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36 results on '"Guarga À"'

1. Hospital Volume of Elective Abdominal Aortic Aneurysm Repair as a Predictor of Mortality After Ruptured Abdominal Aortic Aneurysm Repair

Author

Dilmé Muñoz, Jaume F., Iborra, Elena, Pont, Carme Llort, Campos, Montserrat Yeste, Aitor Navarro, Omar A., Rojas, Alejandro Guarga, Pozuelo, Alfonso, Guitart, Cristina Casanovas, Capó, Xavier Faner, García Reyes, Marvin E., Cánovas, Álvaro Salinas, Besalduch, Lluís Sánchez, Ruiz, David Flota, and Montoya, Sergi Bellmunt

Published
2024
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23. Índice de autores

Author

Aguayo Ortiz, Rafael, Agudo Trigueros, Antonio, Alberny Iglesias, Mireia, Albó Poquí, Anna, Aldaz Herce, Pablo, Altisent Trota, Rogelio, Amado Guirado, Ester, Arando Lasagabaster, Maider, Argimón Pallàs, Josep M.ª, Arribas García, Rosa Ana, Arribas Mir, Lorenzo, Bailón Muñoz, Emilia, Barberà Viala, Júlia, Barragán Brun, Nieves, Benítez Camps, Mencia, Blanch Andreu, Jordi, Borrell i Carrió, Francisco, Borrell Thió, Carme, Bosch Fontcuberta, Josep M.ª, Brau Tarrida, Albert, Brotons Cuixart, Carlos, Miguel Bueno Ortiz, José, Buitrago Ramírez, Francisco, Caballero Martínez, Fernando, Calderón Gómez, Carlos, Camarelles Guillem, Francisco, Francisco Cano Pérez, Juan, Carrillo Fernández, Lourdes M.ª, Carrillo Muñoz, Ricardo, Casabona i Barbarà, Jordi, Casals Fransi, Jordi, Casals Peidró, Elias, Casanova Seuma, Josep Manel, Casanovas Font, Jordi, Casas Aranda, Isabel, Castejón Castejón, Jordi, Cegri Lombardo, Francisco, Ceitlin, Julio, Concepción Celaya Lecea, M.ª, Ciurana Misol, Ramon, Claramunt Mendoza, Jaume, Coll Jordà, Rosa, Company Escales, Àngels, Carles Contel Segura, Joan, Córdoba García, Rodrigo, Davins Miralles, Josep, de la Figuera von Wichmann, Mariano, de la Flor i Brú, Josep, de la Revilla Ahumada, Luis, de los Ríos Álvarez, Ana M.ª, Díaz Rodríguez, Paula, Belén Enfedaque Montes, M.ª, Fàbrega Górriz, Oriol, Falgás Franco, Josep, del Carmen Fernández Alonso, M.ª, del Rosario Fernández García, M.ª, Ferrer Angelini, Carlos, Forcada Gisbert, Jordi, Foz Gil, Gonçal, García García, Eva, García-Giralda Ruiz, Luis, Garrell Lluís, Imma, Gené Badia, Joan, Gens Barberà, Montserrat, Gérvas Camacho, Juan, Gimbert Ràfols, Rosa M.ª, Gimferrer Artigas, Núria, Gofin, Jaime, Gómez Gascón, Tomás, Javier Gómez Marco, José, Gómez Martín, Óscar, González Compta, Xavier, González Svatetz, Carlos A., González Touya, Marta, Guarga Rojas, Alex, Gutiérrez Jiménez, Núria, Herrero Velázquez, Sonia, Iglesias Rodal, Manuel, Jiménez Villa, Josep, Juncadella García, Enrique, Landa Goñi, Jacinta, Ledesma Castelltort, Albert, Limón Ramírez, Esther, Llauger Rosselló, M. Antònia, Llor Vilà, Carles, López Grau, Mercè, López Fernández, Luis Andrés, Madridejos Mora, Rosa, Marès Bermúdez, Josep, Martín Cantera, Carlos, Martín Espíldora, M.ª Nieves, Martín Laso, M.ª Ángeles, Martín Zurro, Amando, Marzo Castillejo, M. Mercè, Mascort Roca, Juanjo, Montaner Gomis, Isabel, Moragas Moreno, Ana, Luisa Morató Agustí, M.ª, Moreno Ripoll, Francesc, Muñoz Seco, Elena, Negredo Bravo, Luis Javier, Ortega del Moral, Amparo, Ortega Sánchez-Pinilla, Ricardo, Inez Padula Anderson, M.ª, Pareja Rosell, Clara, Pasarín Rua, M.ª Isabel, Perestelo Pérez, Lilisbeth, Plana Blanco, Antoni, Ramos Blanes, Rafel, Retana Puigmartí, Mercedes, Ribera Pibernat, Miquel, Ridao Redondo, Marisa, Roca Casas, Antònia, Rodríguez Alonso, Juan José, Rodríguez Barragán, M.ª, Rodríguez Mur, Paloma, Ruiz de Adana Pérez, Ricardo, Ruiz Riera, Rafael, Salvá Siquier, Antonio, Sánchez Montoya, Jesús, Santaeugenia González, Sebastián J., Santos Pedro, Tomás, Segura Benedicto, Andreu, Serra Majem, Lluís, Serrat Moré, Dolores, Simonet Aineto, Pere Josep, Solanas Saura, Pascual, Tejero Mas, Manuel, Val Jiménez, Alicia, Vázquez Villegas, José, Vilardell Tarrés, Miquel, Villena Collado, Herminia, Vinyoles i Bargalló, Ernest, and Wilke Trinxant, M.ª Asunción

