Medida de la eficiencia de la atención primaria en Barcelona incorporando indicadores de calidad

Romano, José; Choi, Álvaro

doi:10.1016/j.gaceta.2016.04.014

Cited by 13 publications

(13 citation statements)

References 18 publications

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“…Quality standards are being increasingly used to analyze the functioning of different health care services, including primary care (Choi, 2016). In Catalonia, an autonomous region of Spain, two quality indicator systems are used to assess prescribing practices in relation to the appropriate use of drugs: the Pharmaceutical Prescription Quality Index (IQF) (Catalan Ministry of health, 2016), created in 1999, and the Pharmaceutical Prescription Quality Standard (EQPF) (Catalan Ministry of Health, 2017), created in 2003.…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional study of the association between empathy and burnout and drug prescribing quality in primary care

Yuguero

Marsal

Esquerda

et al. 2019

Prim Health Care Res Dev

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Objective:The aim of this study was to assess whether burnout and empathy levels among general practitioners (GPs) might influence prescribing performance assessed using pharmaceutical prescription quality standard indicators.Design and Setting:Cross-sectional descriptive study of 108 GPs from 22 primary care centers in Lleida, Spain, and of centralized data corresponding to 183 600 patients under their care. The study was conducted between May and July 2014.Main Outcome Measures:Burnout and empathy were measured using the Spanish versions of the Maslach Burnout Inventory and the Jefferson Scale for Physician Empathy, and prescribing quality was measured using the Catalan Pharmaceutical Prescription Quality Standard (EQPF). Normal distribution of scores was verified using the Chi-square and Kolmogorov–Smirnov–Lilliefors tests. The effect of each of the variables was evaluated using crude odds ratios.Results:Older GPs scored significantly higher in the EQPF (P < 0.05). High empathy scores were positively associated with high EQPF scores. GPs with low burnout also performed better in the EQPF.Conclusions:More empathic, less burned-out, older GPs showed better prescribing performance according to quality indicators. However, further studies are needed to evaluate other factors influencing prescribing habits. The promotion of communication skills may increase empathy and reduce burnout, thus benefiting patients.

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Section: Introductionmentioning

confidence: 99%

Cross-sectional study of the association between empathy and burnout and drug prescribing quality in primary care

Yuguero

Marsal

Esquerda

et al. 2019

Prim Health Care Res Dev

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“…Filipe Amado and Dyson (2008) indicate that performance evaluation and improvement in primary health care should include structure, process, products, and results [25], that evaluation in primary care should be formative, involving the stakeholders if unintended consequences are to be avoided and performance is to be improved; and, in principle, DEA provides the basis for an appropriate methodology [26,27]. In this sense, Romano and Choi (2016) concluded that it is necessary to introduce quality indicators in the models [28].…”

Section: Introductionmentioning

confidence: 99%

Data Envelopment Analysis Applications on Primary Health Care Using Exogenous Variables and Health Outcomes

et al. 2021

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A data envelopment analysis was used to evaluate the efficiency of 18 primary healthcare centres in a health district of the Valencian Community, Spain. Factor analysis was used as a first step in order to identify the most explanatory variables to be incorporated in the models. Included as variable inputs were the ratios of general practitioners, nurses, and costs; as output variables, those included were consultations, emergencies, avoidable hospitalisations, and prescription efficiency; as exogenous variables, those included were the percentage of population over 65 and a multimorbidity index. Confidence intervals were calculated using bootstrapping to correct possible biases. Efficient organisations within the set were identified, although the results depend on the models used and the introduction of exogenous variables. Pharmaceutical expenditure showed the greatest slack and room for improvement in its management. Data envelopment analysis allows an evaluation of efficiency that is focussed on achieving better results and a proper distribution and use of healthcare resources, although it needs the desired goals of the healthcare managers to be clearly identified, as the perspective of the analysis influences the results, as does including variables that measure the achievements and outcomes of the healthcare services.

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“…Spain's healthcare system ranks third in the world, between 200 countries behind Hong Kong and Singapore in terms of efficiency (Vieira, 2018). To hold this position suggests that the Spanish Health System (hereinafter SHS), in particular, manages its resources under criteria of maximizing the quantity and quality of health (Romano & Choi, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Likewise, these authors collect the use of output and input variables, as well as the units of analysis used. In relation to the HCC, they have been studied at a national level, among others by García-Latorre et al (1996) in Aragón (Zaragoza), Puig-Junoy (2000) in Aragón (Zaragoza), Huesca, Navarra and Cataluña, Cordero-Ferrera et al (2011) in Extremadura, Cordero-Ferrera et al (2016 in País Vasco, and Romano and Choi (2016) in Cataluña (Barcelona).…”

Section: Introductionmentioning

confidence: 99%

Analysis of productivity in the Health Care Centers of the Community of Madrid (Spain) 2015-2017

Moreno

Santos

Melero

et al. 2021

RMCE

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The main objective of this work has focused on extending the existing literature on the analysis of total factor productivity of the Health Care Centers (HCC) of the Community of Madrid (Spain) in the period 2015-2017, with two important contributions; the application and comparison of the Malmquist indices with two robust methodologies such as the Hicks-Moorsteen and Färe Primont indices which, except for error, have not been previously used in this sector and the regional scope, which has been scarcely analyzed. The main results reveal decreases in HC productivity due to the three proposed methodologies. These decreases range between 4.90% and 0.25% for the Färe-Primont and Hicks-Moorsteen indices respectively between 2015/17 in average terms. Convergence analyses confirm that this takes place in the case of the Malmquist and Hicks-Moorsteen proposals.

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Medida de la eficiencia de la atención primaria en Barcelona incorporando indicadores de calidad

Abstract: The results suggest the need to incorporate healthcare quality indicators as outputs when considering criteria for the streamlining of primary healthcare services. Failure to incorporate quality indicators is associated with various primary healthcare concepts.

Cited by 13 publications

References 18 publications

Cross-sectional study of the association between empathy and burnout and drug prescribing quality in primary care

Cross-sectional study of the association between empathy and burnout and drug prescribing quality in primary care

Data Envelopment Analysis Applications on Primary Health Care Using Exogenous Variables and Health Outcomes

Analysis of productivity in the Health Care Centers of the Community of Madrid (Spain) 2015-2017

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