Trends in Parkinson's mortality in Mexico 2000-2020
CONCLUSIONS: In Mexico, males and older individuals showed the highest mortality rates. The socioeconomic regions with high levels of wellness showed the highest mortality rates levels. Parkinson's mortality rate has remained constant since 2005 in Mexico.PMID:38422946 | DOI:10.1016/j.gaceta.2024.102361 (Source: Gaceta Sanitaria)
Source: Gaceta Sanitaria - February 29, 2024 Category: International Medicine & Public Health Authors: Myrna L Yeverino Guti érrez Mar ía Del Rosario González González Omar Gonz ález Santiago Source Type: research

Pay for performance in public directly managed healthcare centers. Part 2: The Spanish National Health System. SESPAS Report 2024
Gac Sanit. 2024 Feb 13:S0213-9111(24)00015-3. doi: 10.1016/j.gaceta.2024.102368. Online ahead of print.ABSTRACTIn Spain, the compensation model for statutory health personnel is complex, heterogeneous, and more oriented to rewarding complementary functions and activities, than to paying for the actual performance in the position of employee. The various attempts to incorporate incentives have been distorted by a civil service egalitarianist culture, and weak systemic governance. External attractors (private practice, etc.) for healthcare professionals are becoming more important and neutralize many intramural incentives. T...
Source: Gaceta Sanitaria - February 27, 2024 Category: International Medicine & Public Health Authors: Jos é Ramón Repullo Labrador Jos é Manuel Freire Campo Source Type: research

Pay for performance in public directly managed healthcare centers. Part 1: General framework. SESPAS Report 2024
Gac Sanit. 2024 Feb 12:S0213-9111(24)00014-1. doi: 10.1016/j.gaceta.2024.102367. Online ahead of print.ABSTRACTAssessing and compensating performance in professional organizations is extremely difficult in direct public management settings of health services. Performance assessment is technically complex and, more so, with multiplicity of principals influencing goal setting. Incentives are a lever to generate directionality and motivation, both structural (for attracting and retaining workers) and specific ones (rewarding performance and directing behavior towards institutional goals). Incentives influence the behavior of ...
Source: Gaceta Sanitaria - February 27, 2024 Category: International Medicine & Public Health Authors: Jos é Ramón Repullo Labrador Jos é Manuel Freire Campo Source Type: research

Pay for performance in public directly managed healthcare centers. Part 2: The Spanish National Health System. SESPAS Report 2024
Gac Sanit. 2024 Feb 13:S0213-9111(24)00015-3. doi: 10.1016/j.gaceta.2024.102368. Online ahead of print.ABSTRACTIn Spain, the compensation model for statutory health personnel is complex, heterogeneous, and more oriented to rewarding complementary functions and activities, than to paying for the actual performance in the position of employee. The various attempts to incorporate incentives have been distorted by a civil service egalitarianist culture, and weak systemic governance. External attractors (private practice, etc.) for healthcare professionals are becoming more important and neutralize many intramural incentives. T...
Source: Gaceta Sanitaria - February 27, 2024 Category: International Medicine & Public Health Authors: Jos é Ramón Repullo Labrador Jos é Manuel Freire Campo Source Type: research

Pay for performance in public directly managed healthcare centers. Part 1: General framework. SESPAS Report 2024
Gac Sanit. 2024 Feb 12:S0213-9111(24)00014-1. doi: 10.1016/j.gaceta.2024.102367. Online ahead of print.ABSTRACTAssessing and compensating performance in professional organizations is extremely difficult in direct public management settings of health services. Performance assessment is technically complex and, more so, with multiplicity of principals influencing goal setting. Incentives are a lever to generate directionality and motivation, both structural (for attracting and retaining workers) and specific ones (rewarding performance and directing behavior towards institutional goals). Incentives influence the behavior of ...
Source: Gaceta Sanitaria - February 27, 2024 Category: International Medicine & Public Health Authors: Jos é Ramón Repullo Labrador Jos é Manuel Freire Campo Source Type: research

