La desigualdad en el acceso a las prestaciones sanitarias. Propuestas para lograr la equidad

Urbanos-Garrido, Rosa M.

doi:10.1016/j.gaceta.2016.01.012

Cited by 33 publications

(32 citation statements)

References 12 publications

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“…Estudios revisados sostienen la presencia de desigualdades en el acceso al sistema sanitario en relación a estos cambios legislativos que son definidos como injustos y evitables (15) . Esto se corrobora a través de la revisión realizada dado que la medida impuesta por el gobierno (Real Decreto Ley 16/2012) bloquea el acceso a los servicios sanitarios a través de la exclusión de los inmigrantes en situación irregular.…”

Section: Discussionunclassified

“…Se requiere el trabajo conjunto, por parte de todos los profesionales de la salud, en la atención sanitaria del colectivo inmigrante, para evitar las desigualdades. Siendo estas desigualdades sanitarias una preocupación prioritaria para la Organización Mundial de la Salud (15) .…”

Section: Introductionunclassified

“…El sistema sanitario debe prestar especial interés a los que más lo necesitan, instaurando programas de Salud e intervenciones sanitarias que aborden los problemas más frecuentes, dirigidos a estos colectivos (15) .…”

Section: Introductionunclassified

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Enfermedades importadas en España: dificultades en la atención sanitaria

Luque

Díaz

Martos

et al. 2019

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Introducción: En España, desde el 2000 hasta el 2010, existían medidas que fomentaban la igualdad en salud y acceso a los servicios sanitarios de la población inmigrante. Con el inicio de la crisis y las reducciones del gasto público en salud, se instauraron medidas, que no solo tienen consecuencias negativas para este colectivo sino también para la salud pública en general, viéndose en aumento el número de casos de enfermedades importadas, también relacionadas con el aumento de viajes internacionales.Objetivos: Evaluar la presencia de enfermedades importadas en España y conocer la problemática del inmigrante en el Sistema Sanitario. Método: Revisión bibliográfica de estudios en lengua inglesa y castellana publicados entre 2007 y 2017 recogidos varias bases de datos y en informes de instituciones y organizaciones científicas.Resultados: Se obtuvo un total de 173 artículos indexados en las bases de datos. De estos, 32 se ajustaron a los criterios de inclusión, de los que se seleccionaron 15 para responder a los objetivos.15 producciones se adaptaron al objetivo del presente estudio. Los estudios afirman que los movimientos poblacionales como migraciones o a viajes internacionales, elevan la presencia de enfermedad importada en España. Esto junto con las medidas legislativas impuestas por el gobierno en materia de sanidad, dificultan al inmigrante irregular la posibilidad de acceder al Sistema Sanitario español. Destacan además otras dificultades para el inmigrante como son el idioma y el desconocimiento del correcto acceso y uso de las prestaciones sanitarias.Conclusión: Todo esto, crea desconfianza en el inmigrante, el cual aplaza el contacto con el servicio sanitario, pudiendo llegar a ocasionar un grave problema en la salud pública, principalmente por el retraso en el diagnóstico, tratamiento y seguimiento de enfermedades infecciosas importadas. Introduction: In Spain, from 2000 to 2010, there were measures that promoted equality in health and permitted access to health services for the immigrant population. Because of the economic crisis and the reductions in public expenditure on health, security measures were put in place, which not only had negative consequences for this group, also for public health in general. Therefore, the number of imported diseases cases have increased in direct relation to international travels.Objectives: To evaluate the presence of imported diseases in Spain and to know the problem of the immigrant in the Health System.Method: the literature review of studies in English and Spanish published between 2007 and 2017, including several databases and reports from institutions and scientific organizations.Results: A total of 173 articles indexed in the databases were obtained. 32 of these articles were adjusted to the inclusion criteria, of which 15 were selected to respond to the objectives. The studies affirm that population movements such as migrations or international trips, increase the presence of imported diseases in Spain. In addition, legislative measures imposed by the government on health matters, complicate access to the Spanish Health System for irregular immigrants. They also highlight other difficulties for the immigrant, such as the language and the lack of knowledge of the correct access and use of health services.Conclusion: The sum of all the above mentioned, creates lack of confidence in the immigrant, which postpones contact with the health service, and may lead to a serious problem in public health, mainly due to the delay in the diagnosis, treatment, and monitoring of imported infectious diseases.

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Section: Discussionunclassified

Section: Introductionunclassified

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Enfermedades importadas en España: dificultades en la atención sanitaria

Luque

Díaz

Martos

et al. 2019

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“…The first strength of the study would therefore be the confirmation of the needs already detected, based on the MWT consensus. However, in Spain, autonomous regions have autonomy in health management, so there may be different realities with regard to MS care [45]. Addressing these differences is a challenge to achieve equality in access to healthcare and ensure good health for the entire population and for patients with MS in particular.…”

Section: Discussionmentioning

confidence: 99%

Social value of a set of proposals for the ideal approach of multiple sclerosis within the Spanish National Health System: a social return on investment study

Torres

Fernández²,

Carrascal

et al. 2020

BMC Health Serv Res

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Background: Multiple Sclerosis (MS) is a chronic inflammatory, demyelinating and neurodegenerative disease that in many cases produces disability, having a high impact in patients' lives, reducing significantly their quality of life. The aim of this study was to agree on a set of proposals to improve the current management of MS within the Spanish National Health System (SNHS) and apply the Social Return on Investment (SROI) method to measure the potential social impact these proposals would create. Methods: A Multidisciplinary Working Team of nine experts, with representation from the main stakeholders regarding MS, was set up to agree on a set of proposals to improve the management of MS. A forecast SROI analysis was carried out, with a one-year timeframe. Data sources included an expert consultation, a narrative literature review and a survey to 532 MS patients. We estimated the required investment of a hypothetical implementation, as well as the potential social value that it could create. We calculated outcomes in monetary units and we measured intangible outcomes through financial proxies. Results: The proposed ideal approach revealed that there are still unmet needs related to MS that can be addressed within the SNHS. Investment would amount to 148 million € and social return to 272 million €, so each euro invested could yield almost €2 of social return. Conclusions: This study could guide health interventions, resulting in money savings for the SNHS and increases in patients' quality of life.

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“…services after three years of economic growth and employment growth [18,41]. In fact, after the labor reform, income and social inequalities have increased and, as a consequence, the access to goods and services [35]. Thus, the availability of economic resources may have a more relevant role than the employment situation for the use of dental services and the increase of inequalities between immigrant and native populations [42].…”

Section: Discussionmentioning

confidence: 99%

Place of Birth Inequalities in Dental Care Use Before and After the Economic Crisis in Spain

Rodriguez-Alvarez

Lanborena

Borrell

2019

Preprint

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This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in the population aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for years 2006 (before the crisis), 2014 and 2017 (after the crisis). Log-binomial regression was used to quantify the association between region of origin and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR:1.36, 95% CI:1.10–1.67) and Africa (PR:1.16; 95% CI:1.05–1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants compared to the natives, with the greatest odds for those from Africa (PR:1.71; 95% CI:1.46–2.01) and Asia (PR:1.3; 95% CI:1.23–1. 47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services.

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La desigualdad en el acceso a las prestaciones sanitarias. Propuestas para lograr la equidad

Cited by 33 publications

References 12 publications

Enfermedades importadas en España: dificultades en la atención sanitaria

Enfermedades importadas en España: dificultades en la atención sanitaria

Social value of a set of proposals for the ideal approach of multiple sclerosis within the Spanish National Health System: a social return on investment study

Place of Birth Inequalities in Dental Care Use Before and After the Economic Crisis in Spain

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