Published
2021
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33. Índice de autores

Author

Trigueros, Antonio Agudo, Iglesias, Mireia Alberny, Bumbiedro, Serafina Alcántara, Caballero, Jordi Alonso, Trota, Rogelio Altisent, Argimon Pallas, Josep M., Arribas García, Rosa Ana, Arribas Mir, Lorenzo, Palau, Àngels Avecilla, Muñoz, Emilia Bailón, Barajas Gutiérrez, Miguel Ángel, Ruiz, Carmen Barrio, Martínez, Carme Batalla, Bellón Saameño, Juan Ángel, Benítez del Rosario, Miguel Ángel, Bordas Julve, José M.ª, Borrell i Carrió, Francesc, Bosch Fontcuberta, Josep Maria, Bras i Marquillas, Josep, Cuixart, Carlos Brotons, Ramírez, Francisco Buitrago, Martínez, Fernando Caballero, Cabezas Peña, Carmen, Gómez, Carlos Calderón, Calvo Hueros, Juan Ignacio, Cano Pérez, Juan Francisco, Carrera Santaliestra, María José, Casabona i Barbarà, Jordi, Brunet, Josep Casajuana, Fransí, Jordi Casals, Casanova Seuma, Josep Manel, Font, Jordi Casanovas, Castejón, Jordi Castejón, Ramos, Arantxa Catalán, Bargalló, Marina Caterina, Cebrià i Andreu, Jordi, Ceitlin, Julio, Misol, Ramon Ciurana, Estapà, Jaume Clapés, Daroca, Joaquin Coll, Bertrán, Eva Comín, Escales, Àngels Company, Dalfó i Baqué, Antoni, Davins Miralles, Josep, Figuera von Wichmann, Mariano de la, Revilla Ahumada, Luis de la, Ríos Álvarez, Ana de los, Peray Baiges, José Luis de, Sanglas, Joan Escarrabill, Capdevila, Assumpta Espluga, Górriz, Oriol Fàbrega, Trabal, Josep Fabregó, Franco, José Falgás, Fernández Alonso, María del Carmen, Fernández García, María del Rosario, Sanmamed Santos, M.ª José Fernández de, Fernández Ferré, María Luisa, Santos, Juan Ferrándiz, Cochoy, Lorenzo Fleitas, Gisbert, Jordi Forcada, Foz i Gil, Gonçal, Nadal, Josep Franch, Badia, Joan Gené, Gimbert Ràfols, Rosa Maria, Gofin, Jaime, Gascón, Tomás Gómez, Martín, Óscar Gómez, González Svatetz, Carlos Alberto, Solé, Antoni Gual, Rojas, Àlex Guarga, Municio, Pedro Herrera, Velázquez, Sonia Herrero, Rodal, Manuel Iglesias, Villa, Josep Jiménez, Jovell Fernández, Albert J., García, Enrique Juncadella, Goñi, Jacinta Landa, Copa, Susana Lareo, Castelltort, Albert Ledesma, López Fernández, Luis Andrés, Palomer, Roser Marquet, Espíldora, M.ª Nieves Martín, Martín Laso, M.ª Ángeles, Sánchez, Andreu Martín, Zurro, Amando Martín, Castillejo, Mercè Marzo, Masvidal i Aliberch, Rosa M.