- Healthcare Systems and Technology
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Healthcare Quality and Management
- Emergency and Acute Care Studies
- Global Health Care Issues
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Clinical practice guidelines implementation
- Migration, Health and Trauma
- Nosocomial Infections in ICU
- Patient-Provider Communication in Healthcare
- Prostate Cancer Diagnosis and Treatment
- Antibiotic Resistance in Bacteria
- Ophthalmology and Visual Impairment Studies
- Antibiotic Use and Resistance
- Rheumatoid Arthritis Research and Therapies
- Global Health Workforce Issues
- Healthcare Systems and Reforms
- Telemedicine and Telehealth Implementation
- Intraocular Surgery and Lenses
- Total Knee Arthroplasty Outcomes
- Employment and Welfare Studies
- Chronic Disease Management Strategies
- Economic and Financial Impacts of Cancer
Parc de Salut
2015-2024
Hospital Del Mar
2011-2023
Centro de Investigación Biomédica en Red de Cáncer
2023
Barcelona Biomedical Research Park
2023
Centro de Investigación Biomédica en Red
2011-2022
Municipal Institute for Medical Research
1998-2017
Hospital del Mar Research Institute
2013-2017
Ferrer Grupo (Spain)
2015
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública
2008-2014
Universitat Oberta de Catalunya
2011-2013
We aimed to assess the hospital economic costs of nosocomial multi-drug resistant Pseudomonas aeruginosa acquisition.A retrospective study all admissions between January 1, 2005, and December 31, 2006 was carried out in a 420-bed, urban, tertiary-care teaching Barcelona (Spain). All patients with first positive clinical culture for P. more than 48 h after admission were included. Patient hospitalization characteristics collected from microbiology laboratory computerized records. According...
Abstract Background The impact of immigration on health services utilisation has been analysed by several studies performed in countries with lower levels than Spain. These indicate that is among the immigrant population host and immigrants tend to use hospital emergency at expense primary care. We aimed quantify relative over-utilisation population. Methods Emergency visits Hospital del Mar Barcelona 2002 2003 were analysed. country origin, gender, age, discharge-related circumstances...
Abstract Background The recent increase in the number of immigrants Barcelona represents a challenge for public healthcare system, emergency department being most used service by this group. However, utilisation rates our environment have not yet been studied. We aimed to compare between Spanish-born and foreign-born residents hospital Barcelona. Methods s tudy population included all adults residing area study visiting Hospital del Mar 2004. care episodes were selected from Emergency...
The aim of this study was to estimate healthcare resource utilization, work absenteeism and cost per patient with pandemic influenza (H1N1)2009, from its beginning March 2010, in Spain. We also estimated the economic impact on services.
Assessing of the costs treating disease is necessary to demonstrate cost-effectiveness and estimate budget impact new interventions therapeutic innovations. However, there are few comprehensive studies on resource use associated with lung cancer patients in clinical practice Spain or internationally. The aim this paper was assess hospital cost diagnosis treatment by histology, type stage at Spanish National Health Service. A retrospective, descriptive analysis a direct medical were...
A pesar de que en los últimos 5 años la población inmigrante se ha triplicado ciudades como Barcelona, hasta el momento no evaluado forma rigurosa impacto este colectivo sistema sanitario. El objetivo del presente estudio sido comparar perfil hospitalización con autóctona, desde punto vista casuística, gravedad, características demográficas y consumo estancias. Se han analizado las 15.057 altas Hospital Mar Barcelona año 2000. Este hospital asiste 60% ingresos hospitalarios distrito Ciu-tat...
To evaluate the incidence and costs of adverse events registered in an administrative dataset Spanish hospitals from 2008 to 2010.A retrospective study was carried out that estimated incremental cost per episode, depending on presence events. Costs were obtained database Network Hospital Costs. This contains data 12 have patient records based activities clinical records. Adverse identified through Patient Safety Indicators (validated Health System) created by Agency for Healthcare Research...
Aim To calculate the incremental cost of nosocomial bacteremia caused by most common organisms, classified their antimicrobial susceptibility. Methods We selected patients who developed Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, or Pseudomonas aeruginosa. These microorganisms were analyzed because high prevalence and they frequently present multidrug resistance. A control group consisted within same all-patient refined-diagnosis related without bacteremia. Our hospital...
Abstract Background Breast cancer (BC) causes more deaths than any other among women in Catalonia. Early detection has contributed to the observed decline BC mortality. However, there is debate on optimal screening strategy. We performed an economic evaluation of 20 strategies taking into account cost over time and subsequent medical costs, including diagnostic confirmation, initial treatment, follow-up advanced care. Methods used a probabilistic model estimate effect costs each scenario....
SUMMARY This study contributes to the literature on performance of diagnosis‐related groups (DRGs) for acute myocardial infarction (AMI) patients by evaluating in nine countries factors—in addition DRGs—that affect costs or length stay and comparing variation that can be explained with without DRGs. We evaluate whether existing DRGs AMI would benefit from additional patient‐related treatment‐related factors are found administrative data across countries. In most countries, set patient...
Objective To assess the budgetary impact of switching from screen-film mammography to full-field digital in a population-based breast cancer screening program. Methods A discrete-event simulation model was built reproduce process (biennial mammographic women aged 50 69 years) combined with natural history cancer. The started 100,000 and, during 20-year horizon, new were dynamically entered according aging Spanish population. Data on obtained programs. based US data adapted our budget...
Coordination across levels of care is becoming increasingly important due to rapid advances in technology, high specialisation and changes the organization healthcare services; date, however, development indicators evaluate coordination has been limited. The aim this study develop test a set comprehensively clinical care. A systematic review literature was conducted identify These were analysed attributes classified accordingly. They then discussed within an expert team adapted or newly...
Assessing the long-term cost of colorectal cancer (CRC) increases our understanding disease burden. The aim this paper is to estimate costs CRC care by stage at diagnosis and phase in Spanish National Health Service. Retrospective study on resource use direct medical a cohort 699 patients diagnosed treated for 2000–2006, with follow-up until 30 June 2011, Hospital del Mar (Barcelona). Kaplan-Meier sample average estimator was used calculate observed 11-year costs, which were then...
Objective Increasing evidence indicates that the telehealth (TH) model is noninferior to in-person approach regarding metabolic control in type 1 diabetes (T1D) and offers advantages such as a decrease travel time increased accessibility for shorter/frequent visits. The primary aim of this study was compare change glycated hemoglobin (HbA 1c ) at 6 months T1D care rural area between TH Research design methods Randomized controlled, open-label, parallel-arm among adults with T1D. Participants...