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Pedro Gallo

    Pedro Gallo

    ... "Well-being": construcción de politicas públicas a partir del bienestar de la población. Autores: Pedro Gallo de Puelles; Localización: Proximidad, participación y ciudadanía, 2011, ISBN 978-84-9704-605-3 , págs. 145-150;... more
    ... "Well-being": construcción de politicas públicas a partir del bienestar de la población. Autores: Pedro Gallo de Puelles; Localización: Proximidad, participación y ciudadanía, 2011, ISBN 978-84-9704-605-3 , págs. 145-150; Recoge ...
    Menstrual poverty has become a global issue, affecting women who do not have access to the menstrual products they need. Most of the related literature is based on low- and middle-income countries’ facts and experiences. Using the 2020... more
    Menstrual poverty has become a global issue, affecting women who do not have access to the menstrual products they need. Most of the related literature is based on low- and middle-income countries’ facts and experiences. Using the 2020 Youth Survey in Barcelona, this cross-sectional study provides novel data on the prevalence and the factors associated with menstrual poverty in an urban context (Barcelona) in a high-income country (Spain) with a randomly selected representative sample of 700 young women aged 15 to 34. Descriptive statistics and logistic regression models were used in the analysis. Results show that 15.3 per cent of young women in Barcelona reported facing financial barriers to accessing menstrual products. Further, those young women with a high level of material deprivation (OR=4.42; CI=2.14–9.16) have a greater probability of suffering from menstrual poverty, whereas those living independently from their parents (OR=0.50; CI=0.28–0.90) and women with a non-EU origi...
    Background: To provide useful insights into the design of strategies to better put into practice health research outcomes in the case of cancer, heart disease and sexuallty transmitted infections, we designed a study to identify barriers... more
    Background: To provide useful insights into the design of strategies to better put into practice health research outcomes in the case of cancer, heart disease and sexuallty transmitted infections, we designed a study to identify barriers and facilitators to implement clinical or public health guidelines recommendations. Methods: A literature review protocol was designed and studies were retrieved from the MedLine database for the period 2009-2011. Studies were classified as high, moderate or poor quality according to a specific protocol for each type of study (quantitative, qualitative, review). Results: A total of 164 barriers or facilitators affecting implementation of evidence were identified from 63 studies, although 36.5% were rated as being of poor methodological quality. Excluding the poor methodological quality studies, we saw that aspects related to patients and health professionals have been studied most (although they are analyzed separately rather than at a relational level), while there is a lack of studies focusing on guidelines. Conclusions: The identified barriers and facilitators can be used in subsequent qualitative studies to explore in more depth what makes guidelines difficult or easy to implement. More studies have to be conducted focusing on relational aspects, that is, how patients and professionals interact mutually, and how they interact with environment or organization.
    Research Interests:
    Objective: To develop and test a decision-support tool for prioritizing new competing Health Technologies (HTs) after their assessment using the mini-HTA approach.Methods:A two layer value/risk tool was developed based on the mini-HTA.... more
    Objective: To develop and test a decision-support tool for prioritizing new competing Health Technologies (HTs) after their assessment using the mini-HTA approach.Methods:A two layer value/risk tool was developed based on the mini-HTA. The first layer included 12 mini-HTA variables classified in two dimensions, namely value (safety, clinical benefit, patient impact, cost-effectiveness, quality of the evidence, innovativeness) and risk (staff, space and process of care impacts, incremental costs, net cost, investment effort). Weights given to these variables were obtained from a survey among decision-makers (at National/Regional level and hospital settings). A second layer included results from mini-HTA (scored as higher, equal or lower), which compares the performance of the new HT (in terms of the abovementioned 12 variables) with the available comparator. An algorithm combining the first (weights) and second (scores) layers was developed to obtain an overall score for each HT, whi...
