Descriptive study of the Specialized Care of the Spanish Health System
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng spa |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/142732 |
Resumo: | OBJECTIVE: The objective of this study is to analyze the trend of the Key Indicators of the National Health System of Spain and its autonomous communities, related to Specialized Care, from the publication of the Law of Cohesion and Quality. METHODS: This is an ecological study of temporary series of Spain and its autonomous communities from 2003 to 2014. We have analyzed 10 indicators related to Specialized Care (percentage of expenditure, professionals, waiting lists, surgical activity, average duration, infections, and mortality) using the Prais-Winsten regression method. We have obtained data from the health information system of the Spanish Ministry of Health, Social Services, and Equality. RESULTS: Specialized care expenditure (APC = 0.059, 95%CI 0.041–0.074), number of medical professionals (APC = 0.0006, 95%CI 0.0003–0.0009) and nursing professionals (APC = 0.001, 95%CI 0.0005–0.0016), hospital infections (APC = 0.0003, 95%CI 0.0002–0.0004), and in-hospital mortality (APC = 0.0008, 95%CI 0.0006–0.001) had an increasing trend in Spain. Average duration presented a decreasing trend (APC = -0.0017, 95%CI -0.002– -0.0014). The trend of waiting lists (specialized appointment and non-urgent surgical interventions) was static. The trend of these indicators varied in the Autonomous Communities. CONCLUSIONS: We have observed a non-compliance with the principles of equity and quality of the services offered. Increased aging, technological development, and inadequate strategies taken to reduce health costs may be the main causes. |
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Descriptive study of the Specialized Care of the Spanish Health SystemEstudio descriptivo de la Atención Especializada del Sistema Sanitario de EspañaServicios de Salud. Atención Terciaria de Salud. Indicadores de Calidad de la Atención de Saludtendencias. CalidadAcceso y Evaluación de la Atención de Salud. Estudios Ecológicos.Health Services. Tertiary Healthcare. Quality IndicatorsHealth Caretrends. Health Care QualityAccessand Evaluation. Ecological Studies.OBJECTIVE: The objective of this study is to analyze the trend of the Key Indicators of the National Health System of Spain and its autonomous communities, related to Specialized Care, from the publication of the Law of Cohesion and Quality. METHODS: This is an ecological study of temporary series of Spain and its autonomous communities from 2003 to 2014. We have analyzed 10 indicators related to Specialized Care (percentage of expenditure, professionals, waiting lists, surgical activity, average duration, infections, and mortality) using the Prais-Winsten regression method. We have obtained data from the health information system of the Spanish Ministry of Health, Social Services, and Equality. RESULTS: Specialized care expenditure (APC = 0.059, 95%CI 0.041–0.074), number of medical professionals (APC = 0.0006, 95%CI 0.0003–0.0009) and nursing professionals (APC = 0.001, 95%CI 0.0005–0.0016), hospital infections (APC = 0.0003, 95%CI 0.0002–0.0004), and in-hospital mortality (APC = 0.0008, 95%CI 0.0006–0.001) had an increasing trend in Spain. Average duration presented a decreasing trend (APC = -0.0017, 95%CI -0.002– -0.0014). The trend of waiting lists (specialized appointment and non-urgent surgical interventions) was static. The trend of these indicators varied in the Autonomous Communities. CONCLUSIONS: We have observed a non-compliance with the principles of equity and quality of the services offered. Increased aging, technological development, and inadequate strategies taken to reduce health costs may be the main causes.OBJETIVO: Analizar la tendencia de los Indicadores Clave del Sistema Nacional de Salud de España y sus comunidades autónomas, relacionados con la Atención Especializada, desde la publicación de la Ley de Cohesión y Calidad. MÉTODOS: Estudio ecológico de series temporales de España y sus comunidades autónomas desde 2003 hasta 2014. Se analizaron 10 indicadores relacionados con Atención Especializada (porcentaje de gasto, profesionales, listas de espera, actividad quirúrgica, estancia media, infecciones y mortalidad) utilizando el método de auto-regresión de Prais-Winsten. Los datos se obtuvieron del sistema de información sanitaria del Ministerio de Sanidad, Servicios Sociales e Igualdad español. RESULTADOS: Existió una tendencia creciente del gasto en atención especializada (APC = 0,059; IC95% 0,041–0,074), número de profesionales de medicina (APC = 0,0006; IC95% 0,0003–0,0009) y enfermería (APC = 0,001; IC95% 0,0005–0,0016), infecciones hospitalarias (APC = 0,0003; IC95% 0,0002–0,0004) y mortalidad intrahospitalaria (APC = 0,0008; IC95% 0,0006–0,001) en España. La estancia media presentó una tendencia decreciente (APC = -0,0017; IC95% -0,002– -0,0014). La tendencia de las listas de espera (consulta especializada e intervenciones quirúrgicas no urgentes) fue estática. La tendencia de estos indicadores varió en las Comunidades Autónomas. CONCLUSIONES: Se observa un incumplimiento de los principios de equidad y calidad de las prestaciones ofrecidas. El aumento del envejecimiento, el