Búsqueda avanzada
 array:24 [
  "pii" => "S0213911108760904"
  "issn" => "02139111"
  "doi" => "10.1016/S0213-9111(08)76090-4"
  "estado" => "S300"
  "fechaPublicacion" => "2008-04-01"
  "aid" => "76090"
  "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
  "copyrightAnyo" => "2008"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Gac Sanit. 2008;22 Supl 1:179-85"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2003
    "formatos" => array:3 [
      "EPUB" => 134
      "HTML" => 1326
      "PDF" => 543
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0213911108760916"
    "issn" => "02139111"
    "doi" => "10.1016/S0213-9111(08)76091-6"
    "estado" => "S300"
    "fechaPublicacion" => "2008-04-01"
    "aid" => "76091"
    "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Gac Sanit. 2008;22 Supl 1:186-91"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2092
      "formatos" => array:3 [
        "EPUB" => 149
        "HTML" => 1438
        "PDF" => 505
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Cap&#237;tulo 4&#46; Un sistema de salud integrado y centrado en los usuarios&#46; Primum non nocere&#46; Intervenciones sanitarias respetuosas con las preferencias de los individuos</span>"
      "titulo" => "Hacia nuevos planteamientos de calidad&#46; El paciente como coprotagonista&#46; Informe SESPAS 2008"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "186"
          "paginaFinal" => "191"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Toward new approaches to quality&#46; The patient as coprotagonist"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Susana Lorenzo"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Susana"
              "apellidos" => "Lorenzo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911108760916?idApp=WGSE"
    "url" => "/02139111/00000022000000S1/v1_201301221349/S0213911108760916/v1_201301221349/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0213911108760898"
    "issn" => "02139111"
    "doi" => "10.1016/S0213-9111(08)76089-8"
    "estado" => "S300"
    "fechaPublicacion" => "2008-04-01"
    "aid" => "76089"
    "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Gac Sanit. 2008;22 Supl 1:169-78"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2144
      "formatos" => array:3 [
        "EPUB" => 131
        "HTML" => 1539
        "PDF" => 474
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Cap&#237;tulo 4&#46; Un sistema de salud integrado y centrado en los usuarios</span>"
      "titulo" => "El control del c&#225;ncer de pulm&#243;n en Espa&#241;a&#58; un an&#225;lisis de la situaci&#243;n actual&#46; Informe SESPAS 2008"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "169"
          "paginaFinal" => "178"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Lung cancer in Spain&#58; the current situation"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Xavier Bonfill, M&#46; Teresa Puig, Ignasi Bol&#237;bar, M&#46; Jes&#250;s Quintana"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Xavier"
              "apellidos" => "Bonfill"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Teresa Puig"
            ]
            2 => array:2 [
              "nombre" => "Ignasi"
              "apellidos" => "Bol&#237;bar"
            ]
            3 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Jes&#250;s Quintana"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911108760898?idApp=WGSE"
    "url" => "/02139111/00000022000000S1/v1_201301221349/S0213911108760898/v1_201301221349/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Cap&#237;tulo 4&#46; Un sistema de salud integrado y centrado en los usuarios</span>"
    "titulo" => "&#191;C&#243;mo incorporar las utilidades de los pacientes a las decisiones cl&#237;nicas&#63; Informe SESPAS 2008"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "179"
        "paginaFinal" => "185"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Jos&#233; Mar&#237;a Abell&#225;n Perpi&#241;&#225;n, Fernando I&#46; S&#225;nchez Mart&#237;nez, Jorge E&#46; Mart&#237;nez P&#233;rez"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Jos&#233; Mar&#237;a"
            "apellidos" => "Abell&#225;n Perpi&#241;&#225;n"
            "email" => array:1 [
              0 => "dionisos&#64;um&#46;es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Fernando I&#46;"
            "apellidos" => "S&#225;nchez Mart&#237;nez"
          ]
          2 => array:2 [
            "nombre" => "Jorge E&#46;"
            "apellidos" => "Mart&#237;nez P&#233;rez"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Universidad de Murcia&#44; Murcia&#44; Espa&#241;a"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia&#58; Jos&#233; Mar&#237;a Abell&#225;n Perpi&#241;&#225;n&#46; Universidad de Murcia&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "How should patients&#8217; utilities be incorporated into clinical decisions&#63;"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec13668"
          "palabras" => array:5 [
            0 => "Toma de decisiones compartidas"
            1 => "An&#225;lisis de la decisi&#243;n"
            2 => "Utilidades de los pacientes"
