Artículos especiales
Redes centinela sanitarias en España. Consenso para una guía de principios y métodos
Health sentinel networks in Spain. Consensus for a guide of principles and methods
Agustín Tomás Vega Alonsoa,
, Óscar Zurriaga Llorensb, Antònia Galmés Truyolsc, José Eugenio Lozano Alonsoa, Laura Paisán Maestroa, Milagros Gil Costaa, Azucena Herrero Llorentea, Julián Mauro Ramos Aceiterod, en nombre del grupo de investigadores del proyecto RECENT
Autor para correspondencia
egaloto@jcyl.es
Correspondencia: A. Tomás Vega Alonso. Observatorio de Salud Pública. Consejería de Sanidad. Paseo de Zorrilla, 1. 4071 Valladolid. España.
Correspondencia: A. Tomás Vega Alonso. Observatorio de Salud Pública. Consejería de Sanidad. Paseo de Zorrilla, 1. 4071 Valladolid. España.
a Observatorio de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
b Área de Epidemiología, Conselleria de Sanitat, Generalitat Valenciana, Valencia, España
c Servicio de Epidemiología, Conselleria de Salut i Consum, Govern de les Illes Balears, Palma de Mallorca, España
d Servicio de Epidemiología. Consejería de Sanidad y Consumo, Junta de Extremadura, Mérida, Badajoz, España
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Consensus for a guide of principles and methods" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-02-28" "fechaAceptado" => "2006-03-26" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec647005" "palabras" => array:3 [ 0 => "Redes centinela sanitarias" 1 => "Método Delphi" 2 => "Documento de consenso" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec647004" "palabras" => array:3 [ 0 => "Health sentinel networks" 1 => "Delphi method" 2 => "Consensus document" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span><p class="elsevierStyleSimplePara elsevierViewall">Las redes centinela sanitarias han estado activas en nuestro país desde la década de los años ochenta, con variados objetivos, metodología y diferente grado de desarrollo en las comunidades autónomas donde se han implantado. La necesidad de normalizar el funcionamiento y de armonizar los indicadores ha propiciado un proyecto de investigación de redes centinela sanitarias españolas, uno de cuyos objetivos es establecer una guía de principios y métodos de trabajo.</p><p class="elsevierStyleSimplePara elsevierViewall">Se ha procedido a realizar un estudio con el método Delphi, en el que un panel de 23 expertos ha consensuado, en 3 fases consecutivas, la definición de red centinela, los objetivos, los principios que deben regirlas y otros aspectos relacionados con la organización y funcionamiento. En conjunto se plantearon 41 cuestiones sobre la base de un primer borrador, las cuales necesitaban un 80% de consenso en una primera fase y un 70% en la segunda.</p><p class="elsevierStyleSimplePara elsevierViewall">Todos los expertos participaron en la primera fase, 22 en la segunda y 20 en la tercera. Se alcanzó un consenso en 36 cuestiones en la primera fase y en 4 de las 5 restantes en la segunda. En la tercera fase se dio forma definitiva al documento de la guía.</p><p class="elsevierStyleSimplePara elsevierViewall">El método de consenso Delphi ha resultado extremadamente útil en la resolución de discrepancias y divergencias, obteniéndose una guía válida para redes centinela. Los expertos ajenos a los sistemas centinela del panel seleccionado aportaron una visión más extensa sobre los objetivos y la aplicabilidad de las redes centinela sanitarias en España.</p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span><p class="elsevierStyleSimplePara elsevierViewall">Since the eighties, health sentinel networks have been active in our country, but with a variety of objectives, methods and different development levels in the autonomous communities. The necessity of standardising the management and harmonising the indicators has concluded in a research project on the Spanish health sentinel networks, one of whose objectives is to establish a guide for work principles and methods.</p><p class="elsevierStyleSimplePara elsevierViewall">A panel of 23 experts has made a study using the Delphi method to agree, in three consecutive phases, a definition of sentinel network, the objectives and the management principles and other aspects related to the organisation and functioning. Altogether, 41 questions were gathered from a previous draft which needed 80% of consensus in the first phase and 70% in the second.</p><p class="elsevierStyleSimplePara elsevierViewall">All the experts participated in the first phase, 22 in the second and 20 in the third. A consensus was achieved on 36 questions in the first phase and in 4 of the remaining ones in the second. In the third phase the shape of the guide document was given.</p><p class="elsevierStyleSimplePara elsevierViewall">The Delphi consensus method has been extremely usefulin the resolution of discrepancies and divergences. The experts who were selected outside of the sentinel networks contributed with a wider vision on the objectives and applicability of the health sentinel networks in Spain</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Weekly Returns Service of the Royal College of General Practitioners" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D.M. 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Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13096504
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