Comprehensive heart disease action plan for Andalusia 2005-2009 : Andalusian Public Health System

The Comprehensive Heart Disease Action Plan for Andalusia 2005-2009 has been prepared within the framework of the presentations made both in the 3rd Andalusian Health Action Plan and in the Quality Plan of the Public Health System. Consequently, as with these two referral instruments, the improvement in the health results for the citizens of Andalusia continues to be sought without wavering, specifically with regard to meeting the needs and expectations of the population affected by health problems in this area.

Caminando hacia la excelencia : II Plan de calidad del sistema sanitario público de Andalucía 2005-2008

Esta edición está destinada a los ciudadanos

Cuidarte : una estrategia para los cuidados en la Andalucía del siglo XXI

Publicado en la página web de la Consejería de Igualdad, Salud y Políticas Sociales (Consejería de Igualdad, Salud y Políticas sociales / Ciudadanía / Quiénes Somos / Planes y Estrategias)

Conflictos sobre lo sano : un estudio sociológico de la alimentación en las clases populares en Andalucía

En cub. posterior: Plan para la promoción de la actividad física y la alimentación equilibrada (2004-2008). Destinado a profesionales interesados en la Promoción de la Salud. Publicado en la página web de la Consejería de Salud y Bienestar social: www.juntadeandalucia.es/salud (Consejería de Salud y Bienestar Social / profesionales / Salud Pública / Promoción de la Salud / Actividad Física y Alimentación Equilibrada / Materiales)

Valoración del estado nutricional de la Comunidad Autónoma de Andalucía

En port.: Instituto de Nutrición y Tecnología de Alimentos (Universidad de Granada), Escuela Andaluza de Salud Pública. Publicado en la página web de la Consejería de Salud y Bienestar social: www.juntadeandalucia.es/salud (Consejería de Salud y Bienestar Social / profesionales / Salud Pública / Promoción de la Salud / Actividad Física y Alimentación Equilibrada / Materiales)

II Plan Integral de Oncología de Andalucía : 2007-2012

Publicado en la página web de la Consejería de Salud: www.juntadeandalucia.es/salud (Consejería de Salud / Ciudadanía / Quiénes somos / Planes y Estrategias). Tiene dos documentos relacionados: Prevención del cáncer y Código de buenas prácticas en comunicación.

Modelo de gestión por competencias en el Sistema Sanitario Público de Andalucía

Publicado en la página Web de la Consejería de Igualdad, Salud y Políticas Sociales (Consejería de Igualdad, Salud y Políticas sociales / Profesionales / Investigación, Desarrollo e Innovación / Modelo de Gestión por Competencias / Modelo de gestión por competencias del Sistema Sanitario Público de Andalucía)

Frecuencia de la cesárea en Andalucía: relación con factores sociales, clínicos y de los servicios sanitarios (2007-2009).

BACKGROUND Increasing trend and geographical variations in the use of caesarean section suggest the influence of non-clinical factors. The objective was to describe the use of caesarean section in the Andalusian region in Spain by exploring the role of social, clinical, and health services variables. METHODS A cross-sectional study was carried out using vital statistics. It involves all births occurred in Andalusia during the period of 2007-2009. The dependent variable was the use of caesarean section and the set of covariates were classified into three groups: those with a clinical meaning, those related to the health services organization, and those with a social significance. Multivariate logistic regressions were used. RESULTS In the data set of 293,558 births, the prevalence of caesarean delivery was 24.8%. The multivariate analysis highlights the labour complications as the clinical variable with the highest odds ratio (OR=19.36). Regarding the health services variables, the odds of experiencing a caesarean delivery were 55% higher on weekdays than on weekends. Cádiz was the province with the highest OR for caesarean section (comparison between Cádiz and Almería: OR=1,21) where the ratio between births in public and private hospitals was 3.7. The frequency of caesarean section was 34% higher in women with third level education than those with no education. CONCLUSIONS Labour complication is the most influential variable for caesarean section. Caesarean birth rate is above the accepted standards for all social classes and increases with educational level. Inter-provincial differences reflect different patterns with regard to the use of private medicine.

