A5070206575- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Medication Adherence and Compliance
- Kidney Stones and Urolithiasis Treatments
- Chronic Disease Management Strategies
- Pharmaceutical Practices and Patient Outcomes
- Global Health Care Issues
- Ureteral procedures and complications
- Healthcare Systems and Reforms
- Pediatric Urology and Nephrology Studies
- Epilepsy research and treatment
- Efficiency Analysis Using DEA
- Traumatic Ocular and Foreign Body Injuries
- Medical Malpractice and Liability Issues
- Diabetes Treatment and Management
- Pharmaceutical studies and practices
- Pharmacological Effects and Toxicity Studies
- Healthcare Systems and Technology
- Pharmaceutical Economics and Policy
- Aging, Health, and Disability
- Pneumonia and Respiratory Infections
- Healthcare Operations and Scheduling Optimization
- Bacterial Infections and Vaccines
- Public Health and Social Inequalities
- Public Health in Brazil
Universitat Politècnica de València
2016-2025
Hospital Clínico Universitario de Valencia
2023
Ingenieria Y Economia Del Transporte
2017-2021
Hospital Universitari i Politècnic La Fe
2019
Universidade de Vigo
2018
National Institute of Statistics and Geography
2018
Polytechnic University of Puerto Rico
2013
Universitat de València
2000
We analysed issues concerning the establishment of compulsory vaccination against COVID-19, as well role misinformation a disincentive—especially when published by health professionals—and citizen acceptance measures in this regard. Data from different surveys revealed high degree hesitation rather than outright opposition to vaccines. The most frequent complaint related COVID-19 was fear side effects. Within Spanish and European legislative framework, both government regulation FN (Fake...
Pneumococcal vaccination of older persons is thought to be cost-effective in preventing pneumococcal pneumonia, but evidence clinical protection uncertain. Because there better effectiveness against invasive disease, we determined the cost-effectiveness aged ≥65 years hospital admission for both disease and pneumonia 5 western European countries. In base case analyses, ratios varied from ∼11,000 ∼33,000 currency units (ecu) per quality-adjusted life year (QALY). Assuming a common incidence...
Public-private partnership (PPP) initiatives are extending around the world, especially in Europe, as an innovation to traditional public health systems, with intention of making them more efficient.There is a varied range PPP models different degrees responsibility from simple sector contracts private, up complete privatisation service. As such, we may say involvement private embraces development, financing and provision infrastructures delivery services.In this paper, one oldest developed...
Primary healthcare management efficiency conditions the functioning of specialized care and has a direct impact on outcomes health system its sustainability. The objective this research is to develop models evaluate efficiency, including outcomes, primary centres (PHC) Clínico – La Malvarrosa Health District in Valencia. To Data Envelopment Analysis (DEA) was used with output orientation variable returns scale, panel data from years 2015 2019. In rates per 10,000 inhabitants, inputs are:...
The objective of the study is to estimate frequency multimorbidity in type 2 diabetes patients classified by health statuses a European region and determine impact on pharmaceutical expenditure.Cross-sectional inhabitants southeastern with population 5,150,054, using data extracted from Electronic Health Records for 2012. 491,854 diabetic individuals were identified selected through clinical codes, Clinical Risk Groups treatment and/or blood glucose reagent strips. Patients 1 gestational...
<title>Abstract</title> <bold>Introduction</bold> The first Health District (HD) to be managed privately but with public financing (PPP) was established in 2003. Following this model, between 2010 and 2018, five of the 24 HDs Valencia Community (<italic>Comunidad Valenciana)</italic> (CV), a region South Europe, were simultaneously under modality. In comprehensive PPP contract ended currently, only one Heath remains modality region, whose has been extended for another years (until 2030)....
Abstract Background Colorectal anastomotic leakage causes severe consequences for patients and healthcare system as it will lead to increased consumption of hospital resources costs. Technological improvements in devices could reduce the incidence its economic impact. The aim present study was assess if use a new powered circular stapler is cost-effective. Method This observational included undergoing left-sided stapled colorectal anastomosis between January 2018 December 2021. Propensity...
Pharmaceutical expenditure is undergoing very high growth, and accounts for 30% of overall healthcare in Spain. In this paper we present a prediction model primary health care pharmaceutical based on Clinical Risk Groups (CRG), system that classifies individuals into mutually exclusive categories assigns each person to severity level if s/he has chronic condition. This may be used draw up budgets control spending.Descriptive study, cross-sectional. The study database 4,700,000 population,...
Increased life expectancy in Western societies does not necessarily mean better quality of life. To improve resources management, management systems have been set up health to stratify patients according morbidity, such as Clinical Risk Groups (CRG). The main objective this study was evaluate the effect multimorbidity on health-related (HRQL) primary care.An observational cross-sectional study, based a representative random sample (n = 306) adults from district (N 32,667) east Spain...
Introduction: Diabetic foot ulcers are one of the most frequent complications diabetes; such cause an increase in costs health care diabetic patient and can even disability due to amputation patient. Although a proportion patients achieve spontaneous closure ulcers, others require medical or surgical treatment. Objective: To determine cost-effectiveness intra- perilesional application recombinant human epidermal growth factor (rhEGF), as opposed conventional therapy for management diagnosed...
When exceptional situations, such as the COVID-19 pandemic, arise and reliable data is not available at decision-making times, estimation using mathematical models can provide a reasonable reckoning for health planning. We present simplified model (static but with two-time references) estimating cost-effectiveness of vaccine. A provides quick assessment upper bound cost-effectiveness, we illustrate from Spain, allows easy comparisons between countries. It may also useful among different...
Conjugate vaccines are the best public health tools available for preventing most invasive diseases caused by Haemophilus influenzae type b (Hib), but high cost of has so far kept them from being introduced worldwide. The objective this study was to estimate cost-effectiveness introducing Hib conjugate prevention meningitis and pneumonia among children under 2 years age in Colombia.We estimated direct indirect costs managing in-hospital cases. In addition, following recommendations World...
Using a mathematical model for COVID-19 incorporating data on excess of mortality compared to the corresponding period previous year obtained from daily monitoring in Spain (MoMo), prediction total number casualties first outbreak has been computed. From this figure, and following stepwise meta-analysis available reports, case fatality rate (CFR) infectious (IFR) have estimated. As impact age these rates is notable, it proposed include an age-related adjusted ratio future comparative...