Montserrat León‐García

ORCID: 0000-0001-8567-4685
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About
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Research Areas
  • Patient-Provider Communication in Healthcare
  • Global Public Health Policies and Epidemiology
  • Venous Thromboembolism Diagnosis and Management
  • Public Health and Social Inequalities
  • Healthcare Systems and Reforms
  • Blood Coagulation and Thrombosis Mechanisms
  • Pharmaceutical industry and healthcare
  • Health Systems, Economic Evaluations, Quality of Life
  • Cardiovascular Issues in Pregnancy
  • Diabetes Management and Education
  • Medical Malpractice and Liability Issues
  • Healthcare Systems and Technology
  • Palliative Care and End-of-Life Issues
  • Patient Satisfaction in Healthcare
  • Bone health and osteoporosis research
  • Patient Dignity and Privacy
  • Primary Care and Health Outcomes
  • Acute Myocardial Infarction Research
  • Mental Health and Psychiatry
  • Food Security and Health in Diverse Populations
  • Healthcare cost, quality, practices
  • Delphi Technique in Research
  • Bipolar Disorder and Treatment
  • Heart Failure Treatment and Management
  • Medication Adherence and Compliance

Biomedical Research Institute
2022-2025

Mayo Clinic
2024-2025

Mayo Clinic in Florida
2023-2024

Iberoamerican Cochrane Centre
2020-2024

Universitat Autònoma de Barcelona
2020-2024

Hospital de Sant Pau
2019-2024

Institut de Recerca Sant Pau
2023-2024

Knowledge Foundation
2023

WinnMed
2023

Queen Margaret University
2020

To gain insight into formal methods of integrating patient preferences and clinical evidence to inform treatment decisions, we explored patients' experience with a personalised decision analysis intervention, for prophylactic low-molecular-weight heparin (LMWH) in the antenatal period.Mixed-methods explanatory sequential pilot study.Hospitals Canada (n=1) Spain (n=4 sites). Due COVID-19 pandemic, conducted part study virtually.15 individuals prior venous thromboembolism who were pregnant or...

10.1136/bmjebm-2022-112098 article EN BMJ evidence-based medicine 2023-03-01

To describe the range of collaborative approaches to shared decision-making (SDM) observed in clinical encounters patients with diabetes and their clinicians.A secondary analysis videorecordings obtained a randomised trial comparing usual primary care or without using within-encounter conversation SDM tool.Using purposeful framework, we classified forms random sample 100 video-recorded type 2 care.We assessed correlation between extent which each form was used patient involvement...

10.1136/bmjebm-2022-112067 article EN cc-by-nc BMJ evidence-based medicine 2023-03-02

Sex-specific analysis and reporting may allow a better understanding of intervention effects can support the decision-making process. Well-conducted systematic reviews (SRs), like those carried out by Cochrane Collaboration, provide clinical responses transparently stress gaps knowledge. This study aimed to describe extent which sex is analysed reported in cross-section SRs interventions, assess association with gender main authorships.

10.1186/s13643-021-01867-3 article EN cc-by Systematic Reviews 2022-12-26

To conduct an evidence map on self-management interventions and patient-relevant outcomes for adults living with overweight/obesity.Following Arksey O'Malley methodology, we searched in five electronical databases including randomized controlled trials (RCTs) SMIs overweight/obesity. We used the terms "self-management", "adult" "obesity" content. Two independent reviewers assessed eligible references; one reviewer extracted data, a second checked accuracy.We identified 497 RCTs (58% US, 20%...

10.1016/j.pec.2023.107647 article EN cc-by-nc-nd Patient Education and Counseling 2023-01-25

Abstract Background One of today’s greatest challenges in public health worldwide - and especially its key management from Primary Health Care (PHC) is the growing burden non-communicable diseases (NCDs). In El Salvador, since 2009 Minister (MoH) has scaled up a national system based on comprehensive PHC approach. A multi-sectorial strategic plan for approach to NCDs also been developed. This analysis explores stakeholders’ perceptions related and, particular, role social participation....

10.1186/s12939-020-1140-x article EN cc-by International Journal for Equity in Health 2020-04-06

Self-management interventions (SMIs) may enhance heart failure (HF) outcomes and address challenges associated with disease management. This study aims to review randomized evidence identify knowledge gaps in SMIs for adult HF patients. Within the COMPAR-EU project, from 2010 2018, we conducted searches databases MEDLINE, CINAHL, Embase, Cochrane, PsycINFO. We performed a descriptive analysis using predefined categories developed an map of controlled trials (RCTs). found 282 RCTs examining...

10.3390/healthcare12030302 article EN Healthcare 2024-01-24

Purpose: To compare three methods for identifying patient preferences (MIPPs) at the point of decision-making: analysis video-recorded patient-clinician encounters, post-encounter interviews, and surveys. Patients Methods: For decision whether to use a spinal cord stimulator device (SCS), video coding scheme, interview guide, survey were iteratively developed with 30 SCS decision-making encounters in tertiary academic medical center pain clinic. Burke's grammar motives was used classify...

10.2147/ppa.s431378 article EN cc-by-nc Patient Preference and Adherence 2024-06-01

In 2009, the newly elected FMLN government of El Salvador launched a comprehensive health reform, which gave National Health Forum (NHF) key role in developing community participation. This study aims to examine and analyze content impact this social movement during period 2009–2018. The context was analyzed through relevant documents, helped identify stakeholders. Semi-structured interviews took place at 3 levels decision making: political level, professionals, community. Data were using...

10.1177/0020731420905262 article EN cc-by-nc International Journal of Health Services 2020-02-19

Introduction Decision analysis is a quantitative approach to decision making that could bridge the gap between decisions based solely on evidence and unique values preferences of individual patients, feature especially important when existing cannot support clear recommendations there close balance harms benefits for treatments options under consideration. Low molecular weight heparin (LMWH) prevention venous thromboembolism (VTE) during pregnancy represents one such situation. The objective...

10.1136/bmjopen-2020-046021 article EN cc-by-nc BMJ Open 2021-03-01

Non-communicable Diseases (NCDs) are the leading cause of global mortality and disability with a rising burden in low- middle-income countries. Their multifactorial aetiology, their requirement long-term care, implies need for comprehensive approaches. From 2009, Ministry Health (MoH) El Salvador has developed national public health system based on primary care. This study aims to describe different stakeholders' perceptions about management NCDs along pathways care this system.During three...

10.1186/s12913-020-05249-8 article EN cc-by BMC Health Services Research 2020-05-27

<title>Abstract</title> <bold>Background:</bold> Venous thromboembolism (VTE) in pregnancy is a major cause of maternal morbidity and mortality, the use preventive low-molecular-weight heparin (LMWH) can be challenging. Clinical guidelines recommend eliciting pregnant individuals’ preferences towards daily injections LMWH discussing best option through shared decision-making (SDM) approach. Our aim was to identify concerning each main clinical outcomes, categorize attributes influencing...

10.21203/rs.3.rs-3807726/v1 preprint EN cc-by Research Square (Research Square) 2024-01-03
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