    Los cambios sucedidos con la recesión económica –tasas elevadas de paro, inestabilidad laboral, elevados costes de la vivienda y recortes en las políticas públicas– sitúan a ciertos grupos sociales en condiciones de mayor vulnerabilidad.... more
    Los cambios sucedidos con la recesión económica –tasas elevadas de paro, inestabilidad laboral, elevados costes de la vivienda y recortes en las políticas públicas– sitúan a ciertos grupos sociales en condiciones de mayor vulnerabilidad. Los jóvenes concentran un número considerable de riesgos sociales, y además, debido a su edad, atraviesan importantes episodios (vitales) que determinarán su vida presente y futura. Conocer los efectos de la crisis y la austeridad en la salud (física, mental, hábitos y riesgos) de los jóvenes de 18 a 34 años es fundamental. Nuestro proyecto defiende además que estos efectos no tienen lugar en el vacío. Solo entendiendo mejor cómo interactúan en este colectivo los determinantes de la salud y el peso de factores como entorno, capital social, familia, escuela, trabajo, ocio y medios de comunicación podemos diseñar políticas correctivas, tanto universales como específicas, que tengan el<br> doble objetivo de (i) mejorar la salud y los hábitos salu...
    This paper examines the role played by lifestyles, age, gender, geographical location, level of education and employment as determinants of health and health care utilization in Catalonia, Spain, using logistic regression techniques,... more
    This paper examines the role played by lifestyles, age, gender, geographical location, level of education and employment as determinants of health and health care utilization in Catalonia, Spain, using logistic regression techniques, count data models and quantiles for counts. We consider the endogeneity problem and attrition bias in our estimations. Our findings point to poorer self-reported health status among women, the old aged, the less educated, those with unhealthy lifestyles, the unemployed, and those dissatisfied with their job or exposed to potential risk in the workplace. Health care utilization is largely conditioned by duplicate coverage, need, pregnancy, pharmaceutical consultation, geographical location, and household size. Some differences are found in the utilization of health services depending on duplicate coverage availability.
    INTRODUCTION The Beck Cognitive Insight Scale has been designed to evaluate the cognitive insight capacity, that is to say, the practice of self-reflectiveness as a meta-cognitive mechanism for examining and analysing the disorder's... more
    INTRODUCTION The Beck Cognitive Insight Scale has been designed to evaluate the cognitive insight capacity, that is to say, the practice of self-reflectiveness as a meta-cognitive mechanism for examining and analysing the disorder's symptoms, it also permits a continuous re-evaluation of inadequate interpretations. METHODOLOGY The aim of this study is to examine the psychometric properties, the dimensional structure and the internal validity of the Spanish version of Beck's Cognitive Scale of Insight (BCIS). In this paper we also analyse its relation with the Positive and Negative Symptoms Scale (PANSS). The Cognitive Insight Scale was translated and adapted to Spanish with 129 in- and out-schizophrenic patients. RESULTS Principal component analysis showed a two-factor structure that was similar to the original one, recognizable as self-reflectiveness (R) and self-certainty (C) with similar reliability as the American version. Self-reflectiveness and the R-C index correlated...
    Les accions endegades i proposades per a fer front a les reduccions del pressupost sanitari imposat per la crisi economica estan orientades a buscar estalvis i fonts de financament addicional per seguir fent el mateix. Entenem que la... more
    Les accions endegades i proposades per a fer front a les reduccions del pressupost sanitari imposat per la crisi economica estan orientades a buscar estalvis i fonts de financament addicional per seguir fent el mateix. Entenem que la sostenibilitat passa per obrir un debat social que afavoreixi una reforma en profunditat que ens porti a un sistema sanitari centrat en la persona i no en la malaltia.