            3 => "Ayudas a la decisi&#243;n"
            4 => "Gu&#237;as de pr&#225;ctica cl&#237;nica"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec13667"
          "palabras" => array:5 [
            0 => "Shared decision-making"
            1 => "Decision analysis"
            2 => "Patients&#8217; utilities"
            3 => "Decision aids"
            4 => "Clinical practice guidelines"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Hay muchas situaciones cl&#237;nicas en las que no se puede tomar una decisi&#243;n &#171;correcta&#187; desde el punto de vista t&#233;cnico&#46; Ejemplo de ello ser&#237;a la cirug&#237;a electiva&#44; donde atender las preferencias de los pacientes resulta ineludible&#46; Una forma de incorporar dichas preferencias es la aplicaci&#243;n del an&#225;lisis de las decisiones cl&#237;nicas&#46; En este enfoque&#44; primero se cuantifican dichas preferencias &#40;utilidades&#41; y despu&#233;s se combinan con los conocimientos t&#233;cnicos del m&#233;dico&#46; Al modelo resultante de toma de decisiones se le suele denominar &#171;toma de decisiones compartidas&#187;&#46; En la revisi&#243;n efectuada en este art&#237;culo se constata que&#58; <span class="elsevierStyleItalic">a&#41;</span> dicho modelo&#44; en caso de aplicarse sistem&#225;ticamente&#44; podr&#237;a mejorar la efectividad de los tratamientos y el bienestar de los pacientes&#59; <span class="elsevierStyleItalic">b&#41;</span> la pr&#225;ctica cl&#237;nica&#44; no obstante&#44; se enfrenta a restricciones en forma de tiempo y recursos disponibles que hacen dif&#237;cil su aplicaci&#243;n&#59; <span class="elsevierStyleItalic">c&#41;</span> la incorporaci&#243;n de las utilidades de los pacientes a las gu&#237;as de pr&#225;ctica cl&#237;nica podr&#237;a contribuir a estrechar la distancia que separa las preferencias de los m&#233;dicos de las de los pacientes&#59; <span class="elsevierStyleItalic">d&#41;</span> aparentemente&#44; la aplicaci&#243;n de este tipo de an&#225;lisis en Espa&#241;a es muy ocasional&#44; donde&#44; incluso&#44; se detectan deficiencias&#44; no ya en la participaci&#243;n de los pacientes en las decisiones cl&#237;nicas&#44; sino en el ejercicio del derecho a la informaci&#243;n&#44; y <span class="elsevierStyleItalic">e&#41;</span> la alternativa de las ayudas a la decisi&#243;n&#44; aun cuando conozca una creciente expansi&#243;n&#44; no est&#225; libre de problemas&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">There are many clinical situations in which there is no &#8220;right&#8221; decision from a technical point of view&#46; An example of this is elective surgery&#44; in which patients&#8217; preferences are critical&#46; One way to integrate patients&#8217; preferences within clinical practice is the application of decision analysis&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">According to this approach&#44; preferences &#40;utilities&#41; are assessed and are then combined with physicians&#8217; knowledge&#46; This combination of evidence and utilities leads to the so-called shared decision-making &#40;SDM&#41; model&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">The overview provided in the present article indicates that&#58; <span class="elsevierStyleItalic">a&#41;</span> The SDM model&#44; if systematically applied&#44; could improve treatment effectiveness and patients well being&#59; <span class="elsevierStyleItalic">b&#41;</span> clinical practice&#44; nevertheless&#44; faces barriers in the form of time and resource constraints&#44; limiting the application of such a model&#59; <span class="elsevierStyleItalic">c&#41;</span> discrepancies between patients&#8217; and doctors&#8217; preferences could be narrowed if patients&#8217; utilities were included in clinical practice guidelines&#59; <span class="elsevierStyleItalic">d&#41;</span> the application of this kind of analysis seems to be scarce in Spain&#46; Moreover&#44; information provided to patients is probably insufficient&#59; and <span class="elsevierStyleItalic">e&#41;</span> patient decision aids&#44; even though their use is rapidly growing&#44; are subject to certain problems&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:44 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Four models of the physician-patient relationship"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;J&#46; Emanuel"
                            1 => "L&#46;L&#46; Emanuel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Am Med Assoc"
                        "fecha" => "1992"
                        "volumen" => "267"
                        "paginaInicial" => "2221"
                        "paginaFinal" => "2226"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "How do patients&#8217; treatment preferences compare with those of clinicians&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;A&#46; Montgomery"
                            1 => "T&#46; Fahey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Qual Health Care"
                        "fecha" => "2001"
                        "volumen" => "10"
                        "numero" => "Suppl 1"
