Variability in Healthcare Expenditure According to the Stratification of Adjusted Morbidity Groups in the Canary Islands (Spain).

Morbidity is the main item in the distribution of expenditure on healthcare services. The Adjusted Morbidity Group (AMG) measures comorbidity and complexity and classifies the patient into mutually exclusive clinical categories. The aim of this study is to analyse the variability of healthcare expenditure on users with similar scores classified by the AMG. Observational analytical and retrospective study. Population: 1,691,075 subjects, from Canary Islands (Spain), aged over 15 years with data from health cards, clinical history, Basic Minimum Specialised Healthcare Data Set, AMG, hospital agreements information system and Electronic Prescriptions. A descriptive, bivariant (ANOVA coefficient η2) and multivariant analysis was conducted. There is a correlation between the costs and the weight of AMG (rho = 0.678) and the prescribed active ingredients (rho = 0.689), which is smaller with age and does not exist with the other variables. As for the influence of the AMG morbidity group on the total costs of the patient, the coefficient η2 (0.09) obtains a median effect in terms of the variability of expenditure, hence there is intra- and inter-group variability in the cost. In a first model created with all the variables and the cost, an explanatory power of 36.43% (R2 = 0.3643) was obtained; a second model that uses solely active ingredients, AMG weight, being female and a pensioner obtained an explanatory power of 36.4%. There is room for improvement in terms of predicting the expenditure.S

Diseño y desarrollo on line de pruebas de evaluación tipo ECOE (Evaluación Clínica Objetiva Estructurada) para el Grado en Medicina

Memoria ID-106. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2020-2021

Diseño y puesta en marcha de un programa para la evaluación y análisis de pruebas tipo ECOE (Evaluación Clínica Objetiva Estructurada) en Medicina

Memoria ID-0179. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2014-2015

Variability in Healthcare Expenditure According to the Stratification of Adjusted Morbidity Groups in the Canary Islands (Spain)

Morbidity is the main item in the distribution of expenditure on healthcare services. The Adjusted Morbidity Group (AMG) measures comorbidity and complexity and classifies the patient into mutually exclusive clinical categories. The aim of this study is to analyse the variability of healthcare expenditure on users with similar scores classified by the AMG. Observational analytical and retrospective study. Population: 1,691,075 subjects, from Canary Islands (Spain), aged over 15 years with data from health cards, clinical history, Basic Minimum Specialised Healthcare Data Set, AMG, hospital agreements information system and Electronic Prescriptions. A descriptive, bivariant (ANOVA coefficient η2) and multivariant analysis was conducted. There is a correlation between the costs and the weight of AMG (rho = 0.678) and the prescribed active ingredients (rho = 0.689), which is smaller with age and does not exist with the other variables. As for the influence of the AMG morbidity group on the total costs of the patient, the coefficient η2 (0.09) obtains a median effect in terms of the variability of expenditure, hence there is intra- and inter-group variability in the cost. In a first model created with all the variables and the cost, an explanatory power of 36.43% (R2 = 0.3643) was obtained; a second model that uses solely active ingredients, AMG weight, being female and a pensioner obtained an explanatory power of 36.4%. There is room for improvement in terms of predicting the expenditure

Language laterality, handedness and empathy in a sample of parents of children with autism spectrum disorder

Lateralidad del lenguaje, preferencia manual y empatía en una muestra de padres de niños con trastorno de espectro autista. Antecedentes: algunos familiares de primer orden de personas con trastornos del espectro autista (TEA) exhiben un patrón de funcionamiento cognitivo que forma parte del llamado fenotipo ampliado de autismo (FAA). Método: el objetivo de este estudio consiste en evaluar si algunos aspectos neuropsicológicos relacionados con un FAA están presentes en progenitores de niños y niñas con TEA. Para ello, se realizó una prueba de escucha dicótica libre, se detectó la preferencia manual y se obtuvo el Cociente de Empatía (CE-60). Resultados: los resultados sitúan a la muestra total dentro de parámetros similares a los de la población general, aunque algunos datos de la escucha dicótica revelaron diferencias según el género. Contrariamente a lo esperado, en el subgrupo de padres los datos de ambos oídos no correlacionaron signifi cativamente, lo que revelaría falta de interdependencia hemisférica. Conclusiones: nuestros resultados apoyan la posible existencia de cierta vulnerabilidad genética a un patrón anómalo de lateralización hemisférica del lenguaje. Por tanto, factores epigenéticos por determinar podrían estar incidiendo sobre un genotipo vulnerable en las personas con TEA. No obstante, la presente investigación ha de considerarse un estudio piloto debido al tamaño de la muestra

