Creación Colectiva: doble lectura de un proceso artístico. Estética y Relación en un experimento performático contemporáneo

Esta tesis indaga en la interacción entre los aspectos estéticos y relacionales que tienen lugar en un proceso de creación colectiva. Durante los últimos años han proliferado multitud de formas de colaboración artística, a menudo asociadas a movimientos de preocupación social o a comunidades ideológicas y alejadas de los circuitos institucionales, moviéndose entre nuevas posibilidades de autogestión y espacios alternativos de difusión. A fin de entender en primera persona cuáles son las implicaciones de la inclusión del "otro" en el proceso creativo individual, realizamos una experiencia autogestionada de creación colectiva en Barcelona entre los años 2007 y 2011. El presente estudio propone una doble lectura crítica del experimento, planteada en dos niveles paralelos: el nivel de la propia construcción artístico-estética y el nivel de las relaciones que se establecieron entre los participantes a lo largo del proceso. A través del abordaje empírico, la doble lectura crítica y el estudio teórico del contexto, demostramos que la colectivización y "relacionalización" del hecho creativo contribuyen a la rehumanización de la práctica artística, socializando los procesos, contextualizando los mensajes y proponiendo el diálogo como principal herramienta de creación. ———— ABSTRACT This thesis explores the interaction between the aesthetic and relational aspects that take place in a process of collective creation. During the last few years, many new forms of artistic collaboration have proliferated, often associated with socially engaged movements or ideological communities, away from institutional art circuits, moving between new possibilities of self-management and alternative show spaces. In order to understand first-hand what the implications of the inclusion of the “other” are in the individual creative process, we conducted a self-managed collective creation experience in Barcelona from 2007 to 2011. This study proposes a double critical reading of the experiment, displayed in two parallel levels: the level of artistic-aesthetic construction itself and the level of relations established between participants throughout the process. Through the empirical approach, double critical reading and a theoretical study of the context, we demonstrate that the collectivization and "relationalization" of the creative act contribute to re-humanizing the artistic practice, socializing processes, contextualizing messages and proposing dialogue as the main tool of creation.

Development of the Andalusian Registry of Patients Receiving Community Case Management, for the follow-up of people with complex chronic diseases.

Background: Complex chronic diseases are a challenge for the current configuration of Health services. Case management is a service frequently provided for people with chronic conditions and despite its effectiveness in many outcomes, such as mortality or readmissions, uncertainty remains about the most effective form of team organization, structures, and the nature of the interventions. Many processes and outcomes of case management for people with complex chronic conditions cannot be addressed with the information provided by electronic clinical records. Registries are frequently used to deal with this weakness. The aim of this study was to generate a registry-based information system of patients receiving case management to identify their clinical characteristics, their context of care, events identified during their follow-up, interventions developed by case managers, and services used. Methods and design: The study was divided into three phases, covering the detection of information needs, the design and its implementation in the healthcare system, using literature review and expert consensus methods to select variables that would be included in the registry. Objective: To describe the essential characteristics of the provision of ca re lo people who receive case management (structure, process and outcomes), with special emphasis on those with complex chronic diseases. Study population: Patients from any District of Primary Care, who initiate the utilization of case management services, to avoid information bias that may occur when including subjects who have already been received the service, and whose outcomes and characteristics could not be properly collected. Results: A total of 102 variables representing structure, processes and outcomes of case management were selected for their inclusion in the registry after the consensus phase. Total sample was composed of 427 patients, of which 211 (49.4%) were women and 216 (50.6%) were men. The average functional level (Barthel lndex) was 36.18 (SD 29.02), cognitive function (Pfeiffer) showed an average of 4.37 {SD 6.57), Chat1son Comorbidity lndex, obtained a mean of 3.03 (SD 2.7) and Social Support (Duke lndex) was 34.2 % (SD 17.57). More than half of patients include in the Registry, correspond lo immobilized or transitional care for patients discharged from hospital (66.5 %). The patient's educational level was low or very low (50.4%). Caregivers overstrain (Caregiver stress index), obtained an average value of 6.09% (SD 3.53). Only 1.2 % of patients had declared their advanced directives, 58.6 had not defined the tutelage and the vast majority lived at home 98.8 %. Regarding the major events recorded at RANGE Registry, 25.8 % of the selected patients died in the first three months, 8.2 % suffered a hospital admission at least once time, 2.3%, two times, and 1.2% three times, 7.5% suffered a fall, 8.7% had pressure ulcer, 4.7% had problems with medication, and 3.3 % were institutionalized. Stroke is the more prevalent health problem recorded (25.1%), followed by hypertension (11.1%) and COPD (11.1%). Patients registered by NCMs had as main processes diabetes (16.8%) and dementia (11.3 %). The most frequent nursing diagnoses referred to the self-care deficit in various activities of daily living. Regarding to nursing interventions, described by the Nursing Intervention Classification (NIC), dementia management is the most used intervention, followed by mutual goal setting, caregiver and emotional support. Conclusions: The patient profile who receive case management services is a chronic complex patient with severe dependence, cognitive impairment, normal social support, low educational level, health problems such as stroke, hypertension or COPD, diabetes or dementia, and has an informal caregiver. At the first follow up, mortality was 19.2%, and a discrete rate of readmissions and falls.