                        "paginaInicial" => "39"
                        "paginaFinal" => "43"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Determining the need for hip and knee arthroplasty&#58; the role of clinical severity and patients&#8217; preferences"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46;A&#46; Hawker"
                            1 => "J&#46;G&#46; Wright"
                            2 => "P&#46;C&#46; Coyte"
                            3 => "J&#46;I&#46; Williams"
                            4 => "B&#46; Harvey"
                            5 => "R&#46; Glazier"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Care"
                        "fecha" => "2001"
                        "volumen" => "39"
                        "paginaInicial" => "206"
                        "paginaFinal" => "216"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11242316"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Shared decision making in hypertension&#58; the impact of patient preferences on treatment choice"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;A&#46; Montgomey"
                            1 => "J&#46; Harding"
                            2 => "T&#46; Fahey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Fam Pract"
                        "fecha" => "2001"
                        "volumen" => "18"
                        "paginaInicial" => "309"
                        "paginaFinal" => "313"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11356740"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Unwarranted variations in healthcare delivery&#58; Implications for academic medical centres"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;E&#46; Wennberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2002"
                        "volumen" => "325"
                        "paginaInicial" => "961"
                        "paginaFinal" => "964"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12399352"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patterns of health care in Ontario&#58; the ICES practice atlas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "V&#46; Goel"
                            1 => "J&#46; Williams"
                            2 => "G&#46; Anderson"
                            3 => "P&#46; Blackstien-Hirsch"
                            4 => "C&#46; Fooks"
                            5 => "D&#46; Naylor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "2nd ed&#46;"
                        "fecha" => "1996"
                        "editorial" => "Institute for Clinical Evaluative Sciences"
                        "editorialLocalizacion" => "Toronto"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Misunderstandings in prescribing decisions in general practive&#58; qualitative study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "N&#46; Britten"
                            1 => "F&#46;A&#46; Stevenson"
                            2 => "C&#46;A&#46; Barry"
                            3 => "N&#46; Barber"
                            4 => "C&#46;P&#46; Bradley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2000"
                        "volumen" => "320"
                        "paginaInicial" => "484"
                        "paginaFinal" => "488"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10678863"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patients&#8217; unvoiced agendas in general practice consultations&#58; qualitative study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;A&#46; Barry"
                            1 => "C&#46;P&#46; Bradley"
                            2 => "N&#46; Britten"
                            3 => "F&#46;A&#46; Stevenson"
                            4 => "N&#46; Barber"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2000"
                        "volumen" => "320"
                        "paginaInicial" => "1246"
                        "paginaFinal" => "1250"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10797036"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The impact of patients&#8217; preferences on the treatment of atrial fibrillation&#58; observational study of patient based decision analisis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Protheroe"
                            1 => "T&#46; Fahey"
                            2 => "A&#46;A&#46; Montgomery"
                            3 => "T&#46;J&#46; Peters"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2000"
                        "volumen" => "320"
                        "paginaInicial" => "1380"
                        "paginaFinal" => "1384"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10818030"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "What do we mean by partnership in making decisions about treatment&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Charles"
                            1 => "T&#46; Whelan"
                            2 => "A&#46; Gafni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "1999"
                        "volumen" => "319"
                        "paginaInicial" => "780"
