LIVIVO - Search results -

Search results

Result 1 - 8 of total 8

Search options

Article ; Online: Characteristics of Medical Deserts and Approaches to Mitigate Their Health Workforce Issues: A Scoping Review of Empirical Studies in Western Countries.

Flinterman, Linda E / González-González, Ana I / Seils, Laura / Bes, Julia / Ballester, Marta / Bañeres, Joaquim / Dan, Sorin / Domagala, Alicja / Dubas-Jakóbczyk, Katarzyna / Likic, Robert / Kroezen, Marieke / Batenburg, Ronald

International journal of health policy and management

2023 Volume 12, Page(s) 7454

Abstract: Background: Medical deserts are considered a problematic issue for many Western countries which try to employ multitude of policies and initiatives to achieve a better distribution of their health workforce (HWF). The aim of this study was to ... ...

Abstract	Background: Medical deserts are considered a problematic issue for many Western countries which try to employ multitude of policies and initiatives to achieve a better distribution of their health workforce (HWF). The aim of this study was to systematically map research and provide an overview of definitions, characteristics, contributing factors and approaches to mitigate medical deserts within the European Union (EU)-funded project "ROUTE-HWF" (a Roadmap OUT of mEdical deserts into supportive Health WorkForce initiatives and policies). Methods: We performed a scoping review to identify knowledge clusters/research gaps in the field of medical deserts focusing on HWF issues. Six databases were searched till June 2021. Studies reporting primary research from Western countries on definitions, characteristics, contributing factors, and approaches were included. Two independent reviewers assessed studies for eligibility, extracted data and clustered studies according to the four defined outcomes. Results: Two-hundred and forty studies were included (n=116, 48% Australia/New Zealand; n=105, 44% North America; n=20, 8% Europe). All used observational designs except for five quasi-experimental studies. Studies provided definitions (n=171, 71%), characteristics (n=95, 40%), contributing factors (n=112, 47%), and approaches to mitigate medical deserts (n=87, 36%). Most medical deserts were defined by the density of the population in an area. Contributing factors to HWF issues in medical deserts consisted in work-related (n=55, 23%) and lifestyle-related factors (n=33, 14%) of the HWF as well as sociodemographic characteristics (n=79, 33%). Approaches to mitigate them focused on training adapted to the scope of rural practice (n=67, 28%), HWF distribution (n=3, 1%), support/infrastructure (n=8, 3%) and innovative models of care (n=7, 3%). Conclusion: Our study provides the first scoping review that presents and categorizes definitions, characteristics, contributing factors, and approaches to mitigate HWF issues in medical deserts. We identified gaps such as the scarcity of longitudinal studies to investigate the impact of factors contributing to medical deserts, and interventional studies to evaluate the effectiveness of approaches to mitigate HWF issues.
MeSH term(s)	Humans ; Health Workforce ; Empirical Research ; Australia ; Databases, Factual ; Europe
Language	English
Publishing date	2023-08-15
Publishing country	Iran
Document type	Review ; Journal Article
ZDB-ID	2724317-5
ISSN	2322-5939 ; 2322-5939
ISSN (online)	2322-5939
ISSN	2322-5939
DOI	10.34172/ijhpm.2023.7454
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

Article ; Online: Estrategia para mejorar la práctica de higiene de manos en Catalunya.

Sobrequés, Jordi / Espuñes, Jordi / Bañeres, Joaquim

Medicina clinica

2014 Volume 143 Suppl 1, Page(s) 36–42

Abstract: Hand hygiene (HM) is the single most important measure and effective in reducing the risk of Healthcare acquired infections (IRAS). Although HM is an effective, simple and cheap measure, it is usual to find results of low compliance among health ... ...

