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J Aranaz

Publications and source records attributed to J Aranaz.

9 recordsLinked to original sources
PubMed2006

[Quality control systems implementation in the Spanish Dialysis Units].

OBJECTIVE: The aim of this study was to evaluate and analyze the implementation of a Quality Management Systems (QMS) and the use of Clinical Performance measures by the Nephrology Services and Hemodialysis Units in Spain. METHOD: The Quality Management Work Group of the Spanish Society of Nephrology (SEN) realized a survey that was directed to all the Spanish Nephrology Services and Hemodialysis Units. No exclusion criteria were defined for the study. The survey was based on a multichotomous self completing "Ad Hoc" questionnaire. RESULTS: The survey was answered by 46.7% of the polled centers (44.5% were public hospitals and 55.5% private centers). Of those replying the survey 70 % had a QMS, with a higher implementation in the area of Hemodialysis (HD). The ISO 9001-2000 was the prefer QMS model chosen by 76.4% of the centers. 68.6% of the centers with a QMS were certified by an external Auditing Group. 91.7% of the Nephrology Services and Hemodialysis units were using some clinical practice guideline. A high percentage of the centers had medical protocols and nursing plans (> 90%). A significantly higher implementation of QMS was observed in Private Hospitals and Hemodialysis Units (88.8 %) when compared to public Hospitals (46.1%) (X2: 31.5; p < 0.001). The ISO 9000 Standard certification was selected by 78,3% of the private centers and by 21,7% of the public centers (X2: 37.3; p < 0.001). The certification or accreditation were done by an external auditing group in 68. 1% of the private centers compared to 31.9% for the public Hospitals (X2: 24.8; p < 0.001). Although the rate of answers prevents from extracting definitive conclusions, the result seems to indicate that in the Spanish Nephrology Community a clear trend exists towards the use QMS. This tendency suggests, that in the near future, there will be a progressive implementation and routine use of QMS in the Nephrology Community in Spain.

Hemodialysis Units, Hospital↗
PubMed2004

[Qualitative research: a valid alternative].

OBJECTIVE: To describe the main qualitative research techniques through systematic review of Spanish studies published during the previous 5 years. DESIGN: Systematic review. DATA SOURCES: The Indice Médico Español (bibliographic database of items published in Spanish health sciences journals) was searched, and systematic searches of the journals Atención Primaria, Gaceta Sanitaria, and Revista de Calidad Asistencial were done. Study selection. We included studies carried out with any type of qualitative research technique. Also included were studies that reviewed qualitative research techniques. We excluded studies that used a qualitative technique but were based mainly on quantitative research techniques. The review was done during the period from April 1997 to April 2002. RESULTS: Most of the studies we reviewed used only one technique (80.5%). When more than one technique was used in combination (19.5% of the articles we reviewed), focus groups and interviews were usually used. The techniques identified were focus group (used in 34% of the articles reviewed), interview (24%), the Delphi technique (10%), content analysis (8%), nominal group (8%), metaplan (2%), and Philips 6/6 (2%). CONCLUSIONS: Qualitative research is a valid alternative, and if used with appropriate methodological rigor it can be of considerable use to health care professionals.

Biomedical Research↗
PubMed2000

[Patient satisfaction as an outcome measure in health care].

In the last years an important change has taken place regarding doctor-patient relationships. One of its effects is that today healthcare results are measured in terms of effectiveness, efficiency, patient's perception of pain or autonomy, physical and mental well-being and, also, in terms of satisfaction with the achieved outcome. In literature it is easy to find studies on patient satisfaction with the conditions of hospitalization, emergencies, or visits. However, it is not usual, to find studies on patient satisfaction with medical outcomes, and this is the kind of information most relevant to clinical use. The concept of "patient-focused-care" obeys to this new position that is based on the recognition of patients' active role in the decision-making process and the notion that clinical decisions should take patients' views and perceptions into account. In this paper, the concept of patients' satisfaction is reviewed as a health outcome. The theories, instruments, methodological questions and implications of this measure are analysed in order to assess and improve the health care presently provided.

Humans↗
PubMed1994

[Job satisfaction and stress among general physicians in the public health system].

OBJECTIVE: To determine: 1) the level of job satisfaction and job stress among general practitioners of National Health Service, and 2) the most common sources of stress of their job. DESIGN: Descriptive study based in a meal survey with bivariate and multivariate analysis of data. SETTING: Primary Care Centers of the Valencian Health Service. SUBJECTS: 216 general practitioners were questioned. Of these 127 answered on time (102 male; age 39.55 years; response rate of 58.80%). MEASUREMENTS AND MAIN RESULTS: The Font Roja-AP Questionnaire (to evaluate job satisfaction and stress) and the Tabarca Inventory (to determine sources of stress) were used. Social relationship at work, intrinsic job satisfaction, job distension and variety at work were in hierarchy order the principal reasons of job satisfaction. On the other hand, interruptions of family life, emergency calls, monotony and practice administration and the doctor-patient communication aspects were in hierarchy order the principal reasons of job stress. CONCLUSIONS: The general practitioners work yield job satisfaction. Moderate job stress has been observed among general practitioners. The most important sources of stress were interruptions of family life and other conditions which disturb intimacy.

Adult↗
PubMed1990

Multiple sclerosis in Spain: an epidemiological study of the Alcoy health region, Valencia.

Alcoy is a defined health region in eastern Spain, at 3 degrees E-38 degrees N, with a single neurology department and includes 33 towns with a total population of 133,915 inhabitants. We have evaluated the prevalence and incidence of multiple sclerosis (MS) by analysing this region. Six new cases have been detected (2.24/100,000/year) and the prevalence rate was 17.17/100,000, the highest in Spain at the moment. However, we found an irregular distribution in the different towns in so far that 15 of our 23 patients lived in a particular subregion, which means a prevalence of 44.59/100,000. Our study shows that the area of Alcoy is a medium MS risk region according to the thesis of Kurzke, although high MS areas may be found, thus confirming that MS distribution in southern Europe is not uniform.

Adult↗
PubMedDate not supplied

[What do patients think of public hospitals? Analysis of the perceived quality levels of 5 hospitals].

OBJECTIVE: To compare the opinions of patients assisted in 5 hospitals. DESIGN: Descriptive study based in a survey by mail has been used in all cases. INSTRUMENTS: The SERVQHOS questionnaire. SUBJECTS: 930 patients. Answer rate around 35%. RESULTS: 19% of the patients would not recommend the hospital. 59.2% was shown satisfied and 3.1% very unsatisfied. To know the doctor's and nurse's name were related to perceived quality. The frequency with which the patients said to have been correctly informed was not related to quality. Neither age nor patient's sex showed a relationship with perceived quality. CONCLUSION: The patients value the hospital positively although there are an important number of unsatisfied patients.

Adult↗
PubMedDate not supplied

[Can adverse effects related to hospital treatment be avoided?].

The concept of care risk includes any undesirable situation, or any factor contributing to its occurrence, related to the health care received and which might have negative consequences. It includes conditions like adverse effects of medicines, negligence and litigation. A safe clinical practice requires that three objectives be obtained: to identify which diagnostic and therapeutic clinical procedures are the safest and most efficient; to assure that they are applied to those who need them; and to carry them out correctly and without mistakes. In this sense, what are needed, on the one hand, are systems of notification and epidemiological studies, and, on the other, actions at different levels of the health system. The maximum safety of the patient is obtained by a suitable knowledge of the risks, elimination of those that are unnecessary, and prevention and protection in those that must inevitably be assumed. This is because safety is not the same thing as absence of risk.

Drug Prescriptions↗