                        "paginaFinal" => "782"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10488014"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The physician-patient encounter&#58; the physician as a perfect agent for the patient versus the informed treatment decision-making model"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Gafni"
                            1 => "C&#46; Charles"
                            2 => "T&#46; Whelan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Soc Sci Med"
                        "fecha" => "1998"
                        "volumen" => "47"
                        "paginaInicial" => "347"
                        "paginaFinal" => "354"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9681904"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The meaning of patient involvement and participation in health care consultations&#58; a taxonomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;G&#46; Thompson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.socscimed.2006.11.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Soc Sci Med"
                        "fecha" => "2007"
                        "volumen" => "64"
                        "paginaInicial" => "1297"
                        "paginaFinal" => "1310"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17174016"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#171;Evidence-based&#187;&#44; &#171;cost effective&#187; and &#171;preference driven&#187; medicine&#58; decision analysis based medical decision making is a pre-requisite"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Dowie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Health Serv Res Pol"
                        "fecha" => "1996"
                        "volumen" => "1"
                        "paginaInicial" => "104"
                        "paginaFinal" => "112"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Shared treatment making&#58; what does it mean to physicians&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;A&#46; Charles"
                            1 => "T&#46; Whelan"
                            2 => "A&#46; Gafni"
                            3 => "A&#46; Willan"
                            4 => "S&#46; Farell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1200/JCO.2003.05.057"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Oncol"
                        "fecha" => "2003"
                        "volumen" => "21"
                        "paginaInicial" => "932"
                        "paginaFinal" => "936"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12610196"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Doctor-patient communication about drugs&#58; the evidence for shared decision making"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46;A&#46; Stevenson"
                            1 => "C&#46;A&#46; Barry"
                            2 => "N&#46; Britten"
                            3 => "N&#46; Barber"
                            4 => "C&#46;P&#46; Bradley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Soc Sci Med"
                        "fecha" => "2000"
                        "volumen" => "50"
                        "paginaInicial" => "829"
                        "paginaFinal" => "840"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10695980"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The myth of agency and patient choice in health care&#63; The case of drug treatments to prevent coronary disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Bryan"
                            1 => "P&#46; Gill"
                            2 => "S&#46; Greenfield"
                            3 => "K&#46; Gutridge"
                            4 => "T&#46; Marshall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.socscimed.2006.07.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Soc Sci Med"
                        "fecha" => "2006"
                        "volumen" => "63"
                        "paginaInicial" => "2698"
                        "paginaFinal" => "2701"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16920242"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pacientes&#44; m&#233;dicos y enfermeros&#58; tres puntos de vista distintos sobre una misma realidad&#46; Actitudes y percepciones ante los derechos de los pacientes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Guix"
                            1 => "J&#46; Fern&#225;ndez"
                            2 => "J&#46; Barbany"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gac Sanit"
                        "fecha" => "2006"
                        "volumen" => "20"
                        "paginaInicial" => "465"
                        "paginaFinal" => "472"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17198625"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incorporaci&#243;n de las preferencias de los pacientes en la toma de decisiones cl&#237;nicas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;L&#46; Pinto"
                            1 => "J&#46;M&#46; Abell&#225;n"
