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"titulo" => "Niveles de dependencia y utilización de servicios en los hospitales psiquiátricos de Aragón"
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"titulo" => "Evaluación del impacto de una trayectoria clínica sobre el ictus isquémico"
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"titulo" => "Determinantes de la elección del hospital por parte de los pacientes"
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1 => "Información al paciente"
2 => "<span class="elsevierStyleItalic">Report cards</span>"
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"resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar cuál es la mejor forma de informar a un paciente para que elija responsablemente el centro y el servicio sanitario, e identificar los principales factores que actuarían como motivadores de esta decisión.</p> <span class="elsevierStyleSectionTitle">Sujetos y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se elaboró la información sobre 3 hospitales ficticios y 3 procesos patológicos (cáncer de mama, hipertrofia benigna de próstata y cataratas) en 4 modalidades de presentación: 1 folleto con tablas, 1 folleto con gráficos, 3 folletos con tablas y 3 folletos con gráficos, que incluían datos acerca del personal, sobre los resultados médicos y quirúrgicos, los efectos secundarios, la satisfacción de otros pacientes y familiares, y las demandas y reclamaciones efectuadas contra el hospital. La información se suministró a una muestra de 1.259 sujetos, que cumplimentaron un cuestionario con su valoración de la información recibida.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Ante la elección de tratamiento, la mayoría de los pacientes (88%) preferiría que se les informara y tomar la decisión conjuntamente con el médico. Un 64% eligió el hospital con mejores resultados clínicos. La información en un solo folleto resultó más clara mediante tablas (p < 0,001) y la información mediante gráficos resultó más clara en 3 folletos (p < 0,001). Se identificaron 3 factores en el caso de las enfermedades más graves (satisfacción, resultados médicos y reclamaciones y demandas) y 2 factores (satisfacción y resultados médicos) en el caso de una afección leve. Los varones se fijan más en la información sobre los resultados (p < 0,001), las recaídas (p < 0,001) y los efectos secundarios (p < 0,001). A la hora de realizar comparaciones, el personal sanitario se fija más en los resultados de efectividad terapéutica y menos en los resultados de satisfacción del paciente o sus familiares (rangos t entre 0,40 y 0,90; p < 0,01).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Hay diferencias en cuanto a la necesidad de información, la comprensión en función de la modalidad de presentación de dicha información y su contenido en función de la enfermedad, el sexo o el grado de conocimientos médicos.</p>"
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"en" => array:2 [
"titulo" => "Abstract"
"resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To identify the best way to inform patients about centers and services so that they can make a responsible choice, and to identify which factors determine patients’ decisions.</p> <span class="elsevierStyleSectionTitle">Subjects and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Data on three illnesses (breast cancer, benign prostatic hypertrophy, and cataracts) in three fictitious hospitals were shown to patients. The data were presented to 1,259 subjects through four different means: a brochure including a table, a brochure with a bar graph, three brochures with tables, and three brochures with bar graphs. Data on each of the hospitals included: professional profiles, medical and surgical outcomes, side effects, patients’ and relatives’ satisfaction, and hospital complaints. The subjects completed a questionnaire evaluating the information received.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Most patients (88%) preferred to receive full information and to share decision-making with their physician. Sixtyfour percent of the patients chose the hospital with the best medical or surgical outcomes. Patients preferred the data presented through a brochure with a table (p < 0.001). Three factors were identified with severe illness (satisfaction, outcomes and complaints) and two factors with non-severe illness (satisfaction and outcomes). Men paid more attention to medical and surgical outcomes (p < 0.001), relapses (p < 0.001), and side effects (p < 0.001). When performing comparisons, health professionals paid greater attention to medical and surgical outcomes than to patients’ and relatives’ satisfaction (t range between 0.40 and 0.90, p < 0.01).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Differences were found in the need for information and in comprehension depending on the way information was presented and on the type of disease. Gender and health knowledge seem to be predictors of patients’ information needs when choosing a hospital.</p>"
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0 => "J.H. Hibbard"
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"titulo" => "Performance of the «100 top hospitals»: what does the report card report?"
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0 => "J. Chen"
1 => "M.J. Radford"
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"titulo" => "Quality of care information makes a difference: an analysis of market share and price changes after publication of the New York State Cardiac Survey Mortality Reports"
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"tituloSerie" => "Med Care"
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"titulo" => "Benchmarking and quality improvement: the Harvard Emergency Department Quality Study"
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"autores" => array:6 [
0 => "H.R. Burstin"
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"titulo" => "Consumers responses to health plan report cards in two markets"
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"autores" => array:4 [
0 => "J.B. Fowles"
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"titulo" => "Use of outcome data by purchasers and consumers: new strategies and new dilemmas"
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"autores" => array:1 [
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"tituloSerie" => "Int J Quality Health Care"
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"titulo" => "Los mejores hospitales. Entre la necesidad de información comparativa y la confusión"
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"autores" => array:1 [
0 => "S. Peiró"
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