La Sociedad Geográfica de Madrid y el colonialismo español en Marruecos (1876-1956)

L’objectiu central de l’article és analitzar l’actitud que es manifestà a la Sociedad Geogràfica de Madrid en relació amb l’acció colonial espanyola al Marroc, des del 1876 —any de creació de la Societat— fins al 1956 —independència del Marroc i consegüent finalització del protectorat espanyol—. Així mateix, s’examinen les actuacions que dugué a terme per impulsar l’esmentat procés, els mecanismes que utilitzà per influir en la política exterior i en la societat espanyoles i les repercussions de la seva activitat

Geografía, ordenación del territorio y colonialismo español en Marruecos

L’inici de la experiència colonial espanyola en Àfrica del Nord va suposar per a la geografia l’ocasió de fer-se sentir per mitjà de la creació d’institucions i de la realització de treballs científics adreçats a donar a conèixer la importància de la presència en Marroc a una població traumatitzada per la pèrdua recent del que quedava d’un imperi colonial abans extens. Els avatars de la implantació del Protectorat espanyol van retardar la implantació l’una vertadera política colonitzadora, que va ser possible fins després de la Guerra Civil. L’africanisme dels militars, entre ells el General Franco, explica que durant la dècada dels 40 sorgiren projectes d’ordenació del territori que van tenir un caràcter pioner a l’Espanya de la postguerra, però que van ser, una vitrina de propaganda del nou règim. En aquella època, però, la geografia espanyola es va mostrar incapaç de participar en aquesta experiència a causa del seu retard institucional i acadèmic, i el domini de la ordenació del territori va quedar en mans d’altres professionals que tenien els coneixements que els faltaven als geògrafs

Análisis de las principales variables determinantes de la evolución de la mortalidad por demencias en Andalucía.

BACKGROUND The dementias are a cause of mortality have increased over the last years. Therefore is important to analyze the variables more related to its development in Andalusia between 1999 and 2010. METHODS With the deaths of 60 and over by dementia from Andalusia Statistical Institute and the populations from corresponding years, are estimated crude mortality rates, standardized and age-specific; by joinpoint regression was calculated percentages annual change; and also, with the population estimates by marital status and deaths was calculated crude rates and standardized for age, sex and marital status. RESULTS The standardized mortality rates increased from 124.8 to 161.0 deaths per 100,000 in women and 110.3 to 147.7 in men, the annual increase was 4.2% and 3.8% in women and men. The women died more than men with a standardized rate ratio between 1.08 and 1.29. Age was the variable that determined mortality. CONCLUSIONS Mortality from dementia in Andalusia has increased over the past 12 years and will continue to increase with the consequent social and health impacts posed by these diseases, configured as a major health problem.

Comunicación paciente-médico y toma de decisiones en salud en Andalucía. Expectativas de pacientes crónicos del Sistema Sanitario Público Andaluz

The purpose of the study was to know about the expectations had by chronic patients within th e Public Healthcare System in Andalusi a, concerning commu nication and making deci sions with the med ical professionals who take care of them duri ng the entire treatment process. A qualitative study was carried out in Andalusia, based on 19 i n-depth interviews and 17 focus groups with 15 4 chronic patients and their relatives, suffering from seven different types of illness, of which the content was later analyzed based on the type of disease (pathologies), and the level of care (Primary, Sp eci aliz ed or Em ergen cy Ser vices). The study shows that patients i ncl uded in all healthcare processes want information about their illness. In Primary Care, they value continued attention, closeness and trust as well as being referred to a proper specialist. In Specialized Care, they expect to receive trustworthy information, proper tests and a correct diagnosis, friendly treatment and to be listened to. In the Emergency Room, lack of tim e and overcrowding d i sru pt proper communic ation. The type of chronic illne ss i nfluenc es patients’ expectations in terms of communication and decisionmaking. Communic ation between patients and medical personnel and the decision-making process related to chronic illness are crucial for the improvement of the qualit y o f healthcare. The type of chr onic disease marks diffe rent expectation s about the communication and decision-making. The communication and the decision making in the chronic assistance is a priority to improve the quality of the assistance

El futuro de la sanidad ambiental en Andalucía: oportunidades de mejora.

In the present article is presented a portrait of the situation of the environmental health in the administration of Andalusian Goverment; are analyzed implanted management formulations and we believe a reflection space on the professional exercise and the course begun with the organizational process in the Andalusian public health. The public health system has not undergone reconstruction from the process of transferences from the State towards the autonomous Communities. We identified the extrapolation of the model clinicalassistance management to the public health structures without delving what is sufficient in their organization and objectives. Setting of business process management (BMP) has got worse the administrative bureaucracy and the teamwork has not been preceded of alliances and agreements that generate feeling of ownership the same organization to avoid professional conflicts. We bet on strengthening the paper of the environmental health technicians as referring in the identification of this performances within public health system. For this propose we need the implication of all the professionals in the reform of the organization and management of the health public, to evolve in the professional exercise creating a regulated academic specialty and to define the competences maps in their different capabilites areas.