                            2 => "F&#46;I&#46; S&#225;nchez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2004"
                        "editorial" => "Masson"
                        "editorialLocalizacion" => "Barcelona"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Applying utility assessment at the bedside"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;K&#46; Goldstein"
                            1 => "J&#46; Tsevat"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Decision Making in Health Care"
                        "serieFecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A systematic review on communicating with patients about evidence"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46;J&#46; Trevena"
                            1 => "H&#46;M&#46; Davey"
                            2 => "A&#46; Barratt"
                            3 => "P&#46; Butow"
                            4 => "P&#46; Caldwell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Eval Clinical Practice"
                        "fecha" => "2006"
                        "volumen" => "12"
                        "paginaInicial" => "13"
                        "paginaFinal" => "23"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A trial for comparing methods for eliciting treatment preferences for men with advanced prostate cancer&#58; results from th einitial visit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Souchek"
                            1 => "J&#46; Stacks"
                            2 => "B&#46; Brody"
                            3 => "C&#46; Ashton"
                            4 => "R&#46; Giesler"
                            5 => "M&#46; Byrne"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Care"
                        "fecha" => "2000"
                        "volumen" => "38"
                        "paginaInicial" => "1040"
                        "paginaFinal" => "1050"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11021677"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reliability of health utility measures and a test of values clarification"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Sheill"
                            1 => "P&#46; Hawe"
                            2 => "M&#46; Fletcher"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Soc Sci Med"
                        "fecha" => "2000"
                        "volumen" => "56"
                        "paginaInicial" => "1531"
                        "paginaFinal" => "1541"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12614703"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patient preference for cancer therapy&#58; an overview of measurement approaches"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;M&#46; Stiggelbout"
                            1 => "J&#46;C&#46;J&#46;M&#46; De Haes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1200/jco.2001.19.1.220"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Clin Oncol"
                        "fecha" => "2001"
                        "volumen" => "19"
                        "paginaInicial" => "220"
                        "paginaFinal" => "230"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11134216"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0213911110001706"
                          "estado" => "S300"
                          "issn" => "02139111"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Decision analysis&#58; a progress report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;A&#46; Plante"
                            1 => "J&#46;P&#46; Kassirer"
                            2 => "D&#46;A&#46; Zarin"
                            3 => "S&#46;G&#46; Pauker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "1987"
                        "volumen" => "106"
                        "paginaInicial" => "1169"
                        "paginaFinal" => "1176"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical guidelines&#58; where next&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Baker"
                            1 => "G&#46; Feder"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Qual Health Care"
                        "fecha" => "1997"
                        "volumen" => "9"
                        "paginaInicial" => "399"
                        "paginaFinal" => "404"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9466174"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Devereaux PJ&#44; Anderson DR&#44; Gardner MJ&#44; Putnam W&#44; Flowerdew GJ&#44; Brownell BF&#44; et al&#46; Differences between perspectives of physicians and patients on anticoagulation in patients with atrial fibrillation&#58; an observational study&#46; BMJ&#46; 200&#59;323&#58;1-7&#46;"
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Integrating cost-effectiveness evidence into clinical practice guidelines in Australia for acute myocardial infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "K&#46;M&#46; Antioch"
                            1 => "G&#46; Jennings"
                            2 => "M&#46; Botti"
                            3 => "R&#46; Chapman"
