) and have a significant economic impact [4-8]. These musculoskeletal disorders are usually non-specific, which means that pain cannot be attributed to any specific structural cause and is believed to originate from soft tissues [9]. Their lifetime prevalence is 50-70% and they are among the most common reasons for primary care visits in Spain [10-14].The Spanish National Health Service is a public health insurance system with universal coverage which provides free health care to every resident in Spain. Within the Spanish National Health Service (SNHS), primary care practices and
Efectos a corto plazo de la contaminación atmosférica sobre la mortalidad. Resultados del proyecto EMECAM en la ciudad de Sevilla, 1992-1996
Oca?a-Riola,Ricardo; Daponte-Codina,Antonio; Gutiérrez-Cuadra,Pilar; Mayoral-Cortes,José María; Gurucelain-Raposo,José Luis; Maldonado-Pérez,José Antonio; Serrano-Aguilar,Javier; Garrido-de la Sierra,Rosario;
Revista Espa?ola de Salud Pública , 1999, DOI: 10.1590/S1135-57271999000200016
Abstract: background: as part of the emecam project, the objective of this study is that of assessing the impact of air pollution on the daily death rate in seville throughout the 1992-1996 period. methods: during the 1992-1996 period, readings were taken daily of the amounts of so2, particles in suspension (pm10) and no2 present in the air in the city of seville, in addition to the number of deaths daily due to different causes. for analyzing this data, a multivariable poisson regression model was used for modeling each one of the causes of death in terms of the air inmission readings, controlling other confusion-causing variables. results: a relationship was found to exist between the rises in the no2 levels and the daily death rate throughout the months of may to october. for each 10 ngr/m3 rise, the risk of death or all causes showed a 2% rise, the same rise in the no2 levels leading to a 3% rise in the risk of death resulting from cardiovascular diseases. conclusions: a relationship exists between the levels of no2 air pollution and the daily death rate in seville. the findings provide scientific knowledge and information which can be of use for preventing the impact of air pollution on human health.
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