Estrategias sociales, crisis y gobernanza rural. Paradojas de la resiliencia en la montaña pirenaica, Navarra

Tolosana, Elvira Sanz; Serrano, Jesús Oliva

doi:10.11144/javeriana.cdr17.escg

Cited by 5 publications

(3 citation statements)

References 56 publications

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“…For rurality, the classification or categorization of areas is based on their level of urbanization or rural characteristics. The urban and rural areas differ regarding healthcare accessibility, characteristics, and resources available [ 28 , 29 , 30 , 31 ]. This classification helps understand how healthcare data might vary across different types of areas, such as urban, suburban, and rural regions.…”

Section: Methodsmentioning

confidence: 99%

Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study

Vlacho,

Fernandez-Camins,

Canudas-Ventura

et al. 2024

JCM

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Background: Our study aimed to evaluate the performance of primary healthcare physicians (PCPs) in managing glycemia, lipids, and blood pressure in people with type 2 diabetes mellitus (T2DM) in Catalonia, Spain. Methods: We included 3267 PCPs with 367,132 T2DM subjects in a cross-sectional analysis of the SIDIAP (Sistema d’Informació per al Desenvolupament de la Investigació en Atenció Primària) database for the year 2017. Results: 63.1% of PCPs were female, with an average practice size of 1512 subjects. T2DM individuals had a mean (standard deviation) age of 70 (±12.2) years old, a mean body mass index (BMI) of 30.2 (±5.21) kg/m2, and a median diabetes duration of 8.8 years. Overall, 42.6% of subjects achieved target glycemic control (glycated hemoglobin < 7%). Notably, 59.2% maintained blood pressure < 140/90 mmHg during the 12-month study period. The multivariable analysis identified positive associations between glycemic control and female PCPs, practice sizes (1000–1500 people), a higher proportion of patients aged ≥ 65 years, and rural practices. Combined glycemic, lipid, and blood pressure target attainment was associated with medium-sized practices and those with a higher proportion of patients aged ≥ 65 years. Conclusions: Practice size, patient age distribution, and rurality are factors associated with the performance of PCPs in the control of glycemia, lipids, and blood pressure in T2DM subjects in primary health care centers in our region.

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Section: Methodsmentioning

confidence: 99%

Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study

Vlacho,

Fernandez-Camins,

Canudas-Ventura

et al. 2024

JCM

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“…Las poblaciones rurales no fueron receptoras pasivas de los recortes y dieron lugar a continuas movilizaciones y resistencias (Farmer et al, 2011;Sanz y Oliva, 2020). Como explican Farmer et al (2011), cuando las poblaciones rurales protestan porque pierden una enfermera lo hacen porque con ello se disuelven también todo un conjunto de recursos RES n.º 33 (1) (2024) a204.…”

Section: Periferias Socio-territoriales De La Brecha Ruralunclassified

Los retos del bienestar rural y la movilidad. Accesibilidad y periferias socio-territoriales después de las crisis

Oliva,

Sanz Tolosana

2024

RES

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La sucesión de crisis (económicas, sanitarias, geopolíticas y climáticas) que encadena el siglo XXI incrementan la vulnerabilidad de un mundo rural que afronta también los desafíos del envejecimiento y la despoblación. Si las políticas de austeridad reforzaron las disparidades regionales, el posterior colapso pandémico y la acelerada digitalización profundizan el desigual acceso a las oportunidades, recursos y servicios del bienestar. Una acumulación de procesos que configura periferias sociales y geográficas con futuros cuestionados. A partir de las investigaciones realizadas mediante trabajos de campo cualitativos basados en entrevistas en profundidad a expertos y perfiles sociológicos seleccionados exploramos estos impactos en comarcas representativas de la ruralidad remota de montaña y de la ruralidad peri-urbana. El análisis revela el papel que juega en la vulnerabilidad socio-territorial la erosión del bienestar y la necesidad de verificar la mediación que ejerce en las áreas rurales la movilidad para su provisión y acceso al mismo.

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“…De hecho, alcanza una dimensión transversal en todo el proceso, convirtiéndose en un valor en sí misma. Partiendo de la base de unas comunidades que se encuentran en un escenario más complejo, de la especificidad tanto de las estructuras existentes como de las situaciones que afrontan, fundamentalmente la despoblación (Sanz Tolosana y Oliva Serrano, 2020;Martín Cubas et al, 2019;Casellas et al, 2013), así como los cambios generales que se han dado en las últimas décadas, desde el envejecimiento de la población a las migraciones, con sus consecuencias específicas en el medio rural, la gobernanza y la participación de las comunidades locales han alcanzado una mayor relevancia. Pero cabe, especialmente, hacer hincapié en la relación existente entre el abordaje de la despoblación y el concepto de gobernanza.…”

Section: La Gobernanza Del Medio Ruralunclassified

Governance and public policies against rural depopulation through the case of La Rioja (Spain)

Andrés

2022

Revista Ehquidad

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Rural depopulation has become one of the central issues on the public agenda in the last decade in Spain. However, despite this visibility and the measures that are being developed, the process is still present. Within the policies against depopulation and rural development, the role of participation and empowerment of the affected populations has become particularly important. The objective is based on the fact that, through a more horizontal governance, they are the protagonists of the actions and measures that affect them, and that this governance becomes a means to avoid the depopulation of rural areas. The European Union's LEADER approach and the Local Action Groups have become the paradigm of this rural governance that favours their development and tackles depopulation. This article analyses the situation of rural governance in the case of a Spanish region such as La Rioja, which is affected by the depopulation of a large part of its rural areas. It starts with a theoretical framework that addresses the concept itself and how it is being articulated with issues such as social capital, territorial capital and participation, as well as the strengths and weaknesses of the scenarios that are being generated, based on the differences between territories. Next, the frameworks of depopulation in Spain are presented, which are marking the very public policies on the issue. Finally, the situation in La Rioja is addressed, focusing on the role of the regional government's plans and strategies to tackle depopulation and the role of the Local Action Groups.

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Estrategias sociales, crisis y gobernanza rural. Paradojas de la resiliencia en la montaña pirenaica, Navarra

Cited by 5 publications

References 56 publications

Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study

Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study

Los retos del bienestar rural y la movilidad. Accesibilidad y periferias socio-territoriales después de las crisis

Governance and public policies against rural depopulation through the case of La Rioja (Spain)

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