ABSTRACT
Se expone el diseño creado para la evaluación de la iniciativa Salud en Red en los Barrios desarrollada en la ciudad de Zaragoza y sus principalesresultados al año de su puesta en marcha. Esta iniciativa pretende favorecer la generación de intervenciones comunitarias, adaptadas al contexto y lascaracterísticas demográficas y socioeconómicas del mismo, con los recursos comunitarios disponibles, potenciando la colaboración entre los servicios yentidades del territorio.Para la evaluación, se creó una matriz adaptada utilizando el modelo elaborado por la Agencia Estatal de Evaluación de las Políticas Públicas y la Calidadde los Servicios para evaluar la iniciativa tras el primer año de su puesta en marcha (2019).Tras el análisis de los principales indicadores de proceso y resultado obtenidos, ha sido posible reflejar la consecución de las distintas fases de la iniciativay entender los procesos que han tenido lugar, así como identificar aspectos de mejora. (AU)
This study presents the design created for the evaluation of the project Neighbourhoods Health Network, developed in the city of Zaragoza, andits main results one year after the implementation of the pilot project. The projects main objective is to encourage the creation of communityinterventions, adapted to the context and demographic and socioeconomic characteristics of the same, with the available community resources,promoting collaboration between the services and entities of the territory.For the evaluation, an adapted matrix was created using the model developed by the State Agency for the Evaluation of Public Policies and theQuality of Services to evaluate the initiative after the first year of its implementation (2019).After analysing the process and the result indicators obtained, it has been possible to reflect the achievement of the different phases of theinitiative and understand the processes that have taken place, as well as identify areas for improvement. (AU)
Subject(s)
Humans , Public Health , Health Promotion , Intersectoral CollaborationABSTRACT
Se expone el diseño creado para la evaluación de la iniciativa Salud en Red en los Barrios desarrollada en la ciudad de Zaragoza y sus principales resultados al año de su puesta en marcha. Esta iniciativa pretende favorecer la generación de intervenciones comunitarias, adaptadas al contexto y las características demográficas y socioeconómicas del mismo, con los recursos comunitarios disponibles, potenciando la colaboración entre los servicios y las entidades del territorio.Para la evaluación, se creó una matriz adaptada utilizando el modelo elaborado por la Agencia Estatal de Evaluación de las Políticas Públicas y la Calidad de los Servicios para evaluar la iniciativa tras el primer año de su puesta en marcha (2019).Tras el análisis de los principales indicadores del proceso y los resultados obtenidos, ha sido posible reflejar la consecución de las distintas fases de la iniciativa y entender los procesos que han tenido lugar, así como identificar aspectos de mejora. (AU)
Subject(s)
Humans , Community Health Nursing , Community Health Services , Health Promotion , Public HealthABSTRACT
OBJECTIVE: To gather consensus on professional competencies and basic public health content for the degree program in Human Nutrition and Dietetics (HND). DESIGN: In 2018, the Fifth Meeting of University Public Health Professors took place in Zaragoza (Spain). Fourteen lecturers in the HND degree program participated from 11 Spanish universities. They identified competencies and basic content for training for the HND degree using group dynamics and consensus strategies. RESULTS: The professors identified 51 basic competencies, distributed in the areas of "evaluation of population health needs" (n = 20), "development of health policies" (n = 23), and "guaranteeing provision of health care services" (n = 8). In order to reach these competencies, 35 topics were proposed organized into six thematic blocks: foundations of public health, nutritional epidemiology, health problems and diet and nutrition strategies, food security, health in all policies and health promotion and education. CONCLUSION: The consensus reached serves as a reference to orient and update public health education as a part of the HND degree.
