[Descriptive Study of the Activities Performed By the Provincial Medical Deontology Commissions]. / Estudio Descriptivo de la Actividad de Las Comisiones de Deontología Provinciales Hoy en España.

AIM: to describe the expedient's features those settle the medical ethics commissions of the provincial colleges (PMEC). MATERIAL AND METHODOLOGY: descriptive study, retrospective from the typology of the received claims to the PMEC between 01-06-2013 and 31-05-2014. The colleges were selected by simple stratified random sample. Variables related with the origin of the claim, chapter of the Medical Ethics Code affected, resolution timescales, judgement and others; were gathered. Descriptive analysis of the variables, expressing with medians the quantitative variables and their corresponding interquartile ranges; and with absolute and relative frequencies the qualitative ones. A bivariate analysis, through Kruskal-Wallis and Chi-square tests. RESULTS: 10 provincial colleges participated (47.652 members, 20.2% from the Spanish total) that communicated 120 claims. Overall impact: 2.5 claims %0 members/year. The denouncers are mainly patients (80%). The family medicine is the most affected specialty (19.2% of the claims), the quality of the medical attention the most affected chapter of the CD (60% of the claims). The global resolution timescale was 115.5 days (55-187). The PMEC judged ethical failure in 17 cases (14.2), 10 of them within the private sector. 8 (6.7%) were pending on the date 01-03-2015. 8 cases (6.7%) ended in disciplinary file by the management board, one in verbal amonestation and one was pendent of resolution. CONCLUSIONS: the incidence of the medical ethics claims is low, as well as the proportion of disciplinary files. Too many discrepancies exist between the judgements of the PMEC and the college's management boards.

Estudio descriptivo de la actividad de las Comisiones de Deontología Provinciales hoy en España / Descriptive study of the activities performed by the provincial medical deontology commissions

Objetivo: Describir las características de los expedientes que dirimen las comisiones de deontología de los colegios de médicos provinciales (CdDP). Material y método: Estudio descriptivo, retrospectivo de la tipología de las reclamaciones llegadas a las CdDP entre 01-06-2013 y 31-05-2014. Selección de los colegios mediante muestreo aleatorio estratificado simple. Se recogieron variables relacionadas con el origen de la queja, capítulo del Código de Deontología (CD) afectado, plazos de resolución, dictamen y otras. Análisis descriptivo de las variables, expresando con medianas las cuantitativas con sus correspondientes rangos intercuartílicos (IQR, p25-p75) y con frecuencias absolutas y relativas las cualitativas. Análisis bivariante, mediante las pruebas de Kruskal-Wallis y test de Ji-Cuadrado. Resultados: Participaron 10 colegios (47.625 colegiados; 20,2% de todos los de España) que comunicaron 120 reclamaciones. Incidencia global: 2,5 reclamaciones ‰ colegiados/año. Principalmente denuncian los pacientes (96 casos, 80%), siendo medicina de familia la especialidad más afectada (19,2% de las reclamaciones), la calidad de la atención médica es el capítulo del CD más afectado (60% de las reclamaciones). El plazo de resolución global fue de 111,5 días (55-187). La CdDP dictaminó falta deontológica en 17 casos (14,2%), 10 de ellos en ejercicio privado. 8 (6,7%) estaban pendientes de resolución con fecha 01-03-2015. 8 casos (6,7%) acabaron en expediente disciplinario por la Junta Directiva, uno en amonestación verbal y otro estaba pendiente de resolución. Conclusiones: La incidencia de quejas deontológicas es baja, igual que la proporción de faltas. Existen demasiadas discrepancias entre los dictámenes de las CdDM y las Juntas Directivas colegiales

