- Mobile Health and mHealth Applications
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Healthcare Systems and Technology
- Stroke Rehabilitation and Recovery
- Digital Mental Health Interventions
- Smoking Behavior and Cessation
- Medication Adherence and Compliance
- Diabetes Management and Education
- Uterine Myomas and Treatments
- Chronic Disease Management Strategies
- Stoma care and complications
- Electronic Health Records Systems
- Telemedicine and Telehealth Implementation
- Behavioral Health and Interventions
- Diabetes Management and Research
- Respiratory Support and Mechanisms
- Advances in Oncology and Radiotherapy
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Delphi Technique in Research
- Vaccine Coverage and Hesitancy
- Pharmaceutical Economics and Policy
- Endometriosis Research and Treatment
- Colorectal Cancer Surgical Treatments
- Autopsy Techniques and Outcomes
Universidad de Málaga
2016-2024
Instituto de Investigación Biomédica de Málaga
2024
Biomedical Research Institute
2024
Hospital Universitario La Paz
2023
Agencia de Evaluación de Tecnologías Sanitarias
2023
Hospital Universitario Virgen del Rocío
2012-2020
Instituto de Biomedicina de Sevilla
2018-2020
Universidad de Sevilla
2015-2020
University of Milan
2018
Universidad de Granada
2016-2017
BACKGROUND: New technologies, such as telerehabilitation and gaming devices offer the possibility for patients to train at home.This opens challenge of safety patient he is called exercise neither with a therapist on patients' side nor linked remotely supervise sessions.AIM: To study safety, usability acceptance an autonomous system balance gait (the REWIRE platform) in home.DESIGN: Cohort SETTING: Community, stroke home POPULATION: 15 participants first-ever stroke, mild moderate residual...
We conducted a pilot study of the effectiveness home telehealth for patients with advanced chronic obstructive pulmonary disease treated long-term oxygen therapy. Patients were randomized into group (n = 24) and control 21) who received usual care. in measured their vital signs on weekdays performed spirometry two days per week. The data transmitted automatically to clinical call centre. After four months monitoring mean number accident emergency department visits was slightly lower than...
Smoking cessation is a persistent leading public health challenge. Mobile (mHealth) solutions are emerging to improve smoking treatments. Previous approaches have proposed supporting with tailored motivational messages. Some managed provide short-term improvements in cessation. Yet, these were either static terms of personalization or human-based nonscalable solutions. Additionally, long-term effects neither presented nor assessed combination existing psychopharmacological therapies.This...
We conducted a cost-utility analysis of telehealth programme for patients with severe chronic obstructive pulmonary disease (COPD) compared usual care. A randomized controlled trial was carried out over four months 45 treated long-term oxygen therapy, 24 in the group (TG) and 21 control (CG). The took into account whether severity comorbidity (defined as presence additional diseases co-occurring COPD) associated differences costs and/or quality-adjusted life years (QALYs). Results were...
Objectives To compare the cost‐effectiveness of a pharmacotherapy follow‐up for elderly nursing home ( NH ) residents with that usual care. Design Prospective observational study concurrent control group conducted over 12 months. Setting Fifteen s in Andalusia assigned to (n = 6) or intervention 9). Participants Residents aged 65 and older. Intervention Pharmacotherapy follow‐up. Measurements Negative outcomes associated medication, health‐related quality life, cost, quality‐adjusted...
Health care service based on telemedicine can reduce both physical and time barriers in stroke treatments. Moreover, this connects centers specializing treatment with other practitioners, thereby increasing accessibility to neurological specialist fibrinolytic treatment.Development, implementation, evaluation of a for the acute patients (TeleStroke) at Virgen del Rocío University Hospital.The phase, conducted from October 2008 January 2011, involved who presented symptoms confirmed by...
Smoking is considered the main cause of preventable illness and early deaths worldwide. The treatment usually prescribed to people who wish quit smoking a multidisciplinary intervention, combining both psychological advice pharmacological therapy, since application strategies significantly increases chance success in attempt.We present study protocol 12-month randomized open-label parallel-group trial whose primary objective analyze efficacy efficiency usual psychopharmacological therapy...
