Performance and Capacity Evaluation of the Spanish Health System in SARS-CoV-2 Pandemic

2020 ◽  
Author(s):  
Francisco Gildemir Ferreira Da Silva ◽  
Liana de Oliveira Barros ◽  
Bruno de Athayde Prata
2017 ◽  
Vol 20 (5) ◽  
pp. 630-638 ◽  
Author(s):  
L. Alonso-Alconada ◽  
J. Barbazan ◽  
S. Candamio ◽  
J. L. Falco ◽  
C. Anton ◽  
...  

2020 ◽  
Vol 12 (14) ◽  
pp. 5523
Author(s):  
Ana Ballesta-Castillejos ◽  
Juan Gómez-Salgado ◽  
Julián Rodríguez-Almagro ◽  
Antonio Hernández-Martínez

For pregnant women, having a low family income status is associated with late prenatal attendance and an increased risk of adverse outcomes during pregnancy, delivery, and immediately after delivery. However, the influence of the socioeconomic level on maternal and child health may be minimal as long as the health system model is able to neutralise health inequity. For this reason, the objective of this study is to determine the relationship between the socioeconomic level assessed through monthly household income and obstetric and perinatal outcomes in the Spanish Health System, where midwives play a relevant role. To meet this objective, a cross-sectional observational study aimed at women who have been mothers between 2013 and 2018 in Spain was developed. The final study population was 5942 women. No statistically significant differences with linear trend were found between income level and obstetric and perinatal outcomes after the adjustment by confounding factors (pregnancy composite morbidity, p = 0.447; delivery composite morbidity, p = 0.590; perinatal composite morbidity, p = 0.082; postpartum composite morbidity, p = 0.407). The main conclusion is that, in the current Spanish health system, household income as an indicator of socioeconomic status is not related to perinatal outcomes after the adjustment by confounding factors. These results are likely due to the public model of our health system that serves all citizens on equal footing, although other social and individual factors may have influenced these results


2018 ◽  
Vol 275 ◽  
pp. e67-e68
Author(s):  
P. Rodríguez-Fortúnez ◽  
J. Franch-Nadal ◽  
J. Fornos-Perez ◽  
L. Orera-Peña ◽  
M. Rodríguez de Miguel

2013 ◽  
Vol 20 (Suppl 1) ◽  
pp. A164.1-A164
Author(s):  
B Arribas-Díaz ◽  
A Bosó-Ribelles ◽  
MA Moregó-Soler ◽  
MC Sánchez-Mulero ◽  
M Tobaruela-Soto ◽  
...  

2020 ◽  
Vol 5 (5) ◽  
pp. e251-e252 ◽  
Author(s):  
Helena Legido-Quigley ◽  
José Tomás Mateos-García ◽  
Vanesa Regulez Campos ◽  
Montserrat Gea-Sánchez ◽  
Carles Muntaner ◽  
...  
Keyword(s):  

Author(s):  
Alberto González García ◽  
Arrate Pinto-Carral ◽  
Jesús Sanz Villorejo ◽  
Pilar Marqués-Sánchez

Nurses who are capable of developing their competencies appropriately in the field of management are considered fundamental to the sustainability and improvement of health outcomes. These core competencies are the critical competencies to be developed in specific areas. There are different core competencies for nurse managers, but none in the Spanish health system. The objective of this research is to identify the core competencies needed for nurse managers in the Spanish health system. The research was carried out using the Delphi method to reach a consensus on the core competencies and a Principal Component Analysis (PCA) to determine construct validity, reducing the dimensionality of a dataset by finding the causes of variability in the set and organizing them by importance. A panel of 50 experts in management and healthcare engaged in a four-round Delphi study with Likert scored surveys. We identified eight core competencies from an initial list of 51: decision making, relationship management, communication skills, listening, Leadership, conflict management, ethical principles, collaboration and team management skills. PCA indicated the structural validity of the core competencies by saturation into three components (α Cronbach >0.613): communication, leadership and decision making. The research shows that eight competencies must be developed by the nursing managers in the Spanish health system. Nurse managers can use these core competencies as criteria to develop and plan their professional career. These core competencies can serve as a guideline for the design of nurse managers’ development programs in Spain.


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