A5039017875- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Global Health Care Issues
- Schizophrenia research and treatment
- Healthcare cost, quality, practices
- Public Health and Social Inequalities
- Mental Health Treatment and Access
- Healthcare Systems and Technology
- Blood donation and transfusion practices
- Experimental Behavioral Economics Studies
- Social Sciences and Policies
- Healthcare Systems and Reforms
- Hepatitis C virus research
- Economic and Environmental Valuation
- Pharmaceutical Economics and Policy
- Aging, Health, and Disability
- Health and Lifestyle Studies
- Pelvic floor disorders treatments
- Pharmaceutical Practices and Patient Outcomes
- Liver Disease Diagnosis and Treatment
- Ethics and bioethics in healthcare
- Anorectal Disease Treatments and Outcomes
- Stroke Rehabilitation and Recovery
- Public Health in Brazil
- Primary Care and Health Outcomes
Universidad de Navarra
2012-2024
Universidad Publica de Navarra
2013-2023
Navarre Institute of Health Research
2020
UNESCO
2017
European Council
2017
Conseil de L'Europe
2017
London School of Economics and Political Science
1990-2009
King's College School
2009
King's College London
2009
Gobierno de Navarra
1988
This study provides EQ-5D population norms for 20 countries (N = 163,838), which can be used to compare profiles patients with specific conditions data the average person in general a similar age and/or gender group. Descriptive are provided total population, by and seven groups. Provided index values based on European VAS all countries, TTO 11 10 countries. Important differences exist reported health status across after standardizing structure. Self-reported according five dimensions EQ...
The EQ-5D instrument is the most widely used preference-based health-related quality of life questionnaire in cost-effectiveness analysis health care technologies. Recently, a version called EQ-5D-5L with 5 levels on each dimension was developed. This manuscript explores performance hybrid approach for modeling valuation data.Two elicitation techniques, composite time trade-off, and discrete choice experiments, were applied to sample Spanish population (n=1000) using computer-based...
Background Direct-acting antivirals (DAA) have demonstrated high efficacy to achieve sustained virological response (SVR) in chronic hepatitis C patients. We aim assess the change health-related quality of life (HRQoL) among patients successfully treated, and identify predictors this variation. Methods In a prospective observational study, with who started DAA therapy between May 2016 April 2017 completed EQ-5D-5L questionnaire at baseline 12 weeks after end before knowing result. Analysis...
It has been established in the literature that workers within public organisations are intrinsically motivated. This paper is an empirical study of healthcare sector using methods qualitative analysis research, which aims to answer following hypotheses: 1) doctors motivated; 2) economic incentives and control policies may undermine doctors' intrinsic motivation; 3) well-designed encourage motivation. We conducted semi-structured interviews à-la-Bewley with 16 from Navarre's Healthcare...
En 1987, un grupo interdisciplinario de investigadoresde diferentes paises europeos, autodenominado EuroQol(www.euroqol.org), se propuso producir indice saludque combinara la cantidad y calidad vida que sirviera comomedida efectividad en evaluacion economica las tecno-logias sanitarias. La estrategia consistio crear instrumentogenerico integrado por cinco dimensiones consideradas masrelevantes relacionada con salud (CVRS):movilidad, autocuidado, actividades habituales, dolor/malestar...
The EQ-5D has been frequently used in national health surveys. This study is a head-to-head comparison to assess how expanding the number of levels from three (EQ-5D-3L) five new EQ-5D-5L version improved its distribution, discriminatory power, and validity general population. A representative sample (N = 7554) Catalan Health Interview Survey 2011–2012, aged ≥18, answered both versions, we evaluated response redistribution inconsistencies between them. To this redistribution, calculated mean...
To evaluate two different methods to obtain a dead (0)—full health (1) scale for EQ-5D-5L valuation studies when using discrete choice (DC) modeling. The study was carried out among 400 respondents from Barcelona who were representative of the Spanish population in terms age, sex, and level education. DC design included 50 pairs states five blocks. Participants forced choose between (A B). Two extra questions concerned whether A B considered worse than dead. Each participant performed ten...
Background The analysis of the costs schizophrenia and its treatment under different mental health care structures will facilitate improved allocation limited resources available for schizophrenia. research we present compares service use total three cohorts subjects with which are representative areas Spain (Burlada in Navarra, Cantabria Eixample Barcelona). Method We selected first-time contacts any psychiatric who received a diagnosis Subjects were evaluated third year after onset....
Abstract A system of devolved welfare governance, it is argued, increases participation in services. However, limited empirical evidence has been reported on how influences reform. This paper draws upon from the mental health Spain, where care to regional states (autonomous communities), examine whether policy reform neglected areas may be triggered through heightened awareness and better interested stakeholders. We find that devolution helped scale up some Spain's autonomous regions...
Objective The aim of the study was to analyse cost-incidence schizophrenia in two areas with widely differing health service systems. Method costs patients 3 years after first contact were evaluated (i) an area (A) fully developed mental community programmes and (ii) another (B) without such programmes. assessment included a standard description services, as well clinical, Social disability aspects. Results Sociodemographic clinical characteristics comparable. mean direct for both 3–year...
BACKGROUND Lantus, the reference insulin glargine used for treatment of diabetes, lost its patent protection in 2014, opening market to biosimilar competitors. OBJECTIVE First, analyze adoption rates biosimilars primary care England and estimate savings realized missed, since an was first used, second, assess potential variations across Clinical Commissioning Groups (CCGs). RESEARCH DESIGN AND METHODS Data sets capturing information on all items prescribed by general practitioners up...
Abstract Background The purpose of this study was to produce a risk stratification within population high-risk patients with multiple chronic conditions who are currently treated under case management program and explore the existence different subgroups. Different care strategies were then suggested for healthcare reform according characteristics each subgroup. Methods All multimorbid from in Navarra region Spain included ( n = 885). A 1-year mortality score estimated patient by logistic...