Subject(s)
Curriculum , Dietetics/education , Education, Graduate , Public Health/education , Universities , Female , Humans , MaleABSTRACT
Fundamento y objetivo: Validar al español la entrevista MacArthur Competence Assessment Tool for Treatment (MacCAT-T), que valora la capacidad de los pacientes para consentir tratamiento examinando 4 áreas (comprensión, apreciación, razonamiento y expresión de una elección). Pacientes y método: La muestra se componía de 160 sujetos (80 ingresados en Medicina Interna, 40 ingresados en Psiquiatría y 40 controles sanos). Se utilizaron los instrumentos MacCAT-T y Mini-Mental State Examination (MMSE). Se llevó a cabo un estudio de factibilidad, cálculo de fiabilidad y validez (contragold standard del experto clínico). Resultados: La duración media de la entrevista MacCAT-T fue de 18 min. Respecto a la fiabilidad interobservador, el coeficiente de correlación intraclase fue para Comprensión = 0,98, Apreciación = 0,97, Razonamiento = 0,98 y Expresión de una elección = 0,91. La consistencia interna (alfa de Cronbach) fue: Comprensión = 0,87, Apreciación = 0,76 y Razonamiento = 0,86. Los pacientes considerados incapaces (gold standard) obtienen puntuaciones menores en todas las áreas de la MacCAT-T. Un rendimiento bajo en la MacCAT-T se relaciona con el deterioro cognitivo evaluado por MMSE. Conclusiones: La versión española de la MacCAT-T es fiable, factible y válida para la evaluación de la capacidad de los pacientes para consentir tratamiento (AU)
Background and objective: To validate the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) Spanish version, which assesses the mental capacity of patients to consent treatment, by examining 4 areas (Understanding, Appreciation, Reasoning and Expressing a choice). Patients and method: Sample: 160 subjects (80 Internal Medicine inpatients, 40 Psychiatric inpatients and 40 healthy controls). Instruments: MacCAT-T, Mini-Mental Status Examination (MMSE). Procedure: Feasibility study, reliability and validity calculations (against to gold standard of clinical expert). Results: Mean duration of the MacCAT-T interview was 18 min. Inter-rater reliability: Intraclass correlation coefficient for Understanding = 0.98, Appreciation = 0.97, Reasoning = 0.98, Expressing a choice = 0.91. Internal consistency (Cronbachs alpha): Understanding = 0.87, for Appreciation = 0.76, for Reasoning = 0.86. Patients considered to be incapable (gold standard) scored lower in all the MacCAT-T areas. Poor performance on the MacCAT-T was related to cognitive impairment assessed by MMSE. Conclusions: Spanish version of the MacCAT-T is feasible, reliable, and valid for assessing the capacity of patients to consent treatment (AU)
Subject(s)
Humans , Informed Consent/statistics & numerical data , Decision Making , Psychometrics/instrumentation , Reproducibility of Results , Patient Compliance , Case-Control Studies , Mental Disorders/therapyABSTRACT
BACKGROUND AND OBJECTIVE: To validate the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) Spanish version, which assesses the mental capacity of patients to consent treatment, by examining 4 areas (Understanding, Appreciation, Reasoning and Expressing a choice). SAMPLE: 160 subjects (80 Internal Medicine inpatients, 40 Psychiatric inpatients and 40 healthy controls). INSTRUMENTS: MacCAT-T, Mini-Mental Status Examination (MMSE). PROCEDURE: Feasibility study, reliability and validity calculations (against to gold standard of clinical expert). RESULTS: Mean duration of the MacCAT-T interview was 18min. Inter-rater reliability: Intraclass correlation coefficient for Understanding=0.98, Appreciation=0.97, Reasoning=0.98, Expressing a choice=0.91. Internal consistency (Cronbach's alpha): Understanding=0.87, for Appreciation=0.76, for Reasoning=0.86. Patients considered to be incapable (gold standard) scored lower in all the MacCAT-T areas. Poor performance on the MacCAT-T was related to cognitive impairment assessed by MMSE. CONCLUSIONS: Spanish version of the MacCAT-T is feasible, reliable, and valid for assessing the capacity of patients to consent treatment.
Subject(s)
Informed Consent , Interviews as Topic , Mental Competency , Aged , Feasibility Studies , Female , Humans , Language , Male , Middle Aged , Prospective Studies , Reproducibility of ResultsABSTRACT
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