Title translation	Intervention to improve hand hygiene compliance in Catalonia, Spain.
Abstract	Hand hygiene (HM) is the single most important measure and effective in reducing the risk of Healthcare acquired infections (IRAS). Although HM is an effective, simple and cheap measure, it is usual to find results of low compliance among health professionals. The main objective of this strategy has been to give new force to the promotion of HM in hospitals and educate professionals about the importance of this single action. The strategy was planned as a multicenter intervention study to promote HM in health centers of Catalonia in 2009-2010. The intervention is based on 4 main areas: a survey of barriers and facilitators, distribution of graphic material, training at different levels and measure of quality indicators. With this strategy a total of 57% of the number of acute beds in the concerted public and private network of hospitals were reached. The survey revealed that training was perceived as the main facilitator of the HM action. 15,376 professionals registered to the on-line training. The overall compliance with HM indications (based on "five moments for HM") was 56.45% in the acute areas. The campaigns and programs to promote HM carried out in the last four years in Catalonia has helped to achieve an increasing number of hospitals associated to the strategy of the Alliance for Patient Safety in Catalonia. The on-line curse acceptance was very high and seems a powerful tool to improve hand hygiene knowledge and compliance among health professionals. The compliance of HM seems to increase in the hospitals of Catalonia evaluated.
MeSH term(s)	Cross Infection/prevention & control ; Education, Continuing/organization & administration ; Guideline Adherence ; Hand Hygiene/standards ; Hand Sanitizers ; Health Promotion/organization & administration ; Hospital Bed Capacity ; Hospitals, Private/statistics & numerical data ; Hospitals, Public/statistics & numerical data ; Humans ; Patient Safety ; Personnel, Hospital/education ; Personnel, Hospital/psychology ; Program Evaluation ; Quality Indicators, Health Care ; Spain ; Teaching Materials
Chemical Substances	Hand Sanitizers
Language	Spanish
Publishing date	2014-07
Publishing country	Spain
Document type	English Abstract ; Journal Article ; Multicenter Study
ZDB-ID	411607-0
ISSN	1578-8989 ; 0025-7753
ISSN (online)	1578-8989
ISSN	0025-7753
DOI	10.1016/j.medcli.2014.07.009
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Ua VI Zs.279: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Guías de práctica clínica y atención primaria. Informe SESPAS 2012.

Atienza, Gerardo / Bañeres, Joaquim / Gracia, Francisco Javier

Gaceta sanitaria

2012 Volume 26 Suppl 1, Page(s) 113–117

Abstract: Clinical practice guidelines are intended to serve as a bridge between the decision levels and the sources of knowledge, giving decision makers the best synthesis of scientific evidence and an analysis of context, to provide elements of judgement and to ... ...

Title translation	Clinical practice guidelines and primary care. SESPAS report 2012.
Abstract	Clinical practice guidelines are intended to serve as a bridge between the decision levels and the sources of knowledge, giving decision makers the best synthesis of scientific evidence and an analysis of context, to provide elements of judgement and to transfer scientific knowledge into clinical practice. However, the actual impact on health care is variable and effectiveness in changing medical practice, moderate. Qualitative and quantitative studies show that most primary care physicians consider that the guides are a valuable source of advice and training and a kind of improving the quality of healthcare. However, they underline its rigidity, the difficulty to apply to individual patients and that their main goal is to reduce healthcare costs. In Spain, there are several experiences as GuíaSalud in developing clinical practice guidelines aimed specifically at primary care. However, the proper implementation of a clinical practice guideline includes not only the quality and thoroughness of the evidence, but the credibility of professionals and organizations and other contextual factors such as characteristics of patients, providers and organizations or systems. An important step in future research is to develop a better theoretical understanding of organizational change that is required for management and professionals to give appropriate guidance to the implementation of the clinical practice guidelines.
MeSH term(s)	Bias ; Forecasting ; Guideline Adherence ; Health Priorities ; Humans ; Organizational Innovation ; Physician-Patient Relations ; Practice Guidelines as Topic ; Primary Health Care/standards ; Quality Improvement ; Spain ; Technology Assessment, Biomedical
Language	Spanish
Publishing date	2012-03
Publishing country	Spain
Document type	Journal Article
ZDB-ID	1038713-4
ISSN	1578-1283 ; 0213-9111
ISSN (online)	1578-1283
ISSN	0213-9111
DOI	10.1016/j.gaceta.2011.07.003
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 2715: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (2.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Implementación de un listado de verificación de prácticas seguras en cirugía: experiencia de la fase inicial de la puesta en marcha de un proyecto colaborativo en hospitales de Catalunya.