ª, Cases, Manuel Mata, Iraola, Jordi Matamoros, Gomis, Isabel Montaner, Ripoll, Francesc Moreno, Toña, Karlos Naberan, Negredo Bravo, Luis J., Sánchez-Pinilla, Ricardo Ortega, Huergo, Valeria Pacheco, Robles, Jordi Pallares, Grau, Marta Pérez, Fernández, Montserrat Plana, Prats i Coll, Ramón, Prellezo Darsa, María Pilar, Hidalgo, Àngels Ramírez, Blanes, Rafel Ramos, Pibernat, Miquel Ribera, Roca-Ribas Serdá, Francesc, Rodríguez Alonso, Juan José, González, Jaume Roquer, Adana Pérez, Ricardo Ruiz de, Pomares, Manuel Sáez, Moré, Dolores Serrat, Siles Román, María Dolores, Silveira de la Torre, Jesús, Saura, Pascual Solanas, Loren, Pedro Subías, Ojeda, Carmen Tamayo, Santos, Pedro Tomás, Trias i Folch, Elisenda, Trilla Soler, María Concepción, Valderas Martínez, José M.ª, and Villegas, José Vázquez

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34. Socioeconomic Status and Distance to Reference Centers for Complex Cancer Diseases: A Source of Health Inequalities? A Population Cohort Study Based on Catalonia (Spain).

Author

Manchon-Walsh P, Aliste L, Borràs JM, Coll-Ortega C, Casacuberta J, Casanovas-Guitart C, Clèries M, Cruz S, Guarga À, Mompart A, Planella A, Pozuelo A, Ticó I, Vela E, and Prades J

Subjects
Cohort Studies, Humans, Social Class, Socioeconomic Factors, Spain epidemiology, Health Services Accessibility, Health Status Disparities, Pancreatic Neoplasms surgery, Pancreatic Neoplasms therapy, Rectal Neoplasms surgery, Rectal Neoplasms therapy
Abstract

The centralization of complex surgical procedures for cancer in Catalonia may have led to geographical and socioeconomic inequities. In this population-based cohort study, we assessed the impacts of these two factors on 5-year survival and quality of care in patients undergoing surgery for rectal cancer (2011-12) and pancreatic cancer (2012-15) in public centers, adjusting for age, comorbidity, and tumor stage. We used data on the geographical distance between the patients' homes and their reference centers, clinical patient and treatment data, income category, and data from the patients' district hospitals. A composite 'textbook outcome' was created from five subindicators of hospitalization. We included 646 cases of pancreatic cancer (12 centers) and 1416 of rectal cancer (26 centers). Distance had no impact on survival for pancreatic cancer patients and was not related to worse survival in rectal cancer. Compared to patients with medium-high income, the risk of death was higher in low-income patients with pancreatic cancer (hazard ratio (HR) 1.46, 95% confidence interval (CI) 1.15-1.86) and very-low-income patients with rectal cancer (HR 5.14, 95% CI 3.51-7.52). Centralization was not associated with worse health outcomes in geographically dispersed patients, including for survival. However, income level remained a significant determinant of survival.