desarrollo tecnológico y estrategias poco adecuadas tomadas para reducir los costes sanitarios pueden ser las principales causas.Universidade de São Paulo. Faculdade de Saúde Pública2018-01-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/14273210.11606/S1518-8787.2018052000289Revista de Saúde Pública; Vol. 52 (2018); 5Revista de Saúde Pública; Vol. 52 (2018); 5Revista de Saúde Pública; v. 52 (2018); 51518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengspahttps://www.revistas.usp.br/rsp/article/view/142732/137683https://www.revistas.usp.br/rsp/article/view/142732/137682https://www.revistas.usp.br/rsp/article/view/142732/148286Copyright (c) 2018 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessNombela-Monterroso, KarenGonzález-Chordá, Víctor MRoman, Pablo2018-07-20T11:44:50Zoai:revistas.usp.br:article/142732Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-07-20T11:44:50Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Descriptive study of the Specialized Care of the Spanish Health System Estudio descriptivo de la Atención Especializada del Sistema Sanitario de España |
title |
Descriptive study of the Specialized Care of the Spanish Health System |
spellingShingle |
Descriptive study of the Specialized Care of the Spanish Health System Nombela-Monterroso, Karen Servicios de Salud. Atención Terciaria de Salud. Indicadores de Calidad de la Atención de Salud tendencias. Calidad Acceso y Evaluación de la Atención de Salud. Estudios Ecológicos. Health Services. Tertiary Healthcare. Quality Indicators Health Care trends. Health Care Quality Access and Evaluation. Ecological Studies. |
title_short |
Descriptive study of the Specialized Care of the Spanish Health System |
title_full |
Descriptive study of the Specialized Care of the Spanish Health System |
title_fullStr |
Descriptive study of the Specialized Care of the Spanish Health System |
title_full_unstemmed |
Descriptive study of the Specialized Care of the Spanish Health System |
title_sort |
Descriptive study of the Specialized Care of the Spanish Health System |
author |
Nombela-Monterroso, Karen |
author_facet |
Nombela-Monterroso, Karen González-Chordá, Víctor M Roman, Pablo |
author_role |
author |
author2 |
González-Chordá, Víctor M Roman, Pablo |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Nombela-Monterroso, Karen González-Chordá, Víctor M Roman, Pablo |
dc.subject.por.fl_str_mv |
Servicios de Salud. Atención Terciaria de Salud. Indicadores de Calidad de la Atención de Salud tendencias. Calidad Acceso y Evaluación de la Atención de Salud. Estudios Ecológicos. Health Services. Tertiary Healthcare. Quality Indicators Health Care trends. Health Care Quality Access and Evaluation. Ecological Studies. |
topic |
Servicios de Salud. Atención Terciaria de Salud. Indicadores de Calidad de la Atención de Salud tendencias. Calidad Acceso y Evaluación de la Atención de Salud. Estudios Ecológicos. Health Services. Tertiary Healthcare. Quality Indicators Health Care trends. Health Care Quality Access and Evaluation. Ecological Studies. |
description |
OBJECTIVE: The objective of this study is to analyze the trend of the Key Indicators of the National Health System of Spain and its autonomous communities, related to Specialized Care, from the publication of the Law of Cohesion and Quality. METHODS: This is an ecological study of temporary series of Spain and its autonomous communities from 2003 to 2014. We have analyzed 10 indicators related to Specialized Care (percentage of expenditure, professionals, waiting lists, surgical activity, average duration, infections, and mortality) using the Prais-Winsten regression method. We have obtained data from the health information system of the Spanish Ministry of Health, Social Services, and Equality. RESULTS: Specialized care expenditure (APC = 0.059, 95%CI 0.041–0.074), number of medical professionals (APC = 0.0006, 95%CI 0.0003–0.0009) and nursing professionals (APC = 0.001, 95%CI 0.0005–0.0016), hospital infections (APC = 0.0003, 95%CI 0.0002–0.0004), and in-hospital mortality (APC = 0.0008, 95%CI 0.0006–0.001) had an increasing trend in Spain. Average duration presented a decreasing trend (APC = -0.0017, 95%CI -0.002– -0.0014). The trend of waiting lists (specialized appointment and non-urgent surgical interventions) was static. The trend of these indicators varied in the Autonomous Communities. CONCLUSIONS: We have observed a non-compliance with the principles of equity and quality of the services offered. Increased aging, technological development, and inadequate strategies taken to reduce health costs may be the main causes. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/142732 10.11606/S1518-8787.2018052000289 |
url |
https://www.revistas.usp.br/rsp/article/view/142732 |
identifier_str_mv |
10.11606/S1518-8787.2018052000289 |
dc.language.iso.fl_str_mv |
eng spa |
language |
eng spa |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/142732/137683 https://www.revistas.usp.br/rsp/article/view/142732/137682 https://www.revistas.usp.br/rsp/article/view/142732/148286 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 52 (2018); 5 Revista de Saúde Pública; Vol. 52 (2018); 5 Revista de Saúde Pública; v. 52 (2018); 5 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221799155236864 |