    Care strategies for older dependants are determined by not only individuals or network characteristics, but also contextual factors. The objective of this study is to determine whether urban contexts (neighbourhoods) are linked to the use... more
    Care strategies for older dependants are determined by not only individuals or network characteristics, but also contextual factors. The objective of this study is to determine whether urban contexts (neighbourhoods) are linked to the use of family care (informal), public services or private care at home (formal). We applied logistic regression analysis to data from the Survey of People in a Situation of Dependence 2018. The sample was composed of 530 older people (55 years old and over) living in two types of socio-economic groups of neighbourhoods in Barcelona, Spain. The type of neighbourhood is relevant in explaining the home care that older dependants receive. In neighbourhoods with a high socio-economic level, dependants are more likely to use private services and less likely to use informal care services and public services, even after controlling for household income, degree of dependency, sex, age and the number of people in the household. Understanding the factors that det...
    Purpose Despite the popularity of talent management (TM), very little has been published on the community of scholars that contribute to the knowledge base of the field. The purpose of this paper is to disclose the dynamics in TM research... more
    Purpose Despite the popularity of talent management (TM), very little has been published on the community of scholars that contribute to the knowledge base of the field. The purpose of this paper is to disclose the dynamics in TM research through a detailed analysis of its evolving collaboration networks (i.e. research communities) in order to identify key authors and major topics covered. Design/methodology/approach A total of 225 co-authored articles published on TM from 2001 to May 2016 were retrieved from the Web of Science and Scopus and then analyzed and mapped using social network analysis methods. Findings The authors identified two major scientific communities (one of 63 authors and the other one of 24 authors). Both communities not only have different characteristics and structure, but also focus on different topics. The authors identified key players within each community and offer a dynamic view on the main topics studied. Practical implications This paper may help pract...
    In 2012 the Spanish government passed Royal Decree-Law 16/2012 (RDL) aimed at containing public expenditure in response to the economic crisis. This RDL redefined just who would be entitled to public health care. As a result, a large... more
    In 2012 the Spanish government passed Royal Decree-Law 16/2012 (RDL) aimed at containing public expenditure in response to the economic crisis. This RDL redefined just who would be entitled to public health care. As a result, a large proportion of undocumented immigrants in Spain were excluded from basic publicly financed health care with access only being granted under particular circumstances (emergency care, maternal care, children under 18, asylum seekers and victims of human trafficking). The aims of this paper are to identify the specific traits of this policy, review its impact on health and health care access, and to evaluate its economic impact. Most political parties and health professional groups opposed the RDL, and a large number of Spanish regions either declined to apply it or opted to apply it partially. To date, the RDL has had a considerable impact on the access of undocumented immigrants to public health care, with evidence suggesting that approximately 870,000 pe...
    To assess the monetary savings resulting from a pharmacist intervention on the appropriateness of prescribed drugs in community-dwelling polymedicated (≥8 drugs) elderly people (≥70 years). An evaluation of pharmaceutical expenditure... more
    To assess the monetary savings resulting from a pharmacist intervention on the appropriateness of prescribed drugs in community-dwelling polymedicated (≥8 drugs) elderly people (≥70 years). An evaluation of pharmaceutical expenditure reduction was performed within a randomised, multicentre clinical trial. The study intervention consisted of a pharmacist evaluation of all drugs prescribed to each patient using the "Good Palliative-Geriatric Practice" algorithm and the "Screening Tool of Older Persons Prescriptions/Screening Tool to Alert doctors to Right Treatment" criteria (STOPP/START). The control group followed the routine standard of care. A time horizon of one year was considered and cost elements included human resources and drug expenditure. 490 patients (245 in each group) were analysed. Both groups experienced a decrease in drug expenditure 12 months after the study started, but this decrease was significantly higher in the intervention group than in the...
