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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar cu&#225;l es la mejor forma de informar a un paciente para que elija responsablemente el centro y el servicio sanitario&#44; e identificar los principales factores que actuar&#237;an como motivadores de esta decisi&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Sujetos y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se elabor&#243; la informaci&#243;n sobre 3 hospitales ficticios y 3 procesos patol&#243;gicos &#40;c&#225;ncer de mama&#44; hipertrofia benigna de pr&#243;stata y cataratas&#41; en 4 modalidades de presentaci&#243;n&#58; 1 folleto con tablas&#44; 1 folleto con gr&#225;ficos&#44; 3 folletos con tablas y 3 folletos con gr&#225;ficos&#44; que inclu&#237;an datos acerca del personal&#44; sobre los resultados m&#233;dicos y quir&#250;rgicos&#44; los efectos secundarios&#44; la satisfacci&#243;n de otros pacientes y familiares&#44; y las demandas y reclamaciones efectuadas contra el hospital&#46; La informaci&#243;n se suministr&#243; a una muestra de 1&#46;259 sujetos&#44; que cumplimentaron un cuestionario con su valoraci&#243;n de la informaci&#243;n recibida&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Ante la elecci&#243;n de tratamiento&#44; la mayor&#237;a de los pacientes &#40;88&#37;&#41; preferir&#237;a que se les informara y tomar la decisi&#243;n conjuntamente con el m&#233;dico&#46; Un 64&#37; eligi&#243; el hospital con mejores resultados cl&#237;nicos&#46; La informaci&#243;n en un solo folleto result&#243; m&#225;s clara mediante tablas &#40;p &#60; 0&#44;001&#41; y la informaci&#243;n mediante gr&#225;ficos result&#243; m&#225;s clara en 3 folletos &#40;p &#60; 0&#44;001&#41;&#46; Se identificaron 3 factores en el caso de las enfermedades m&#225;s graves &#40;satisfacci&#243;n&#44; resultados m&#233;dicos y reclamaciones y demandas&#41; y 2 factores &#40;satisfacci&#243;n y resultados m&#233;dicos&#41; en el caso de una afecci&#243;n leve&#46; Los varones se fijan m&#225;s en la informaci&#243;n sobre los resultados &#40;p &#60; 0&#44;001&#41;&#44; las reca&#237;das &#40;p &#60; 0&#44;001&#41; y los efectos secundarios &#40;p &#60; 0&#44;001&#41;&#46; A la hora de realizar comparaciones&#44; el personal sanitario se fija m&#225;s en los resultados de efectividad terap&#233;utica y menos en los resultados de satisfacci&#243;n del paciente o sus familiares &#40;rangos t entre 0&#44;40 y 0&#44;90&#59; p &#60; 0&#44;01&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Hay diferencias en cuanto a la necesidad de informaci&#243;n&#44; la comprensi&#243;n en funci&#243;n de la modalidad de presentaci&#243;n de dicha informaci&#243;n y su contenido en funci&#243;n de la enfermedad&#44; el sexo o el grado de conocimientos m&#233;dicos&#46;</p>"
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        "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&#44; and to identify which factors determine patients&#8217; decisions&#46;</p> <span class="elsevierStyleSectionTitle">Subjects and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Data on three illnesses &#40;breast cancer&#44; benign prostatic hypertrophy&#44; and cataracts&#41; in three fictitious hospitals were shown to patients&#46; The data were presented to 1&#44;259 subjects through four different means&#58; a brochure including a table&#44; a brochure with a bar graph&#44; three brochures with tables&#44; and three brochures with bar graphs&#46; Data on each of the hospitals included&#58; professional profiles&#44; medical and surgical outcomes&#44; side effects&#44; patients&#8217; and relatives&#8217; satisfaction&#44; and hospital complaints&#46; The subjects completed a questionnaire evaluating the information received&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Most patients &#40;88&#37;&#41; preferred to receive full information and to share decision-making with their physician&#46; Sixtyfour percent of the patients chose the hospital with the best medical or surgical outcomes&#46; Patients preferred the data presented through a brochure with a table &#40;p &#60; 0&#46;001&#41;&#46; Three factors were identified with severe illness &#40;satisfaction&#44; outcomes and complaints&#41; and two factors with non-severe illness &#40;satisfaction and outcomes&#41;&#46; Men paid more attention to medical and surgical outcomes &#40;p &#60; 0&#46;001&#41;&#44; relapses &#40;p &#60; 0&#46;001&#41;&#44; and side effects &#40;p &#60; 0&#46;001&#41;&#46; When performing comparisons&#44; health professionals paid greater attention to medical and surgical outcomes than to patients&#8217; and relatives&#8217; satisfaction &#40;t range between 0&#46;40 and 0&#46;90&#44; p &#60; 0&#46;01&#41;&#46;</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&#46; Gender and health knowledge seem to be predictors of patients&#8217; information needs when choosing a hospital&#46;</p>"
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Determinantes de la elección del hospital por parte de los pacientes
Factors determining patients' choice of hospital
José Joaquín Mira
Autor para correspondencia
jose.mira@umh.es

Correspondencia: Universidad Miguel Hernández. Avda. del Ferrocarril s/n. 03202 Elche (Alicante). España.
