Correspondencia: Universidad Miguel Hernández. Avda. del Ferrocarril s/n. 03202 Elche (Alicante). España.
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array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Sonia" "apellidos" => "Tirado" ] 2 => array:2 [ "nombre" => "Virtudes" "apellidos" => "Pérez" ] 3 => array:2 [ "nombre" => "Julián" "apellidos" => "Vitaller" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "<span class="elsevierStyleItalic">Universidad Miguel Hernández. Elche. Alicante. España</span>" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Universidad Miguel Hernández. Avda. del Ferrocarril s/n. 03202 Elche (Alicante). España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Factors determining patients' choice of hospital" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-05-20" "fechaAceptado" => "2004-01-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268630" "palabras" => array:3 [ 0 => "Toma de decisiones" 1 => "Información al paciente" 2 => "<span class="elsevierStyleItalic">Report cards</span>" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268629" "palabras" => array:3 [ 0 => "Consumer decision making" 1 => "Consumer information" 2 => "Report cards" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "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>" ] "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>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">Investigación financiada por el Fondo de Investigaciones Sanitarias (FIS 2000/1099).</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Attitudes to the public release of comparative information on the quality of general practice care: qualitative study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.N. Marshall" 1 => "J. Hisock" 2 => "B. 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año/Mes | Html | Total | |
---|---|---|---|
2024 Noviembre | 6 | 3 | 9 |
2024 Octubre | 73 | 36 | 109 |
2024 Septiembre | 48 | 17 | 65 |
2024 Agosto | 53 | 28 | 81 |
2024 Julio | 34 | 23 | 57 |
2024 Junio | 39 | 12 | 51 |
2024 Mayo | 34 | 22 | 56 |
2024 Abril | 33 | 14 | 47 |
2024 Marzo | 45 | 18 | 63 |
2024 Febrero | 39 | 40 | 79 |
2024 Enero | 24 | 12 | 36 |
2023 Diciembre | 28 | 18 | 46 |
2023 Noviembre | 23 | 14 | 37 |
2023 Octubre | 20 | 11 | 31 |
2023 Septiembre | 28 | 18 | 46 |
2023 Agosto | 35 | 16 | 51 |
2023 Julio | 36 | 15 | 51 |
2023 Junio | 37 | 17 | 54 |
2023 Mayo | 34 | 13 | 47 |
2023 Abril | 27 | 18 | 45 |
2023 Marzo | 42 | 38 | 80 |
2023 Febrero | 24 | 12 | 36 |
2023 Enero | 21 | 17 | 38 |
2022 Diciembre | 37 | 29 | 66 |
2022 Noviembre | 42 | 39 | 81 |
2022 Octubre | 27 | 25 | 52 |
2022 Septiembre | 30 | 28 | 58 |
2022 Agosto | 69 | 47 | 116 |
2022 Julio | 56 | 36 | 92 |
2022 Junio | 45 | 34 | 79 |
2022 Mayo | 72 | 38 | 110 |
2022 Abril | 48 | 30 | 78 |
2022 Marzo | 47 | 33 | 80 |
2022 Febrero | 33 | 26 | 59 |