    Through crime-reporting citizens make their security needs explicit to the police. This information helps the police in the allocation of resources. In the European Union, there are significant differences among countries, both in terms... more
    Through crime-reporting citizens make their security needs explicit to the police. This information helps the police in the allocation of resources. In the European Union, there are significant differences among countries, both in terms of overall and specific crime-reporting rates. Factors highlighted by the literature that might explain these differences are not entirely satisfactory. There is little comparative research, and most published studies are nation-centred, based on the experience of central and northern European countries, and largely focused on the situational variables related to the criminal incident itself. It is widely assumed that situational variables have a universal explanatory capacity in crime reporting. This article questions this assumption and shows that a number of factors weight differently in explaining national rates. Following a literature review, we identified four groups of causal factors and analysed their explanatory capacity. These are related largely to the incident (rational models) and victims’ perception (psychological models). In addition, we also analysed the influence of institutional and community factors. The European Survey on Crime and Safety database was used for our analysis. Results show the existence of two areas in Europe, the north-central area and the south-eastern area, in terms of crime reporting rates and the factors that explain these differences. Rational and psychological models explain crime-reporting practices better in the north-central area. In contrast, socio-demographic variables and social inequalities are more relevant for explaining crime reporting in the south-eastern area of Europe. Institutional variables are also important in eastern countries. Community factors are not significant explanatory variables due to the limitations of indicators available in the database. Our research reveals that crime-reporting is a rather more complex phenomenon than is often assumed, and highlights the limitations of existing knowledge and methodologies on comparative crime-reporting.
    The aim of this study was to validate the Spanish version of the Strauss and Carpenter Prognostic Scale for Schizophrenia (Strauss and Carpenter, 1977). We performed a multicenter, longitudinal, descriptive study. Forward and... more
    The aim of this study was to validate the Spanish version of the Strauss and Carpenter Prognostic Scale for Schizophrenia (Strauss and Carpenter, 1977). We performed a multicenter, longitudinal, descriptive study. Forward and backtranslation of the original scale was performed. The sample was composed of persons diagnosed with schizophrenia aged between 18 and 65 years. We calculated interrater reliability, construct validity according to the Global Assessment Scale (GAS), Satisfaction with Life Domains Scale (SLDS), the Global Clinical Impression-Schizophrenia (GCI) scale, The World Health. Organization Short Disability Assessment Schedule (WHO-DAS) and the Positive and Negative Syndrome Scale (PANSS), and predictive validity at the 1-year follow-up using three criterion measures of the GCI, WHO-DAS and GAS scales. The internal consistency coefficient (Cronbach's alpha) was 0.70. The intraclass correlation coefficient ranged from 0.54 to 0.99, except for item 5 (resources for the current treatment), which was -0.13. The correlation between the distinct scales (measuring construct validity) was significant, with a p-value of < 0.01, except for the SLDS, which showed a higher p-value (p<0.05). The Strauss-Carpenter score correlated with all three scores at 1 year (GCI, GAS and WHO-DAS) with an alpha of less than 0.01, showing good predictive validity. The Spanish adaptation of the Strauss and Carpenter prognostic scale is reliable and valid and allows a more severe disease course to be predicted.
    ... Preventive Medicine, Switzerland Gerard Engel Vereniging Academische Ziekenhuizen, The Netherlands Pedro Gallo Catalan Institute for Health, Spain Carlos Gouveia Pinto Technical University of Lisbon, Portugal Miriam Ines ...
    ... Preventive Medicine, Switzerland Gerard Engel Vereniging Academische Ziekenhuizen, The Netherlands Pedro Gallo Catalan Institute for Health, Spain Carlos Gouveia Pinto Technical University of Lisbon, Portugal Miriam Ines ...
    What have we learned? Is there in the contribution to this special theme a clue as to what is the best way of integrating ethical inquiry into health technology assessment (HTA)? Particularly, what is the significance of the social... more
    What have we learned? Is there in the contribution to this special theme a clue as to what is the best way of integrating ethical inquiry into health technology assessment (HTA)? Particularly, what is the significance of the social shaping perspective in this respect? In ...
