Ascensión Doñate-Martínez

ORCID: 0000-0003-2742-0219
Publications
Citations
Views
---
Saved
---
About
Contact & Profiles
Research Areas
  • Palliative Care and End-of-Life Issues
  • Chronic Disease Management Strategies
  • Frailty in Older Adults
  • Health disparities and outcomes
  • Homelessness and Social Issues
  • Artificial Intelligence in Healthcare and Education
  • Health Systems, Economic Evaluations, Quality of Life
  • Childhood Cancer Survivors' Quality of Life
  • Geriatric Care and Nursing Homes
  • Food Security and Health in Diverse Populations
  • Global Health Care Issues
  • Family and Patient Care in Intensive Care Units
  • Patient Dignity and Privacy
  • Nutrition and Health in Aging
  • Aging, Health, and Disability
  • Patient-Provider Communication in Healthcare
  • Cancer survivorship and care
  • Heart Failure Treatment and Management
  • Healthcare Systems and Technology
  • Machine Learning in Healthcare
  • Electronic Health Records Systems
  • Emergency and Acute Care Studies
  • Healthcare Systems and Public Health
  • Family and Disability Support Research
  • Housing, Finance, and Neoliberalism

Universitat Politècnica de València
2020-2025

Universitat de València
2014-2024

Health Innovations (United States)
2024

Digital Health Cooperative Research Centre
2024

Abstract Background People experiencing homelessness (PEH) are known to be at higher risk of adverse health outcomes and premature mortality when compared the housed population often face significant barriers attempting access services. This study aimed better understand specific care needs PEH facilitators associated with their timely equitable services in European context. Methods We conducted an exploratory cross-national qualitative involving people lived experience social professionals...

10.1186/s12939-023-02011-4 article EN cc-by International Journal for Equity in Health 2023-10-06

Previous work identified that older patients with non-oncological chronic conditions, their informal caregivers and health care professionals (HCPs) have psychological, social, financial informational needs, such as about treatments prognosis, effective communication, knowledge palliative (PC) or lacking confidence when delivering PC. Some of these needs can be addressed supported by Information Communications Technology (ICT). Within this study we present a set digital solutions been...

10.5334/ijic.icic24366 article EN cc-by International Journal of Integrated Care 2025-04-09

Policy makers need to consider the situation of poor provision Palliative Care (PC) in Europe. This deficiency has significant impact on older persons' health and contributes increased healthcare costs later life. The InAdvance project (ref. 825750) generated new policy recommendations based solutions for early detection referral PC adults. These emphasize positive quality life patients their families as well cost-effectiveness implementing such strategies. For this purpose, various...

10.5334/ijic.icic24365 article EN cc-by International Journal of Integrated Care 2025-04-09

Introduction: Cancer care delivery is complex given the multifaceted nature of cancer and involvement diverse professionals. Accessing for people experiencing homelessness (PEH) a greater challenge due to specific barriers this group. Therefore, primary, secondary preventive among population crucial. Target audience: The CANCERLESS project presents valuable insights policymakers, professionals, academics invested in understanding integrated PEH. Involvement Stakeholders Project: Active...

10.5334/ijic.icic24260 article EN cc-by International Journal of Integrated Care 2025-04-09

Early palliative (PC) among patients with non-oncological chronic conditions is not such extended as diagnosed cancer. This partially due to the lack of clear and consistent indicators triggers define an ‘early’ or ‘timely’ initiation PC services identification needs can be complex uncertain in transitions advanced chronicity. The EU-funded project InAdvance (ref.: 825750) aims implement strategies identify older that could benefit from sooner trajectory diseases. For that, a multi-centre...

10.5334/ijic.icic24047 article EN cc-by International Journal of Integrated Care 2025-04-09

Background. Adults with intellectual disabilities are starting to live longer, and the percentage of family caregivers who grow old is increasing as well, facing a long-term care. This challenge together their own-age related health issues lack integrated care provision may have significant repercussions on caregivers, not adequately supported by services that usually provide fragmented Nevertheless, many studies primarily focused children disabilities. Based research findings, intervention...

10.5334/ijic.icic24377 article EN cc-by International Journal of Integrated Care 2025-04-09

Frailty is one of the most challenging issues among older adults, and relationship between frailty falls has already been assessed numerous times in literature. In present study, we explored mediating role self-efficacy related to (FSe) fall risk. a cross-sectional design, 1080 community-dwelling adults from Rotterdam (Netherlands) Valencia (Spain) completed questionnaire data were then analyzed via mediation analysis using bootstrapping approach. Results show that higher associated with...

