causes and economic consequences in the Murcia Health System, 2002 to 2018

publishersversionpublishe

Opinions and perceptions of patients with cardiovascular disease on adherence: a qualitative study of focus groups

Background Cardiovascular diseases are becoming more frequent throughout the world. Adherence to both pharmacological and non-pharmacological treatment, as well as lifestyles, is important for good management and control of the disease. This study aims to explore the opinions and perceptions of patients with ischemic heart disease on the difculties associated with therapeutic adherence. Methods An interpretive phenomenological study was carried out using focus groups and one semi-structured interview. The MAXQDA qualitative data analysis program was used for inductive interpretation of the group discourses and interview. Data were coded, and these were grouped by categories and then consolidated under the main themes identifed. Results Two in-person focus groups and one remote semi-structured interview were performed. Twelve participants (6 men and 6 women) from the Hospital de San Juan de Alicante participated, two of them being family companions. The main themes identifed were aspects related to the individual, heart disease, drug treatment, and the perception of the health care system. Conclusions Adhering to recommendations on healthy behaviors and taking prescribed medications for cardiovascular disease was important for most participants. However, they sometimes found polypharmacy difcult to manage, especially when they did not perceive the symptoms of their disease. Participants related the concept of fear to therapeutic adherence, believing that the latter increased with the former. The relationship with health professionals was described as optimal, but, nevertheless, the coordination of the health care system was seen as limited.This study was funded by the Spanish Ministry of Science and Innovation (MICINN) and Carlos III Health Institute (ISCIII)/European Regional Development Fund (ERDF), (RICAPPS: RD21/0016/0024). The authors acknowledge support from the Health Research Projects—Strategic Action in Health (Reference: PI20/01304) of the SpanishFondo de Investigación Sanitaria—Instituto de Salud Carlos III, co-funded by the European Regional Development Fund/European Social Fund: A way to make Europe/Investing in Your Future

Psicólogos del testimonio: ¿un peritaje de lujo?

Dentro de las investigaciones sobre psicología del testimonio destaca, por el volumen de trabajos, el área de la identificación de personas. En este artículo se pretende dar una visión global de los diferentes procedimientos de identificación, aportando datos para juzgar su utilidad cuando son empleados por testigos para reconocer o recordar a una persona. Se sugiere que los errores de los testigos pueden ser interpretados al entender el funcionamiento de la memoria más como reconstrucción que como reproducción de sucesos, sugiriéndose como más conveniente para la interpretación de los datos actuales la teoría de conocimiento social de Nisbett y Ross (1980). Se aporta, también, una extensa bibliografía sobre este tema.According with the amount of publications, the most important area of eyewitness testimony is the research of person identification. In this paper we try to explain the methods for recognition and/or recall of faces and the usefulness of this techniques when was used by eyewtiness. It is suggested that misidentification of eyewitness can be understood if we see the human memory as event reconstruction more than event reproduction. We think that Nisbett and Ross� (1980) theory about human inference as the most useful model to perform the investigations. An extensive bibliography about this area is also offered

Estudios de psicología en ambientes procesales: un análisis de matamemoria

Tesis doctoral inédita leída en la Universidad Autónoma de Madrid. Facultad de Psicología. Fecha de lectura: 198

Concepto y modelos de calidad: hacia una definición de calidad asistencial

La Calidad está de moda. Interesa a consumidores, productores, gestores y políticos. Sin embargo, no todos entienden lo mismo. El concepto de Calidad ha evolucionado desde la Inspección y el Control de Calidad hasta el más reciente de Calidad Total. En este trabajo se revisa dicha evolución y se presenta una definición actual del concepto de Calidad todo ello bajo la óptica de su aplicación al sector sanitario