scholarly journals User satisfaction in the spanish health system: trend analysis

2019 ◽  
Vol 53 ◽  
pp. 87
Author(s):  
Víctor Pérez-Cantó ◽  
Loreto Maciá-Soler ◽  
Víctor M González-Chordá

OBJECTIVE: To analyze the trend of opinion and satisfaction indicators of the Spanish national health system from 2005 to 2017 METHODS: Ecological study of time series analyzing the trend of eight indicators of opinion and satisfaction on the Spanish national health system and its autonomous communities from 2005 to 2017. The data was obtained from the Ministry of Health, Social Services and Equality and from the Health Barometer. The Prais-Winsten regression method was used. RESULTS: A static tendency was observed in the perception of users on how the health system works (APC = 1.898, 95%CI -0.954 – 4.751) and decreasing opinion on the improvement of primary care (APC = -0.283; 95%CI -0.335 – -0.121), specialized (APC = -0.241, 95%CI -0.74 – -0.109) and hospitalization (APC = -0.171, 95%CI -0.307 – -0.036). Satisfaction with knowledge and follow-up by the family doctor and pediatrician showed an increasing trend (APC = 7.939, 95%CI 3.965 – 11.914). Satisfaction with medical and nursing professionals was static. No large differences were observed in the trends of the indicators studied in the autonomous communities. CONCLUSIONS: A negative trend was observed in the opinion of the Spanish national health system users. Financing, human resources, quality management systems and differences in the autonomous communities may be some of the causes.

Author(s):  
Juan Manuel Carmona-Torres ◽  
Beatriz Recio-Andrade ◽  
María Aurora Rodríguez-Borrego

Abstract OBJECTIVE To determine the prevalence of intimate partner violence among health care professionals who work in the Spanish National Health System, according to the autonomous communities of Spain. METHOD This was a descriptive cross-sectional multicenter study conducted with male and female health professionals (doctors, nurses, and nursing aides) in the different autonomous communities that are part of the Spanish National Health System. The following instruments were employed: among women, an intimate partner violence screening questionnaire; and among men, a questionnaire that screened for violence in the family environment. RESULTS A total of 1,039 health professionals participated in the study. Of these, 26% had suffered some type of abuse. Among the men, this prevalence was 2.7%, while among the women, it was 33.8%. There were differences in the prevalence of intimate partner violence among different autonomous communities, with the highest percentages in the Canary Islands. In terms of profession, 19.5% of the doctors had been exposed to intimate partner violence, while this percentage was 31% and 48.6% for nurses and nursing professionals, respectively. CONCLUSION The results indicate the presence of intimate partner violence among healthcare personnel in most of the autonomous communities of Spain. The data demonstrate the need to implement action plans, both to support victims and to mitigate the problem.


2019 ◽  
Vol 53 (5) ◽  
pp. 641-647
Author(s):  
Ferran Capdevila ◽  
Ruth Vera ◽  
Patricia Ochoa ◽  
Arkaitz Galbete ◽  
Eduardo Sanchez-Iriso

2013 ◽  
Vol 16 (8) ◽  
pp. 686-695
Author(s):  
C. Caballero ◽  
E. Jantus-Lewintre ◽  
A. Carrato ◽  
J. García-Foncillas ◽  
P. Gascón ◽  
...  

2010 ◽  
Vol 5 (2) ◽  
pp. 170-171
Author(s):  
J.M. Garcia-Almeida ◽  
J. DelRio-Mata ◽  
J. Garcia-Aleman ◽  
C. Conejo-Gómez ◽  
A. Martínez-Reina ◽  
...  

Author(s):  
Sara Loiti-Rodríguez ◽  
Aingeru Genaut-Arratibel ◽  
María-José Cantalapiedra-González

Throughout 2020 it has been seen that the Covid-19 pandemic has been an unprecedented health crisis that has involved a major change at both level informative and media. Audiovisual content has increased considerably and there is interest on the part of health institutions to demonstrate their ability as a reliable and first-order source of information. In fact, since the declaration of the pandemic, in just 2 months the number of content disseminated throughout 2019 was exceeded. This study seeks to describe the response given to this health crisis by the Spanish National Health System on YouTube. For this purpose, we analyze the 1035 audiovisual content that the official channels published in 2020. To carry out the analysis, the contents have been classified into 7 types, from press conferences to tutorials, recommendations, informative pieces or testimonies; the topic covered in each of them has been identified, the format, as well as the number of views and user feedback.The period of greatest production corresponds to the first wave and the de-scalding wave, and the health institution that has disseminated the most messages has been the Ministry of Health: 603 vídeos, 170 animations and 263 hybrid pieces –combining real vídeo, text and icons– have been identified. Animations and hybrid pieces are the most successful messages, and are primarily used on an appealing nature to disseminate healthy recommendations and habits. This study values the use of animations as an appropriate information resource for education and health promotion. In addition, it has allowed us to identify the main weaknesses, threats, strengths and opportunities presented by audiovisual health information on YouTube.


2020 ◽  
Vol 25 (1) ◽  
pp. 303-314 ◽  
Author(s):  
Kerstin Hämel ◽  
Beatriz Rosana Gonçalves de Oliveira Toso ◽  
Angela Casanova ◽  
Ligia Giovanella

Abstract The primary health care in the Spanish National Health System is organised in health centres with multi-professional teams, composed of doctors and nurses specialised in family and community health, in addition to other professionals. This article analyses the role of primary health care nurses in the Spanish National Health System. In the last decade, new concepts of task sharing between doctors and nurses as well as advanced nursing roles have been evolved in the health centres that focus on improving care for chronically ill patients and access to primary care. With shared responsibility, nurses are responsible for chronic patients in stable conditions, health prevention and promotion. The scaling up of advanced nursing tasks is limited by uncertainties of roles, disparities between states, and legislations that do not cover the full extent of advanced nursing tasks. The case study of Spain indicates that a strong multi-professional model of primary health care teams is a crucial basis for the evolvement of advanced nursing practice and its acceptance in daily routines. However, advantageous education structures and legislations are needed to allow nurses to develop their contribution in the full potential.


2016 ◽  
Vol 32 (10) ◽  
Author(s):  
Lúcia Gimenes Passero ◽  
Jessye Melgarejo do Amaral Giordani ◽  
Fernando Neves Hugo ◽  
Vanessa Bielefeldt Leotti Torman ◽  
Suzi Alves Camey ◽  
...  

Abstract: User satisfaction is known to be related to quality of healthcare. The aim of this study was to evaluate the influence of contextual and individual factors associated with user dissatisfaction with the Brazilian Unified National Health System (SUS). This was a cross-sectional multilevel study. Data were collected via telephone by the ombudsman's office of the SUS. Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information on the municipalities. The outcome variable was dissatisfaction with the SUS. Hierarchical multilevel logistic regression was used, and 18,673 individuals were contacted. Prevalence of dissatisfaction was 63.4% (95%CI: 62.7-64.1). Unmet demand (OR = 3.66), waiting time > 4 hours (OR = 2.82), and number of Primary Healthcare Units (OR = 0.89) were associated statistically with dissatisfaction. Characteristics of the health teams' work process showed a strong association with dissatisfaction.


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