10.1177/13591053231223879 article EN Journal of Health Psychology 2024-01-26

Although clinical decision support systems (CDSS) have many benefits for practice, they also several barriers to their acceptance by professionals. Our objective in this study was design and validate The Aleph palliative care (PC) CDSS through a user-centred method, considering the predictions of artificial intelligence (AI) core, usability user experience (UX).We performed two rounds individual evaluation sessions with potential users. Each session included model evaluation, task test UX...

10.1177/20552076221150735 article EN cc-by-nc-nd Digital Health 2023-01-01

People experiencing homelessness (PEH) have a higher prevalence of adverse health outcomes and premature mortality compared to the non-homeless population. These include burden cancer cancer-specific morbidity mortality-outcomes that may be consequence significant barriers accessing primary secondary prevention community services. This study aimed better comprehend needs preventive care for PEH across four European countries as well necessary considerations developing interventions around...

10.1016/j.eclinm.2023.102095 article EN cc-by EClinicalMedicine 2023-07-20

Palliative care (PC) has demonstrated benefits for life-limiting illnesses. Bad survival prognosis and patients' decline are working criteria to guide PC decision-making older patients. Still, there is not a clear consensus on when initiate early PC. This work aims propose machine learning approaches predict frailty mortality in patients supporting decision-making. Predictive models based Gradient Boosting Machines (GBM) Deep Neural Networks (DNN) were implemented binary 1-year...

10.1177/14604582221092592 article EN cc-by-nc Health Informatics Journal 2022-04-01

The integration of Artificial Intelligence (AI) in healthcare signifies a substantial shift, offering benefits to patients and systems while also introducing new risks. emphasis on patient safety performance standards is pivotal, especially with the European Union’s strides towards regulating AI through Act. This act focuses classifying based risk levels, mandating stringent requirements for high-risk AI, enhancing transparency, ensuring ethics applications. concept an “AI passport”...

10.3233/shti240472 article EN cc-by-nc Studies in health technology and informatics 2024-08-22

Children's upbringing is one of the most important and difficult roles challenges for parents today. This paper presents a new model parenting training developed within project "BE Supportive, NOT violent! Positive happy children!"- III Daphne Programme (European Commission). Parents from several countries – among them Spain were trained receiving informative background as well practical advice everyday use. The main results show that acquired useful techniques children communication skills...

10.1016/j.sbspro.2014.01.553 article EN Procedia - Social and Behavioral Sciences 2014-02-01

Application of The Community Assessment Risk Screen (CARS) tool for detection chronic elderly patients at risk hospital readmission and the viability study its inclusion in health information systems.Retrospective cohort study.Health Departments 6, 10, 11 from Valencia Community.Patients 65 over seen 6 Primary Care centres December 2008. sample consisted 500 (sampling error=±4.37%, sampling fraction=1/307).The CARS tools includes 3items: Diagnostics (heart diseases, diabetes, myocardial...

10.1016/j.aprim.2013.07.010 article EN cc-by-nc-nd Atención Primaria 2013-12-12

Spain is one of the European countries with oldest populations. The prevalence frailty among Spanish older people ranges from 8.4 to 29.4% and currently, most relevant public health challenges. Tilburg Frailty indicator (TFI) has been widely used in community healthcare settings for assessing frailty. objective this study evaluate predictive performance TFI several adverse outcomes community-dwelling adults. was tested through linear regression analyses receiver operating characteristics...

10.3390/ijerph191912756 article EN International Journal of Environmental Research and Public Health 2022-10-05

Abstract Background Rising life expectancy and ageing population are current phenomena that European society is facing these challenges for the healthcare systems. To face them, several e-health solutions already designed to optimize resources of provider system. However, most them not being implemented or deployed. Some reasons lack digital skills innovation readiness in staff, existing barriers changing organizational practices. Objectives The DISH project...

10.1093/eurpub/ckaa166.027 article EN European Journal of Public Health 2020-09-01

Palliative care is an alternative to standard for gravely ill patients that has demonstrated many clinical benefits in cost-effective interventions. It expected grow demand soon, so it necessary detect those who may benefit from these programs using a personalised objective criterion at the correct time. Our goal was develop responsive and minimalist web application embedding 1-year mortality explainable predictive model assess palliative bedside consultation. A been trained. We ranked input...

10.3390/su13179844 article EN Sustainability 2021-09-02

Abstract Background and objective People experiencing homelessness (PEH) face significant health challenges disparities in healthcare access due to barriers such as unstable housing, limited resources, social stigma. In response, the European Union has initiated efforts address these disparities. The CANCERLESS project, part of this initiative, created first multi-centre dataset for cancer prevention PEH. This work aims evaluate describe heterogeneity PEH across pilot sites provide data...

10.1101/2024.10.07.24314994 preprint EN cc-by-nc-nd medRxiv (Cold Spring Harbor Laboratory) 2024-10-07
Coming Soon ...