Secanell, Mariona / Orrego, Carola / Vila, Miquel / Vallverdú, Helena / Mora, Núria / Oller, Anna / Bañeres, Joaquim

Medicina clinica

2014 Volume 143 Suppl 1, Page(s) 17–24

Abstract: Surgical patient safety is a priority in the national and international quality healthcare improvement strategies. The objective of the study was to implement a collaborative intervention with multiple components and to evaluate the impact of the patient ...

Title translation	A surgical safety checklist implementation: experience of a start-up phase of a collaborative project in hospitals of Catalonia, Spain.
Abstract	Surgical patient safety is a priority in the national and international quality healthcare improvement strategies. The objective of the study was to implement a collaborative intervention with multiple components and to evaluate the impact of the patient surgical safety checklist (SSC) application. This is a prospective, longitudinal multicenter study with a 7-month follow-up period in 2009 based on a collaborative intervention for the implementation of a 24 item-SSC distributed in 3 different stages (sign in, time out, sign out) for its application to the surgical patient. A total number of 27 hospitals participated in the strategy. The global implementation rate was 48% (95%CI, 47.6%-48.4%) during the evaluation period. The overall compliance with all the items of the SSC included in each stage (sign in, time out, sign out) was 75,1% (95%CI, 73.5%-76.7%) for the sign in, 77.1% (95%CI, 75.5%-78.6%) for the time out and 88.3% (95%CI, 87.2%-89.5%) for the sign out respectively. The individual compliance with each item of the SSC has remained above 85%, except for the surgical site marking with an adherence of 67.4% (95%CI, 65.7%-69.1%)] and 71.2% (95%CI, 69.6%-72.9%)] in the sign in and time out respectively. The SSC was successfully implemented to 48% of the surgeries performed to the participating hospitals. The global compliance with the SSC was elevated and the intervention trend was stable during the evaluation period. Strategies were identified to allow of a higher number of surgeries with application of the SSC and more professional involvement in measures compliance such as surgical site marking.
MeSH term(s)	Checklist ; Cooperative Behavior ; Guideline Adherence ; Hospitals, Private/organization & administration ; Hospitals, Public/organization & administration ; Humans ; Interinstitutional Relations ; Medical Errors/prevention & control ; Operating Rooms/standards ; Patient Identification Systems/standards ; Patient Safety/standards ; Preoperative Care/standards ; Program Evaluation ; Prospective Studies ; Safety Management/organization & administration ; Spain ; Surgical Procedures, Operative/statistics & numerical data
Language	Spanish
Publishing date	2014-07
Publishing country	Spain
Document type	English Abstract ; Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
ZDB-ID	411607-0
ISSN	1578-8989 ; 0025-7753
ISSN (online)	1578-8989
ISSN	0025-7753
DOI	10.1016/j.medcli.2014.07.007
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Ua VI Zs.279: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Epidemiología de los eventos adversos hospitalarios en Catalunya: un primer paso para la mejora de la seguridad del paciente.

Bañeres, Joaquim / Orrego, Carola / Navarro, Laura / Casas, Lidia / Banqué, Marta / Suñol, Rosa

Medicina clinica

2014 Volume 143 Suppl 1, Page(s) 3–10

Abstract: It has been published that hospital adverse events are an important source of morbidity and mortality in different countries and settings. The aim of this study was to evaluate the frequency, magnitude, distribution and degree of preventability of ... ...