2022 Enero | 25 | 25 | 50 |
2021 Diciembre | 27 | 40 | 67 |
2021 Noviembre | 29 | 45 | 74 |
2021 Octubre | 27 | 39 | 66 |
2021 Septiembre | 42 | 52 | 94 |
2021 Agosto | 18 | 22 | 40 |
2021 Julio | 21 | 24 | 45 |
2021 Junio | 17 | 29 | 46 |
2021 Mayo | 14 | 21 | 35 |
2021 Abril | 40 | 33 | 73 |
2021 Marzo | 25 | 19 | 44 |
2021 Febrero | 21 | 14 | 35 |
2021 Enero | 18 | 19 | 37 |
2020 Diciembre | 26 | 18 | 44 |
2020 Noviembre | 21 | 13 | 34 |
2020 Octubre | 13 | 17 | 30 |
2020 Septiembre | 15 | 9 | 24 |
2020 Agosto | 11 | 15 | 26 |
2020 Julio | 19 | 16 | 35 |
2020 Junio | 17 | 3 | 20 |
2020 Mayo | 12 | 6 | 18 |
2020 Abril | 17 | 11 | 28 |
2020 Marzo | 20 | 11 | 31 |
2020 Febrero | 9 | 19 | 28 |
2020 Enero | 15 | 12 | 27 |
2019 Diciembre | 21 | 23 | 44 |
2019 Noviembre | 7 | 9 | 16 |
2019 Octubre | 12 | 13 | 25 |
2019 Septiembre | 3 | 12 | 15 |
2019 Agosto | 12 | 17 | 29 |
2019 Julio | 10 | 1 | 11 |
2019 Junio | 8 | 11 | 19 |
2019 Mayo | 15 | 15 | 30 |
2019 Abril | 10 | 8 | 18 |
2019 Marzo | 8 | 8 | 16 |
2019 Febrero | 11 | 13 | 24 |
2019 Enero | 9 | 14 | 23 |
2018 Diciembre | 9 | 10 | 19 |
2018 Noviembre | 10 | 12 | 22 |
2018 Octubre | 39 | 25 | 64 |
2018 Septiembre | 18 | 10 | 28 |
2018 Agosto | 22 | 9 | 31 |
2018 Julio | 27 | 11 | 38 |
2018 Junio | 24 | 16 | 40 |
2018 Mayo | 22 | 11 | 33 |
2018 Abril | 19 | 9 | 28 |
2018 Marzo | 19 | 13 | 32 |
2018 Febrero | 12 | 6 | 18 |
2018 Enero | 9 | 5 | 14 |
2017 Diciembre | 15 | 6 | 21 |
2017 Noviembre | 12 | 6 | 18 |
2017 Octubre | 9 | 7 | 16 |
2017 Septiembre | 19 | 10 | 29 |
2017 Agosto | 11 | 15 | 26 |
2017 Julio | 13 | 9 | 22 |
2017 Junio | 29 | 26 | 55 |
2017 Mayo | 24 | 8 | 32 |
2017 Abril | 23 | 9 | 32 |
2017 Marzo | 20 | 8 | 28 |
2017 Febrero | 8 | 1 | 9 |
2017 Enero | 7 | 5 | 12 |
2016 Diciembre | 45 | 9 | 54 |
2016 Noviembre | 60 | 9 | 69 |
2016 Octubre | 45 | 11 | 56 |
2016 Septiembre | 31 | 5 | 36 |
2016 Agosto | 44 | 11 | 55 |
2016 Julio | 16 | 4 | 20 |
2016 Junio | 1 | 4 | 5 |
2016 Mayo | 0 | 7 | 7 |
2016 Abril | 1 | 0 | 1 |
2016 Marzo | 1 | 5 | 6 |
2016 Enero | 3 | 8 | 11 |
2015 Diciembre | 1 | 0 | 1 |
2015 Octubre | 2 | 7 | 9 |
2015 Septiembre | 1 | 7 | 8 |
2015 Agosto | 2 | 0 | 2 |
2015 Julio | 2 | 5 | 7 |
2015 Junio | 1 | 4 | 5 |
2015 Mayo | 1 | 3 | 4 |
2015 Abril | 3 | 9 | 12 |
2015 Marzo | 4 | 0 | 4 |
2015 Febrero | 0 | 8 | 8 |
2015 Enero | 3 | 0 | 3 |
2014 Diciembre | 5 | 2 | 7 |
2014 Noviembre | 3 | 2 | 5 |
2014 Octubre | 4 | 1 | 5 |
2014 Septiembre | 3 | 1 | 4 |
2014 Agosto | 9 | 2 | 11 |
2014 Julio | 7 | 0 | 7 |
2014 Junio | 14 | 3 | 17 |
2014 Mayo | 6 | 0 | 6 |
2014 Abril | 9 | 1 | 10 |
2014 Marzo | 8 | 1 | 9 |
2014 Febrero | 9 | 2 | 11 |
2014 Enero | 12 | 1 | 13 |
2013 Diciembre | 18 | 2 | 20 |
2013 Noviembre | 17 | 1 | 18 |
2013 Octubre | 23 | 3 | 26 |
2013 Septiembre | 14 | 1 | 15 |
2013 Agosto | 30 | 3 | 33 |
2013 Julio | 18 | 2 | 20 |
2004 Abril | 838 | 0 | 838 |