                            4 => "V&#46; Wulfsohn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur J Health Econom"
                        "fecha" => "2002"
                        "volumen" => "3"
                        "paginaInicial" => "26"
                        "paginaFinal" => "39"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A guide to NICE"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "NICE"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2005"
                        "editorial" => "NICE"
                        "editorialLocalizacion" => "London"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "R&#228;s&#228;nen P&#44; Roine E&#44; Sintonen H&#44; Semberg-Konttinen V&#44; Ryyn&#228;nen OP&#44; Roine RP&#46; Use of quality-adjusted life years for the estimation of effectiveness of health care&#58; a systematic literature review&#46; Finohta&#39;s report 29&#47;2006&#46; Helsinki&#58; Finnish Office for Health Technology Assessment &#40;Finohta&#41;&#47;National Research and Development Centre for Welfare and Health STAKES&#59; 2006&#46;"
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quality of life measurement&#58; bibliographic study of patient assessed health outcome measures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Garratt"
                            1 => "L&#46; Schmidt"
                            2 => "A&#46; Mackintosh"
                            3 => "R&#46; Fitzpatrick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2002"
                        "volumen" => "324"
                        "paginaInicial" => "1417"
                        "paginaFinal" => "1421"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12065262"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Decision aids for people facing health treatment or screening decisions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; O&#8217;Connor"
                            1 => "D&#46; Stacey"
                            2 => "D&#46; Rovner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Cochrane Database of Systematic Rev"
                        "fecha" => "2007"
                        "volumen" => "3"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Should patient decision aids &#40;PtADs&#41; be introduced in the health care system&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "WHO"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2005"
                        "editorial" => "WHO Regional Office for Europe"
                        "editorialLocalizacion" => "Copenhagen"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A systematic review of information in decision aids"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46; Feldman-Steward"
                            1 => "S&#46; Brennenstuhl"
                            2 => "K&#46; McIssac"
                            3 => "J&#46; Austoker"
                            4 => "A&#46; Charvet"
                            5 => "P&#46; Hewitson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1369-7625.2006.00420.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Expectations"
                        "fecha" => "2006"
                        "volumen" => "10"
                        "paginaInicial" => "46"
                        "paginaFinal" => "61"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17324194"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Gravel K&#44; L&#233;gar&#233; F&#44; Graham ID&#46; Barriers and facilitators to implementing shared decision-making in clinical practice&#58; a systematic review of health professionals&#8217; perceptions&#46; Implementation Science&#46; 2006&#59;1&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.implementationscience.com/content/1/1/16">http&#58;&#47;&#47;www&#46;implementationscience&#46;com&#47;content&#47;1&#47;1&#47;16</a>"
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib35"
              "etiqueta" => "35&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley 14&#47;1986&#44; de 25 de abril&#44; General de Sanidad&#46;"
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib36"
              "etiqueta" => "36&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley 40&#47;2002&#44; de 29 de diciembre&#44; B&#225;sica de Autonom&#237;a del Paciente&#46;"
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib37"
              "etiqueta" => "37&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley 21&#47;2000 de 29 de diciembre&#44; sobre los derechos de informaci&#243;n concernientes a la salud y autonom&#237;a del paciente y la documentaci&#243;n cl&#237;nica de Catalu&#241;a&#46;"
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib38"
              "etiqueta" => "38&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley 3&#47;2001&#44; de 28 de mayo&#44; reguladora del consentimiento y de la historia cl&#237;nica de los pacientes de la comunidad de Galicia&#46;"
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib39"
              "etiqueta" => "39&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley Foral 11&#47;2002&#44; de 6 de mayo&#44; sobre los derechos del paciente a las voluntades anticipadas&#44; a la informaci&#243;n y a la documentaci&#243;n cl&#237;nica&#46; Modificada parcialmente por la Ley Foral 29&#47;2003&#44; de 4 de abril&#46;"