    Most ex-post evaluations of research funding programs are based on bibliometric methods and, although this approach has been widely used, it only examines one facet of the... more
    Most ex-post evaluations of research funding programs are based on bibliometric methods and, although this approach has been widely used, it only examines one facet of the project's impact, that is, scientific productivity. More comprehensive models of payback assessment of research activities are designed for large-scale projects with extensive funding. The purpose of this study was to design and implement a methodology for the ex-post evaluation of small-scale projects that would take into account both the fulfillment of…
    ... 1998; Mehrez and Gafni 1989; Newmann and Johannesson 1995; Petitti 1994; Powe and Griffiths 1995; Riegelman 1995; Russell et al. 1996; Sox et al. ... Paraphrasing Omar Bradley, ''Ours is a world of... more
    ... 1998; Mehrez and Gafni 1989; Newmann and Johannesson 1995; Petitti 1994; Powe and Griffiths 1995; Riegelman 1995; Russell et al. 1996; Sox et al. ... Paraphrasing Omar Bradley, ''Ours is a world of nuclear giants and ethical infants. ...
    ABSTRACT IntroductionThe aim of this study was to validate the Spanish version of the Strauss and Carpenter Prognostic Scale for Schizophrenia (Strauss and Carpenter, 1977).Method We performed a multicenter, longitudinal, descriptive... more
    ABSTRACT IntroductionThe aim of this study was to validate the Spanish version of the Strauss and Carpenter Prognostic Scale for Schizophrenia (Strauss and Carpenter, 1977).Method We performed a multicenter, longitudinal, descriptive study. Forward and backtranslation of the original scale was performed. The sample was composed of persons diagnosed with schizophrenia aged between 18 and 65 years. We calculated interrater reliability, construct validity according to the Global Assessment Scale (GAS), Satisfaction with Life Domains Scale (SLDS), the Global Clinical Impression-Schizophrenia (GCI) scale, The World Health. Organization Short Disability Assessment Schedule (WHO-DAS) and the Positive and Negative Syndrome Scale (PANSS), and predictive validity at the 1-year follow-up using three criterion measures of the GCI, WHO-DAS and GAS scales.ResultsThe internal consistency coefficient (Cronbach's alpha) was 0.70. The intraclass correlation coefficient ranged from 0.54 to 0.99, except for item 5 (resources for the current treatment), which was –0.13. The correlation between the distinct scales (measuring construct validity) was significant, with a p-value of < 0.01, except for the SLDS, which showed a higher p-value (p < 0.05). The Strauss-Carpenter score correlated with all three scores at 1 year (GCI, GAS and WHO-DAS) with an alpha of less than 0.01, showing good predictive validity.Conclusions The Spanish adaptation of the Strauss and Carpenter prognostic scale is reliable and valid and allows a more severe disease course to be predicted.ResumenIntroducciónEl objetivo del estudio fue adaptar y validar en castellano la Escala Pronóstica para la Esquizofrenia de Strauss y Carpenter (Strauss y Carpenter, 1977).MétodoSe trata de un estudio multicéntrico, longitudinal y descriptivo. Se realizó una traducción y una retrotraducción de la escala. La muestra se compuso de sujetos de 18–65 años diagnosticados de esquizofrenia. Se calculó la fiabilidad entre evaluadores, la validez de constructo con las escalas EEAG, SLDS, ICG, WHO-DAS y PANSS, y la validez predictiva respecto a 3 variables criterio al año medidas con las escalas ICG, EEAG y WHO-DAS.ResultadosEl coeficiente de consistencia interna (alfa de Cronbach) fue 0,70. El coeficiente de correlación intraclase osciló entre 0,54 y 0,99, excepto en el ítem 5 (Recursos para el tratamiento utilizados actualmente), que fue −0,13. Respecto a la validez de constructo, la correlación fue significativa entre las diferentes escalas, con una p < 0,01, excepto con la escala SLDS, donde la correlación fue igualmente significativa, pero con un valor mayor (p < 0,05). Respecto a la validez predictiva, la puntuación total de la Strauss-Carpenter correlaciona con un alfa < 0,01 con las tres puntuaciones criterio al año (ICG, EEAG y WHO-DAS).ConclusionesLa adaptación española de la escala pronóstica de esquizofrenia de Strauss-Carpenter es fiable, válida y permite predecir un curso deteriorado de la enfermedad.

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