Percepciones de médicas y médicos de atención primaria de Madrid sobre las medidas de ajuste en el sistema público de salud

Heras-Mosteiro, Julio; Otero‐García, Laura; Sanz-Barbero, Belén; Andrés, Jesús María Aranaz

doi:10.1016/j.gaceta.2016.02.003

Cited by 10 publications

(3 citation statements)

References 17 publications

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“…Los profesionales sanitarios critican las medidas instauradas por el gobierno y manifiestan una ausencia en la participación profesional para la toma de decisiones con respecto a este grupo poblacional. Señalan que dichas medidas aprobadas, en relación a este colectivo, son precipitadas y que no logran el objetivo de ahorro sanitario marcado por el gobierno (32) .…”

Section: Discussionunclassified

Enfermedades importadas en España: dificultades en la atención sanitaria

Luque

Díaz

Martos

et al. 2019

eglobal

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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

Enfermedades importadas en España: dificultades en la atención sanitaria

Luque

Díaz

Martos

et al. 2019

eglobal

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“…Although the whole population is thought to have suffered, to a greater or lesser extent, the effects of the crisis, it has more severely affected population groups already penalized by rising unemployment rates. Construction workers or some industries, those already coming from historical trajectories of exclusion and exploitation, such as migrants and gypsies, or the elderly, dependent on social assistance, among them, women were included (15)(16)(17) .…”

Section: Discussionmentioning

confidence: 99%

“…Among the situations mentioned by the interviewees and in the survey, there is the exclusion of access to the health system by immigrants without a residence permit and the inclusion of co-payments in medicines for the elderly, after the Royal Decree-Law (RDL) 16/2012 publication. Health professionals in Madrid considered that these measures were not adequately explained in relation to their objectives, and stated that they were guided by the idea of "saving at all costs" (17) . Migrants' access to the health system was reestablished by government measure in 2018, but previous restrictive effects are still perceived by nurses.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Spanish nurses on economic crisis and the impacts on health care system

et al. 2020

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Objective: to analyze the perceptions of Spanish nurses regarding the country’s economic crisis situation, and its impacts on nursing work, health system and population’s health. Methods: qualitative approach, with data collection using an internet-based questionnaire and individual in-depth interviews. Data were analyzed according to Thematic-Categorical Content Analysis, supported by Historical and Dialectical Materialism perspective. Results: the categories produced discuss themes as: cutbacks in health care and the consequences of workforce non-replacement and work overload; salary impact; care model changes; negative impacts on population health. The impact on population health and work was discussed, especially regarding vulnerable groups, as well as in assistance model reconfiguration, reinforcing the biomedical and assistance perspective.

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Costes y procesos hospitalarios en un servicio de urología de un hospital terciario. Análisis de los grupos relacionados por el diagnóstico

Boronat

Martínez

Budia

et al. 2017

Actas Urológicas Españolas

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Percepciones de médicas y médicos de atención primaria de Madrid sobre las medidas de ajuste en el sistema público de salud

Abstract: It is essential that public authorities actively involve health care professionals in decision-making processes to ensure the implementation of evidence-based measures with strong professional support, thus maintaining the quality of care.

Cited by 10 publications

References 17 publications

Enfermedades importadas en España: dificultades en la atención sanitaria

Enfermedades importadas en España: dificultades en la atención sanitaria

Perceptions of Spanish nurses on economic crisis and the impacts on health care system

Costes y procesos hospitalarios en un servicio de urología de un hospital terciario. Análisis de los grupos relacionados por el diagnóstico

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