Title translation	Epidemiology of the hospital adverse events in Catalonia, Spain: a first step for the patient safety improvement.
Abstract	It has been published that hospital adverse events are an important source of morbidity and mortality in different countries and settings. The aim of this study was to evaluate the frequency, magnitude, distribution and degree of preventability of adverse events in the Autonomous Community of Catalonia (Spain). We conducted a retrospective cohort study of 4,790 hospital discharges that were selected by simple random sampling after stratified multistage sampling in 15 hospitals in Catalonia. 38.25% of patients had positive risk criteria (screening phase). We identified 356 cases of adverse events, which represent a 7.4% (95%CI: 6.7% to 8.1%). Of these, 43.5% (155 cases) were considered preventable. This study confirms that adverse events in hospitals in Catalonia are frequent, and generate a significant impact on morbidity and mortality. As in other studies, corroborated that a high proportion of these adverse events are considered preventable. It was possible to identify priority areas to focus improvement efforts.
MeSH term(s)	Adolescent ; Adult ; Aged ; Diagnosis-Related Groups ; Female ; Hospital Bed Capacity ; Hospital Departments/statistics & numerical data ; Hospital Records/statistics & numerical data ; Hospitals, Private/statistics & numerical data ; Hospitals, Public/statistics & numerical data ; Humans ; Male ; Medical Errors/prevention & control ; Medical Errors/statistics & numerical data ; Middle Aged ; Patient Safety/statistics & numerical data ; Pilot Projects ; Quality Improvement ; Retrospective Studies ; Risk Factors ; Risk Management ; Sampling Studies ; Spain/epidemiology ; Young Adult
Language	Spanish
Publishing date	2014-07
Publishing country	Spain
Document type	English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	411607-0
ISSN	1578-8989 ; 0025-7753
ISSN (online)	1578-8989
ISSN	0025-7753
DOI	10.1016/j.medcli.2014.07.005
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Ua VI Zs.279: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Diseño, implantación y evaluación de un modelo de gestión de la seguridad del paciente en hospitales de Cataluña.

Saura, Rosa Maria / Moreno, Pilar / Vallejo, Paula / Oliva, Glòria / Alava, Fernando / Esquerra, Miquel / Davins, Josep / Vallès, Roser / Bañeres, Joaquim

Medicina clinica

2014 Volume 143 Suppl 1, Page(s) 48–54

Abstract: Since its inception in 2006, the Alliance for Patient Safety in Catalonia has played a major role in promoting and shaping a series of projects related to the strategy of the Ministry of Health, Social Services and Equality, for improving patient safety. ...

Title translation	Design, implementation and evaluation of a management model of patient safety in hospitals in Catalonia, Spain.
Abstract	Since its inception in 2006, the Alliance for Patient Safety in Catalonia has played a major role in promoting and shaping a series of projects related to the strategy of the Ministry of Health, Social Services and Equality, for improving patient safety. One such project was the creation of functional units or committees of safety in hospitals in order to facilitate the management of patient safety. The strategy has been implemented in hospitals in Catalonia which were selected based on criteria of representativeness. The intervention was based on two lines of action, one to develop the model framework and the other for its development. Firstly the strategy for safety management based on EFQM (European Foundation for Quality Management) was defined with the development of standards, targets and indicators to implement security while the second part involved the introduction of tools, methodologies and knowledge to the management support of patient safety and risk prevention. The project was developed in four hospital areas considered higher risk, each assuming six goals for safety management. Some of these targets such as the security control panel or system of adverse event reporting were shared. 23 hospitals joined the project in Catalonia. Despite the different situations in each centre, high compliance was achieved in the development of the objectives. In each of the participating areas the security control panel was developed. Stable structures for safety management were established or strengthened. Training in patient safety played and important role, 1415 professionals participated. Through these kind of projects not only have been introduced programs of proven effectiveness in reducing risks, but they also provide to the facilities a work system that allows autonomy in diagnosis and analysis of the different risk situations or centre specific safety issues.
MeSH term(s)	Accidental Falls/prevention & control ; Emergency Service, Hospital/standards ; Goals ; Health Policy ; Hospitals, Private/organization & administration ; Hospitals, Public/organization & administration ; Humans ; Intensive Care Units/standards ; Medication Errors/prevention & control ; Models, Theoretical ; Operating Rooms/standards ; Pain Management ; Patient Safety ; Quality Indicators, Health Care ; Quality of Health Care ; Risk Management/organization & administration ; Spain ; Total Quality Management
Language	Spanish
Publishing date	2014-07
Publishing country	Spain
Document type	English Abstract ; Journal Article
ZDB-ID	411607-0
ISSN	1578-8989 ; 0025-7753
ISSN (online)	1578-8989
ISSN	0025-7753
DOI	10.1016/j.medcli.2014.07.011
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Ua VI Zs.279: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Seguridad clínica y orientación al paciente: estudio descriptivo en 113 hospitales españoles y similitudes en otros países europeos.