Sexual violence and young people: "it is not something you are born with, but with what you learn"
CONCLUSIONS: In the perceptions of the young people, ambiguity seems to coexist with explicit references to the different ways in which it manifests itself and the influence of gender inequalities. Sex and life experience appear to influence these narratives. It is necessary to promote a more critical perspective on the social construction of SV and intimate relationships in the young population.PMID:38401370 | DOI:10.1016/j.gaceta.2024.102371 (Source: Gaceta Sanitaria)
Source: Gaceta Sanitaria - February 24, 2024 Category: International Medicine & Public Health Authors: Carmen Vives-Cases Esther Castellanos-Torres Bel én Sanz-Barbero Source Type: research

Effect of gender equality on mortality from non-communicable diseases
CONCLUSIONS: The risk of deaths from NCD has decreased in both sexes in all countries of the world since the year 2000; but progress is slow, so the greater gender inequality in the countries, there is a greater risk of not achieving the reduction needed to comply with the agreement to reduce mortality from NCD by one third in 2030; this risk being greater in women than in men.PMID:38377629 | DOI:10.1016/j.gaceta.2024.102369 (Source: Gaceta Sanitaria)
Source: Gaceta Sanitaria - February 20, 2024 Category: International Medicine & Public Health Authors: Tannia Valeria Carpio-Arias Marta Guijarro-Garvi Mar ía Teresa Ruiz-Cantero Source Type: research

What do we know and what should we know about the imbalances of doctors in Spain? Diagnosis and proposals. SESPAS Report 2024
This article characterizes the main features of the supply, demand, and labor markets for physicians in Spain, with an international and territorial perspective. It also presents some of the results of the simulation model for specialist physicians with a 2035 horizon and proposes strategic and short-term lines of action in the planning, regulation, and management of health professionals in Spain, with a focus on specialist physicians. In Spain there are high rates of physicians and medical graduates, but low rates of nurses, compared to other developed countries. Approximately 30% of practicing physicians (not considering...
Source: Gaceta Sanitaria - February 19, 2024 Category: International Medicine & Public Health Authors: Beatriz Gonz ález López-Valcárcel Patricia Barber P érez Source Type: research

Experiences in human resources planning for health: The case of physicians. Data and models. SESPAS Report 2024
Gac Sanit. 2024 Feb 13:S0213-9111(24)00012-8. doi: 10.1016/j.gaceta.2024.102365. Online ahead of print.ABSTRACTVirtually all developed countries conduct physician planning exercises. We can learn from successful experiences. The modeling and projection of supply is technically complex, but it is a technical matter, whereas the assessment of demand or need, and therefore the outcome in terms of deficit or surplus, requires standards, usually in population ratios, which are based on expert judgments and belong to the normative universe. One type of technical problem insufficiently solved is that of converting "heads" into fu...
Source: Gaceta Sanitaria - February 19, 2024 Category: International Medicine & Public Health Authors: Patricia Barber P érez Beatriz Gonz ález López-Valcárcel Source Type: research

What do we know and what should we know about the imbalances of doctors in Spain? Diagnosis and proposals. SESPAS Report 2024
This article characterizes the main features of the supply, demand, and labor markets for physicians in Spain, with an international and territorial perspective. It also presents some of the results of the simulation model for specialist physicians with a 2035 horizon and proposes strategic and short-term lines of action in the planning, regulation, and management of health professionals in Spain, with a focus on specialist physicians. In Spain there are high rates of physicians and medical graduates, but low rates of nurses, compared to other developed countries. Approximately 30% of practicing physicians (not considering...
Source: Gaceta Sanitaria - February 19, 2024 Category: International Medicine & Public Health Authors: Beatriz Gonz ález López-Valcárcel Patricia Barber P érez Source Type: research