Published
2022
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35. [Clinical validation of 2 morbidity groups in the primary care setting].

Author

Clèries M, Monterde D, Vela E, Guarga À, García Eroles L, and Pérez Sust P

Subjects
Humans, Risk Assessment, Morbidity, Patients classification, Primary Health Care
Abstract

Introduction: Adjusted Morbidity Groups (GMAs) and the Clinical Risk Groups (CRGs) are population morbidity based stratification tools which classify patients into mutually exclusive categories., Objetive: To compare the stratification provided by the GMAs, CRGs and that carried out by the evaluators according to the levels of complexity., Design: Random sample stratified by morbidity risk., Location: Catalonia., Participants: Forty paired general practitioners in the primary care, matched pairs., Interventions: Each pair of evaluators had to review 25 clinical records., Main Outputs: The concordance by evaluators, and between the evaluators and the results obtained by the 2 morbidity tools were evaluated according to the kappa index, sensitivity, specificity, and positive and negative predicted values., Results: The concordance between general practitioners pairs was around the kappa value 0.75 (mean value=0.67), between the GMA and the evaluators was similar (mean value=0.63), and higher than for the CRG (mean value=0.35). The general practitioners gave a score of 7.5 over 10 to both tools, although for the most complex strata, according to the professionals' assignment, the GMA obtained better scores than the CRGs. The professionals preferred the GMAs over the CRGs. These differences increased with the complexity level of the patients according to clinical criteria. Overall, less than 2% of serious classification errors were found by both groupers., Conclusion: The evaluators considered that both grouping systems classified the studied population satisfactorily, although the GMAs showed a better performance for more complex strata. In addition, the clinical raters preferred the GMAs in most cases., (Copyright © 2019 The Author. Publicado por Elsevier España, S.L.U. All rights reserved.)

Published
2020
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36. [The transformation of the healthcare model in Catalonia to improve the quality of care].

Author

Padrosa JM, Guarga À, Brosa F, Jiménez J, and Robert R

Subjects
Economic Recession, Health Services Accessibility organization & administration, Humans, Program Evaluation, Spain, Delivery of Health Care, Integrated organization & administration, Health Care Reform organization & administration, Models, Organizational, National Health Programs organization & administration, Quality Improvement organization & administration
Abstract

The changes taking place in western countries require health systems to adapt to the public's evolving needs and expectations. The healthcare model in Catalonia is undergoing significant transformation in order to provide an adequate response to this new situation while ensuring the system's sustainability in the current climate of economic crisis. This transformation is based on converting the current disease-centred model which is fragmented into different levels, to a more patient-centred integrated and territorial care model that promotes the use of a shared network of the different specialities, the professionals, resources and levels of care, entering into territorial agreements and pacts which stipulate joint goals or objectives. The changes the Catalan Health Service (CatSalut) has undergone are principally focused on increasing resolution capacity of the primary level of care, eliminating differences in clinical practice, evolving towards more surgery-centred hospitals, promoting alternatives to conventional hospitalization, developing remote care models, concentrating and organizing highly complex care into different sectors at a territorial level and designing specific health codes in response to health emergencies. The purpose of these initiatives is to improve the effectiveness, quality, safety and efficiency of the system, ensuring equal access for the public to these services and ensuring a territorial balance. These changes should be facilitated and promoted using several different approaches, including implementing shared access to clinical history case files, the new model of results-based contracting and payment, territorial agreements, alliances between centres, harnessing the potential of information and communications technology and evaluation of results., (Copyright © 2015 Elsevier España, S.L.U. All rights reserved.)

Published
2015
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