Erosion of universal health coverage in Spain
Whereas the recent UN resolution urges governments to accelerate progress towards universal access to affordable and quality health-care services, the Spanish Government, bypassing the parliamentary procedure, enacted a Royal Decree to limit access to free services at the point of delivery for all-undermining the principle of universal coverage. Spanish health and social service budgets have been subjected to large cuts (13,7% in 2012 and 16,2% in 2013) with some regions imposing additional budget cuts.
Impacto de las notas de prensa en las citas recibidas por los artículos publicados en Gaceta Sanitaria
Antecedentes/Objetivos: Hay pocos estudios que analicen los factores que influyen sobre el factor de impacto bibliométrico de una revista y las notas de prensa son uno de estos factores. Se presenta un análisis del impacto en las citas recibidas por los artículos objeto de una nota de prensa elaborada desde Gaceta Sanitaria. Métodos: Se elaboró una base de datos con todos los artículos publicados en Gaceta Sanitaria entre 2007 y 2011. Para cada uno se registró el número de citas recibidas hasta el año 2012 (incluido) en la base de datos Web of Science. Para cada artículo se registró si había sido incluido o no en las notas de prensa elaboradas desde la revista. Desde 2007 hasta 2011 dos art…
Los orígenes de la enfermería de salud pública
Mapping the awareness of inequalities in health programs in Spanish communities: moving forward together
The aim of this study is to map the awareness of gender, socioeconomic, immigrant and ethnic health inequalities in health at schools, maternal health and traffic injury health prevention programs. The study was conducted in the 19 health descentralized areas in Spain, 17 autonomous community (ACs) and the 2 autonomous cities (ACities). The data were collected from May 2008 to January 2009. The unit of analysis was the collection of policy documents setting out the programs mentioned above and the related support material in each AC. A reading guide was used to analyze the awareness of inequalities. With regard to health at schools, 2 of 10 programs show a high awareness of inequalities and…
RIU project: Perceived changes by health agents and professionals after a health intervention in an urban area of socioeconomic disadvantage
Objetivo: Describir los cambios percibidos por la población y los profesionales en relación con la salud y el uso de servicios tras la intervención RIU con agentes comunitarios en un barrio vulnerable. Diseño: Estudio descriptivo cualitativo con entrevistas individuales y grupales y observación participante de octubre de 2008 a julio de 2009. Emplazamiento: Barrio Raval (Algemesí-Valencia). Participantes: Selección por muestreo opinático de 7 mujeres agentes de salud, todas las que finalizaron la intervención, y 10 profesionales implicados en la misma. Método: Con las mujeres se mantuvo una entrevista grupal a los 6 meses, y una entrevista grupal y 7 individuales a los 9 meses de intervenci…
Externalities and article citations: experience of a national public health journal (Gaceta Sanitaria)
Purpose: The purpose of the study was to analyze the determinants of citations such as publication year, article type, article topic, article selected for a press release, number of articles previously published by the corresponding author, and publication language in a Spanish journal of public health. Methods: Observational study including all articles published in Gaceta Sanitaria during 2007-2011. We retrieved the number of citations from the ISI Web of Knowledge database in June 2013 and also information on other variables such as number of articles published by the corresponding author in the previous 5 years (searched through PubMed), selection for a press release, publication langua…
The need for an independent evaluation of the COVID-19 response in Spain.
Spain has been hit hard by COVID-19, with more than 300 000 cases, 28 498 confirmed deaths,1 and around 44 000 excess deaths, as of Aug 4, 2020.2 More than 50 000 health workers have been infected, and nearly 20 000 deaths were in nursing homes.3 With a population of 47 million, these data place Spain among the worst affected countries. Spain is also reported to have one of the best performing health systems in the world4 and ranks 15th in the Global Health Security index.5 So how is it possible that Spain now finds itself in this position?
Iron deficiency risk factors in infants at one year: A cross-sectional study
A cross-sectional study was performed to assess the relative importance of well-known risk factors for iron deficiency in one-year-old children and to detect new ones. Serum ferritin, erythrocyte protoporphyrin and haemoglobin were used as diagnostic tools to screen for iron deficiency. Epidemiologic analysis of data included measures of association, potential impact and a log-linear model to obtain adjusted measures. Socioeconomic variables show a strong association with iron deficiency (low income, odds ratio = 5.07, UCL = 16.08, LCL = 1.60; unemployed father, odds ratio = 4.16, UCL = 14.94, LCL = 1.16; emigration, odds ratio = 9.14, UCL = 54.56, LCL = 1.53). Some errors in feeding practi…
Reply: Externalities and citation practices
Dr. Shiri raises some important questions on the results in our short report "Externalities and article citations: experience of a national public health journal (Gaceta Sanitaria)"[1]. We welcome any debate on the topic of citations research because little evidence is available on this topic and exchange between readers, authors, and editors contributes to enrich this discussion.
Anaemia during pregnancy as a risk factor for infant iron deficiency: report from the Valencia Infant Anaemia Cohort (VIAC) study.
A prospective cohort study with a 1-year follow-up of 156 neonates was carried out specifically designed to test the hypothesis that there is a positive relationship between iron deficiency during pregnancy and the development of the same disease in newborn infants. Exposure was defined as being born of a mother with ferropenic anaemia at delivery, and cases as the infants who developed iron deficiency during their first year of life. A statistically significant positive association was detected with an odds ratio of 6.57 (95% confidence limits 1.81-25.97). A stratified analysis was also performed to control the effect of potential confounders such as socio-economic variables, feeding pract…
Will austerity cuts dismantle the Spanish healthcare system?
In the face of austerity, a series of disconnected “reforms” could, without corrective measures, lead to the effective dismantling of large parts of the Spanish healthcare system, with potentially detrimental effects on health. Helena Legido-Quigley and colleagues explain.