¿Afecta el copago sanitario a la equidad?

En un entorno de crisis económica y signos de agotamiento financiero del sistema sanitario, analizamos una de las medidas que con mayor insistencia se propone para su sostenibilidad: el copago, y estudiamos si su implantación afecta a los principios de bioética, en particular a la equidad, comprendida en el principio de justicia. Hemos encontrado relación causa/efecto entre la medida y la lesión de la equidad, sin que, por otra parte quede claro que el copago puede convertirse en un instrumento de peso para el mantenimiento financiero del sistema. Además, de todo lo estudiado y observado, no parece evidente que el sistema nacional de salud español esté en quiebra ya que sus dificultades financieras son solventables sin tener que renunciar a los beneficios para la población de un modelo público que ha contribuido –y lo hará, seguro, en el futuro- de forma innegable a la mejora de la salud de los ciudadanos de nuestro país.Considering the current environment of economic crisis and signs of financial exhaustion of the Spanish health system, it has been analyzed one of the most insistently proposed measure for economic sustainability: the copayment. It has been studied whether its implementation affects the bioethical principles, particularly equity, within the principle of social justice. A cause and effect relationship between the co-payment measure and equity damage has been found. However, it is clear that copayment can become an appropriate instrument for the financial sustainability of the health system. Furthermore, from our study it can be concluded that the Spanish national health system is not in bankrupt and that its financial difficulties can be solved without having to give up the social benefits of a public health model for the population. This health system has contributed-and will, sure, in future, continue to improving the health of the citizens of the country

Vigilancia de la tuberculosis en las Islas Baleares y caracterización de los casos infradeclarados entre los años 2005 y 2007

ResumenEstudio descriptivo de los casos de tuberculosis detectados por el Sistema de Vigilancia Epidemiológica en Baleares, en el trienio de 2005 a 2007. El objetivo fue caracterizar los casos infradeclarados en términos sociodemográficos y de su contacto con la atención primaria de salud. Globalmente, la infradeclaración de la tuberculosis se sitúa en torno al 20%. Las características que resultan significativas en el análisis multivariado son la marginalidad social (alcoholismo, usuarios de drogas por vía parenteral o indigencia) (odds ratio ajustada [ORa]:2,6 [1,2-5,3]), el contacto con la atención primaria (ORa:3,2 [1,4-7,1]) y la tuberculosis extrapulmonar (ORa:5,5 [3,2-9,6]). Se recomienda reforzar la notificación de los especialistas hospitalarios mediante la adecuación informática de la historia clínica hospitalaria, y se observa que la información obtenida desde la informatización de la historia en atención primaria resulta de utilidad para mejorar la vigilancia epidemiológica de la tuberculosis.AbstractWe performed a descriptive study of tuberculosis cases detected by the Epidemiological Surveillance System in the Balearic Islands in the triennium 2005-2007. Our goal was to characterize underreported cases in sociodemographic terms and their contact with primary care. Overall, underreporting of tuberculosis was approximately 20%. Significant factors in multivariate analysis were social marginality (consisting of alcoholism, intravenous drug use or indigence) (aOR: 2.6 [1.2 to 5.3]), contact with primary care (aOR: 3.2 [1.4 to 7.1]), and extrapulmonary tuberculosis (aOR: 5.5[3.2-9.6]). We recommend strengthening notification by hospital specialists through the use of hospital electronic records. Our findings show that the information obtained from the primary care computerized history is helpful in improving the epidemiological surveillance of tuberculosis

[Tuberculosis surveillance in the Balearic Islands and characteristics of unreported cases from 2005 to 2007].

We performed a descriptive study of tuberculosis cases detected by the Epidemiological Surveillance System in the Balearic Islands in the triennium 2005-2007. Our goal was to characterize underreported cases in sociodemographic terms and their contact with primary care. Overall, underreporting of tuberculosis was approximately 20%. Significant factors in multivariate analysis were social marginality (consisting of alcoholism, intravenous drug use or indigence) (aOR: 2.6 [1.2 to 5.3]), contact with primary care (aOR: 3.2 [1.4 to 7.1]), and extrapulmonary tuberculosis (aOR: 5.5[3.2-9.6]). We recommend strengthening notification by hospital specialists through the use of hospital electronic records. Our findings show that the information obtained from the primary care computerized history is helpful in improving the epidemiological surveillance of tuberculosis

Pedagogical approach to the quantum oscillator

Treball Final de Grau en Química. Codi: QU0943. Curs acadèmic: 2019/2020We carry out a pedagogical approach to the Harmonic Oscillator. To this end, we use the mathematica program to study and determine the energy levels and wavefunctions for the anharmonic oscillator, to give it a focus on vibrational spectroscopy