Vallejo, Paula / Suñol, Rosa / Escaramis, Georgia / Torrontegui, Mikel / Lombarts, Kiki / Bañeres, Joaquim

Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial

2009 Volume 24, Issue 4, Page(s) 139–148

Abstract: Objectives: This study describes the stage of development of the Spanish acute care hospitals quality improvement systems. It also presents data on their achievement of some specific requirements related to clinical safety and patient oriented care. ... ...

Title translation	Clinical safety and patient oriented care: descriptive study of 113 Spanish hospitals and similarities in other European countries.
Abstract	Objectives: This study describes the stage of development of the Spanish acute care hospitals quality improvement systems. It also presents data on their achievement of some specific requirements related to clinical safety and patient oriented care. Additional data from seven other European countries are included, in order to provide a comparative reference for the analysis of results. Material and methods: Cross-sectional descriptive study developed in acute care hospitals with more than 100 beds from 8 European countries. Data was gathered using an on-line questionnaire that had more than 500 close questions. In order to validate the responses, a sample of the hospitals that had answered the questionnaire received an evaluation by external assessors. Results: A total of 113 public and private Spanish hospitals participated in the study, which represented 34% of the total group that met the inclusion criteria. Another 276 hospitals from 7 other countries also answered the questionnaire. The results associated with quality management, clinical safety and patient oriented care from both groups are presented. Conclusions: Improvements must be made in those areas where Spanish hospitals have a lower developmental level than the rest of the participating countries: public dissemination of results from external quality assessments, development of some key mechanisms to promote clinical safety and patient involvement in organisational management.
MeSH term(s)	Appendicitis/therapy ; Clinical Trials Data Monitoring Committees/organization & administration ; Clinical Trials Data Monitoring Committees/statistics & numerical data ; Commission on Professional and Hospital Activities/organization & administration ; Cross-Sectional Studies ; Delivery, Obstetric/statistics & numerical data ; European Union ; Female ; Hospital Bed Capacity ; Hospitals/standards ; Hospitals/statistics & numerical data ; Humans ; Male ; Medical Audit ; Myocardial Infarction/therapy ; Patient-Centered Care/organization & administration ; Patient-Centered Care/statistics & numerical data ; Pregnancy ; Quality Assurance, Health Care/organization & administration ; Safety Management/organization & administration ; Safety Management/statistics & numerical data ; Spain ; Surveys and Questionnaires
Language	Spanish
Publishing date	2009-08
Publishing country	Spain
Document type	Comparative Study ; English Abstract ; Journal Article
ISSN	1887-1364
ISSN (online)	1887-1364
DOI	10.1016/S1134-282X(09)71797-X
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article: Sistemas de identificación de pacientes en hospitales de Cataluña.

Martínez, Laura / Gimeno, Victoria / Anglès, Roser / Bañeres, Joaquim / Torralba, Lluís / Manzanera, Rafael

Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial

2008 Volume 23, Issue 4, Page(s) 158–163

Abstract: Objective: To know the current situation on the implementation of the patient identification systems in hospital centres in Catalonia.: Methods: Interviews carried out with nurse managers of Catalonian hospitals on patient identification systems, ... ...

Abstract	Objective: To know the current situation on the implementation of the patient identification systems in hospital centres in Catalonia. Methods: Interviews carried out with nurse managers of Catalonian hospitals on patient identification systems, implementation in the different hospital services and data used in the system. Results: Of the 75 centres studied, 90.7% used some kind of patient identification system. Only 26.7% of the interviewed centers had patient identification systems in all its hospital services. The most used identity data were patient name and surname (100%), clinical history number (79.4%), birth date (67.6%) and bed number (66.2%). 77.3% of the centres used only one patient identification system, and the most used was the wristband (85.3%). A wristband identification protocol was used in only 67.2% of the centres and 50% of all the centres had some problem with its use. Conclusions: There is good level of implementation of patient identification systems in Catalonia, nevertheless greater use of these systems and their standardisation needs to be promoted in all hospital services, as well as continuously monitoring compliance.
Language	Spanish
Publishing date	2008-07
Publishing country	Spain
Document type	English Abstract ; Journal Article
ISSN	1134-282X
ISSN	1134-282X
DOI	10.1016/S1134-282X(08)72128-6
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

To top

More links

Kategorien

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

Inter-library loan at ZB MED