, Sonia Tirado, Virtudes Pérez, Julián Vitaller
Universidad Miguel Hernández. Elche. Alicante. España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar cu&#225;l es la mejor forma de informar a un paciente para que elija responsablemente el centro y el servicio sanitario&#44; e identificar los principales factores que actuar&#237;an como motivadores de esta decisi&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Sujetos y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se elabor&#243; la informaci&#243;n sobre 3 hospitales ficticios y 3 procesos patol&#243;gicos &#40;c&#225;ncer de mama&#44; hipertrofia benigna de pr&#243;stata y cataratas&#41; en 4 modalidades de presentaci&#243;n&#58; 1 folleto con tablas&#44; 1 folleto con gr&#225;ficos&#44; 3 folletos con tablas y 3 folletos con gr&#225;ficos&#44; que inclu&#237;an datos acerca del personal&#44; sobre los resultados m&#233;dicos y quir&#250;rgicos&#44; los efectos secundarios&#44; la satisfacci&#243;n de otros pacientes y familiares&#44; y las demandas y reclamaciones efectuadas contra el hospital&#46; La informaci&#243;n se suministr&#243; a una muestra de 1&#46;259 sujetos&#44; que cumplimentaron un cuestionario con su valoraci&#243;n de la informaci&#243;n recibida&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Ante la elecci&#243;n de tratamiento&#44; la mayor&#237;a de los pacientes &#40;88&#37;&#41; preferir&#237;a que se les informara y tomar la decisi&#243;n conjuntamente con el m&#233;dico&#46; Un 64&#37; eligi&#243; el hospital con mejores resultados cl&#237;nicos&#46; La informaci&#243;n en un solo folleto result&#243; m&#225;s clara mediante tablas &#40;p &#60; 0&#44;001&#41; y la informaci&#243;n mediante gr&#225;ficos result&#243; m&#225;s clara en 3 folletos &#40;p &#60; 0&#44;001&#41;&#46; Se identificaron 3 factores en el caso de las enfermedades m&#225;s graves &#40;satisfacci&#243;n&#44; resultados m&#233;dicos y reclamaciones y demandas&#41; y 2 factores &#40;satisfacci&#243;n y resultados m&#233;dicos&#41; en el caso de una afecci&#243;n leve&#46; Los varones se fijan m&#225;s en la informaci&#243;n sobre los resultados &#40;p &#60; 0&#44;001&#41;&#44; las reca&#237;das &#40;p &#60; 0&#44;001&#41; y los efectos secundarios &#40;p &#60; 0&#44;001&#41;&#46; A la hora de realizar comparaciones&#44; el personal sanitario se fija m&#225;s en los resultados de efectividad terap&#233;utica y menos en los resultados de satisfacci&#243;n del paciente o sus familiares &#40;rangos t entre 0&#44;40 y 0&#44;90&#59; p &#60; 0&#44;01&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Hay diferencias en cuanto a la necesidad de informaci&#243;n&#44; la comprensi&#243;n en funci&#243;n de la modalidad de presentaci&#243;n de dicha informaci&#243;n y su contenido en funci&#243;n de la enfermedad&#44; el sexo o el grado de conocimientos m&#233;dicos&#46;</p>"
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        "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&#44; and to identify which factors determine patients&#8217; decisions&#46;</p> <span class="elsevierStyleSectionTitle">Subjects and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Data on three illnesses &#40;breast cancer&#44; benign prostatic hypertrophy&#44; and cataracts&#41; in three fictitious hospitals were shown to patients&#46; The data were presented to 1&#44;259 subjects through four different means&#58; a brochure including a table&#44; a brochure with a bar graph&#44; three brochures with tables&#44; and three brochures with bar graphs&#46; Data on each of the hospitals included&#58; professional profiles&#44; medical and surgical outcomes&#44; side effects&#44; patients&#8217; and relatives&#8217; satisfaction&#44; and hospital complaints&#46; The subjects completed a questionnaire evaluating the information received&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Most patients &#40;88&#37;&#41; preferred to receive full information and to share decision-making with their physician&#46; Sixtyfour percent of the patients chose the hospital with the best medical or surgical outcomes&#46; Patients preferred the data presented through a brochure with a table &#40;p &#60; 0&#46;001&#41;&#46; Three factors were identified with severe illness &#40;satisfaction&#44; outcomes and complaints&#41; and two factors with non-severe illness &#40;satisfaction and outcomes&#41;&#46; Men paid more attention to medical and surgical outcomes &#40;p &#60; 0&#46;001&#41;&#44; relapses &#40;p &#60; 0&#46;001&#41;&#44; and side effects &#40;p &#60; 0&#46;001&#41;&#46; When performing comparisons&#44; health professionals paid greater attention to medical and surgical outcomes than to patients&#8217; and relatives&#8217; satisfaction &#40;t range between 0&#46;40 and 0&#46;90&#44; p &#60; 0&#46;01&#41;&#46;</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&#46; Gender and health knowledge seem to be predictors of patients&#8217; information needs when choosing a hospital&#46;</p>"
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Información del artículo
ISSN: 02139111
Idioma original: Español
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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
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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?