Depressive disorder and type 2 diabetes mellitus (T2DM) are prevalent in primary care (PC). Pharmacological treatment, despite controversy, is commonly chosen due to resource limitations difficulties accessing face-to-face interventions. Depression significantly impacts various aspects of a person's life, affecting adherence medical prescriptions glycemic control leading future complications increased health costs. To address these challenges, information communication technologies (eg,...
The aim of this study is to carry out the economic evaluation, in term a cost-minimization analysis that considers healthcare costs and indirect costs, robot-assisted hysterectomy (RAH) compared with conventional laparoscopic (CLH) female adults scheduled for total benign conditions.Cost-minimization based on an analytic observational prospective cohorts five-year time horizon. Eligible participants were all conditions at tertiary hospital. evaluation was conducted from Spanish National...
In order to achieve significant improvements in quality, cost, and accessibility (the health "iron triangle"), innovation organizational service delivery models is necessary increase the value of healthcare. The aim this study evaluate efficiency a model based on advanced practice nurse care people with ostomies (APN-O) versus usual care. An observational, exploratory, analytical, prospective six-month follow-up was carried out at 12 hospitals that implemented Andalusia. A total 75 patients...
<b>Introduction and Objectives:</b> The main objective is to analyze the impact of incorporating a mobile application process smoking cessation in terms efficacy after one-year follow-up. <b>Methods:</b> trial takes place within SmokeFreenBrain European project, financed by H2020 program under GA No 681120 registered Clinicaltrials.govNCT03553173, performed from October 2017 2018. 240 patients Smoking Cessation Office were recruited. Randomized open with 4 parallel groups (2 control -...
To perform a cost-error analysis based on quasi-experimental pre-post study of the preanalytical errors in 2 hospital laboratories. The real cost and theoretical are defined as resulting from with or without training intervention. impact associated to program was estimated, calculated total difference. costs were measured using Andalusian Public Health Service fees. Cost an educational intervention presented previous 2017. Preanalytical detected laboratories University Hospital Virgen de la...
The purpose of this study was to analyze the efficacy a social interaction intervention delivered during early postoperative time period on coping process in persons with new ostomy.Randomized controlled trial.The sample comprised 52 who underwent surgical management colorectal including fecal ostomy; 27 were randomly allocated group and 25 control group. One participant died before data collection; thus, findings are based from 51 participants. setting is Regional University Hospital...
Objective To estimate the cost and healthcare resource utilization (HRU) associated with prevalence of comorbidities in people living HIV (PLWH) a Spanish cohort over ten years.
Conocer si la incidencia de leptospirosis en los capturadores cangrejo rojo durante el periodo captura es superior a población general, así como identificar factores riesgo y estimar costes sanitarios directos e indirectos asociados casos seroconversión dicha enfermedad. Este estudio se realizó desde 1 julio 2017 hasta 31 marzo 2018. Se llevó cabo un cohortes prospectivo (población expuesta: rojo; no general) municipio Isla Mayor (Sevilla, España). Previo consentimiento informado, invitó al...
Abstract Background Community pharmacy services play an important role in controlling some factors related to medicine use and patients can benefit from these improve the adherence knowledge of their medications, besides reduce medicine-related problems. Objective The aim REVISA project is carry out a study on preliminary implementation medicines review service Spanish community pharmacies. Setting Sixty-four pharmacies all regions Spain. Method A implementation, cross-sectional multicentre...
The aim of this study was to analyze indirect costs vaginal and laparoscopic routes for hysterectomy determine whether makes a difference in total when considering route surgery.A five-year observational retrospective cohort conducted an academic tertiary care center. A 517 patients scheduled (n = 137) 380) benign conditions between January 1, 2008 December 31, 2012 meeting inclusion criteria were reviewed.Indirect higher the group compared (mean cost €3,239.86 vs. €1,371.58; increase...