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib40"
              "etiqueta" => "40&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley 10&#47;2001&#44; de 28 de junio&#44; de salud de Extremadura&#46;"
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib41"
              "etiqueta" => "41&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley 12&#47;2002&#44; de 21 de diciembre&#44; de ordenaci&#243;n sanitaria de la Comunidad de Madrid&#46;"
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib42"
              "etiqueta" => "42&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley 2&#47;2002&#44; de 17 de abril&#44; de salud de Arag&#243;n&#46;"
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib43"
              "etiqueta" => "43&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ley 1&#47;2003&#44; de 28 de enero&#44; de derechos e informaci&#243;n al paciente de la Comunidad Valenciana&#46;"
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib44"
              "etiqueta" => "44&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#191;Son v&#225;lidos los documentos de consentimiento informado que utilizamos en cirug&#237;a vascular&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Hospedales-Salom&#243;"
                            1 => "M&#46;D&#46; Lloret-Cano"
                            2 => "S&#46; Bellmunt-Montoya"
                            3 => "E&#46; Gonz&#225;lez-Ca&#241;as"
                            4 => "B&#46; Gonzalo-Villanueva"
                            5 => "T&#46; Solanich-Valldaura"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Angiolog&#237;a"
                        "fecha" => "2005"
                        "volumen" => "57"
                        "paginaInicial" => "487"
                        "paginaFinal" => "495"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02139111/00000022000000S1/v1_201301221349/S0213911108760904/v1_201301221349/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "713"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cap&#237;tulo 4&#46; Un sistema de salud integrado y centrado en los usuarios"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02139111/00000022000000S1/v1_201301221349/S0213911108760904/v1_201301221349/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911108760904?idApp=WGSE"
]
Compartir
Métricas
Comité editorial
Publique en esta revista
Número actual
Información de la revista

Respuestas rápidas

Nueva respuesta rápida:

Requisitos y consideraciones

  • Las respuestas rápidas tienen como objetivo permitir el debate sobre observaciones científicas y de opinión sobre trabajos publicados el último año.
  • Deben ser enviadas desde la página web correspondiente al artículo en cuestión (no a través del sistema general de envío de artículos).
  • Son moderadas antes de su publicación a discreción del equipo editorial de la revista, no obstante no son peer-reviewed.
  • Deben ser originales y no infringir los derechos propiedad de terceros.
  • Los/las autores/as perderán el derecho a borrar o editar el texto, una vez sea publicado. Asimismo, la revista se reserva el derecho de borrar o editar el texto a discreción.
  • Algunas respuestas rápidas podrían ser seleccionadas adicionalmente para su publicación como cartas en la revista, en este caso seguirán el proceso editorial correspondiente.
  • Las respuestas rápidas serán publicadas en la web de la revista en 1 semana aproximadamente, después del envío del texto por parte de los/as autores/as.
  • La extensión máxima será de 500 palabras. Se admitirá una tabla o figura y hasta 5 referencias bibliográficas.
  • Se comunicará a los/las autores/ras del artículo comentado la existencia de la carta y la posibilidad de respuesta.
  • Al enviar esta respuesta rápida los autores/as aceptan los requisitos descritos.

Respuesta

Conflictos de interés

Los conflictos de interés pueden ser laborales, de investigación, económicos o morales. Los/las autores/as deben indicar si existe alguno de estos conflictos. Una descripción más detallada sobre los conflictos de intereses se encuentra disponible en las normas éticas de Gaceta Sanitaria.

El texto se adecua a las normas éticas de la revista

Suscríbase a la newsletter

Tabla de contenidos
Publique en
Gaceta Sanitaria
Podcast
El copago farmacéutico en España tras la reforma del año 2012 desde la perspectiva del usuario. ¿Evidencias de inequidad?
Vídeo selección del editor
María Victoria Zunzunegui conversando sobre mortalidad en la pandemia con Joan Carles March
Ver vídeo
María Victoria Zunzunegui conversando sobre mortalidad en la pandemia con Joan Carles March
Gaceta Sanitaria se adhiere a los principios y procedimientos dictados por el Committee on Publication Ethics (COPE)
www.publicationethics.org.

Gaceta Sanitaria sigue las recomendaciones para la preparación, presentación y publicación de trabajos académicos en revistas biomédicas

Idiomas
Gaceta Sanitaria
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?