Aim: to describe the expedient’s features those settle the medical ethics commissions of the provincial colleges (PMEC). Material and methodology: descriptive study, retrospective from the typology of the received claims to the PMEC between 01-06-2013 and 31-05-2014. The colleges were selected by simple stratified random sample. Variables related with the origin of the claim, chapter of the Medical Ethics Code affected, resolution timescales, judgement and others; were gathered. Descriptive analysis of the variables, expressing with medians the quantitative variables and their corresponding interquartile ranges; and with absolute and relative frequencies the qualitative ones. A bivariate analysis, through Kruskal-Wallis and Chisquare tests. Results: 10 provincial colleges participated (47.652 members, 20.2% from the Spanish total) that communicated 120 claims. Overall impact: 2.5 claims %0 members/year. The denouncers are mainly patients (80%). The family medicine is the most affected specialty (19.2% of the claims), the quality of the medical attention the most affected chapter of the CD (60% of the claims). The global resolution timescale was 115.5 days (55-187). The PMEC judged ethical failure in 17 cases (14.2), 10 of them within the private sector. 8 (6.7%) were pending on the date 01-03-2015. 8 cases (6.7%) ended in disciplinary file by the management board, one in verbal amonestation and one was pendent of resolution. Conclusions: the incidence of the medical ethics claims is low, as well as the proportion of disciplinary files. Too many discrepancies exist between the judgements of the PMEC and the college’s management boards

Tendencia de la tasa de mortalidad en una prisión española (1994-2004) / Trends in mortality in a spanish prison from 1994-2004

Fundamento: Hay pocos trabajos sobre mortalidad en el ámbitopenitenciario. El objetivo es describir las causas, tasas de mortalidady su tendencia en una prisión española.Métodos: Estudio descriptivo, de los fallecimientos en una prisiónentre 01-01-1994 y 31-12-2004. Se recogieron las variablesedad, sexo, fecha del óbito, serología VIH, número de CD4+ en sucaso, y causa de muerte según la clasificación: muerte por VIH, porenfermedad no VIH, suicidio, intoxicación por drogas, y accidentes.Previa estandarización indirecta de tasas, comparamos la mortalidaddel Centro con la del resto de las prisiones españolas. Establecimosla tendencia de las tasas de mortalidad mediante un modelo de regresiónlineal.Resultados: 42 muertes, 41 hombres, 1 mujer. Mediana de edadde 33,10 años (27,72 - 36,12; IQR: 8,40). 30 (71,4%) VIH+, conmediana de 177 linfocitos CD4+/µl 20 pacientes (45,24%) fallecieronpor VIH, 15 (38,10%) por enfermedades no VIH, 3 (7,14%) suicidios,3 (7,14%) intoxicaciones por drogas y 1 (2,38%) accidentalmente.Las tasas crudas de mortalidad estuvieron entre 12,605‰internos/año en 1997 y 1,758‰ internos/año en 2003, con tendenciadescendente a razón de 0,976 muertes‰ internos/año (IC95%:0,399-1,552; p=0,004). Estandarizando tasas nos corresponderían28,6 muertes esperadas en el período, con una SMR de 1,4679.Conclusiones: Aunque la tendencia es descendente, la tasa demortalidad obtenida en el período estudiado fue mayor que la esperada.La principal causa de mortalidad fue el síndrome de inmunodeficienciaadquirida

Background: Few works have focused on studying mortality inprisons. The objective here is to study the causes and incidences ofmortality in a Spanish prison.Methods: Descriptive study of the deaths in a prison between01-01-1994 and 31-12-2004. The following variables were recorded:sex, date of death, HIV serology, number of CD4+ where relevant,and cause of death according to the following classification: death byHIV, by non-HIV disease, suicide, drug overdose and accidents.After indirect standardisation of incidence, we compared mortalityin the Centre with the other Spanish prisons. We established mortalityrate tendencies by a linear regression model.Results: 42 deaths, 41 men, 1 woman. Median age 33.10 years(27.72 - 36.12; IQR: 8.40). 30 (71.4%) HIV+, with a median of 177CD4+ lymphocytes/µl. Twenty patients (45.24%) died from HIV, 15(38.10%) from non-HIV diseases, 3 (7.14%) from suicide, 3 (7.14%)from drug overdose and 1 (2.38%) accidentally. Crude mortalityrates corresponded to 12.605‰ of inmates/year in 1997 and 1.758‰inmates/year in 2003, with a decreasing trend of 0.976 deaths ‰inmates/year (CI 95%: 0.399-1.552; p=0.004). After standardisingrates, we obtain 28.6 expected deaths during the period, with anSMR of 1.4679.Conclusions: Although it follows a decreasing trend, the mortalityrate obtained during the study period was higher than expected.The main cause of mortality was acquired immunodeficiencysyndrome