Tercera campaña de excavación en el asentamiento ibérico final de La Casa de la Cabeza (Requena, València)

Preliminary report

Ambulatory Pharmaceutical Spending Analysis Based on Risk Stratification in Patients with Chronic Conditions

Elsevier user license: Permitted: For non-commercial purposes: Read, print & download Text & data mine Translate the article Not Permitted: Reuse portions or extracts from the article in other works Redistribute or republish the final article Sell or re-use for commercial purposesRisk adjustment models allow stratifying the population, considering chronic disease as a predictor of drug costs. In this paper, we analyze outpatient drug spending using Clinical Risk Groups (CRG) to obtain patient risk stratification.Usó Talamantes, R.; Trillo Mata, JL.; Guadalajara Olmeda, MN.; Sancho Mestre, C.; Vivas Consuelo, DJJ. (2012). Ambulatory Pharmaceutical Spending Analysis Based on Risk Stratification in Patients with Chronic Conditions. Value in Health. 15(7):A297-A297. doi:10.1016/j.jval.2012.08.592SA297A29715

Proyecto piloto basado en la metodología del aprendizaje-servicio en el Grado de Enfermería

Memoria ID2022-183 Ayudas de la Universidad de Salamanca para la innovación docente, curso 2022-2023

Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in Spain

Background: Falls are a significant health problem among older adults, and can result in severe injuries, disability, and even death. In Spain, the prevalence of falls is lower if the person lives in the community than if they are institutionalized. Research has shown that exercise is an effective strategy for reducing the risk of falls among older adults. The objective of this study was to study the influence of a multicomponent exercise intervention on falls in people between 65 and 80 years of age despite the presence of diseases and drug use that are risk factors for falls. Methods: This is a quasi-experimental study that focuses on people aged 65-80 who attended 21 primary healthcare centres. Target: Inclusion criteria were people between 65 and 80 years of age, living in the community with independent ambulation, and who were served by the healthcare centre of their region. Variables analysed: The number and characteristics of falls, sociodemographic, drug use, and previous diseases. Results: The drugs associated with falls are benzodiazepines (OR 2.58), vasodilators (OR = 2.51), and psychotropics (OR = 1.61). For one of the years, a relationship was found between the consumption of antidepressants and falls (OR = 1.83). The associated diseases were mental and behavioural (OR = 2.53). Discussion: The intervention has been related to the reduction in falls in people who consumed benzodiazepines, vasodilators, and psychotropics and in people with mental disorders. Conclusion: This research concludes the importance of the implementation of the Otago Exercise Programme in the prevention of falls in the elderly.This study was supported by the Health Research Fund PI16CIII/00031, ISCIII (Spanish Institute of Health Carlos III; grant number PI16/00821) and co-funded by ERDF “A way to make Europe”, the Region of Asturias PI16/00821, the Region of Murcia (CARM, FFIS17/AP/02/04), the Region of the Basque Country (2016111005) and the Carlos III Health Institute through the REDISSEC (RD12/0001/0016), RETICEF (RD12/0043/0006) and CIBERFES (CB16/10/00468). Open access was funded by the Official College of Nursing of the Principality of Asturias (CODEPA). The study protocol was previously published (Albornos-Muñoz et al., 2018) and registered on ClinicalTrials.org (NCT03320668).S