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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">La satisfacci&#243;n del usuario ha ido adquiriendo un papel cada vez m&#225;s relevante como indicador de resultados de los servicios de salud<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">1&#8211;3</span></a>&#46; De hecho&#44; entidades como la Joint Commission on Accreditation of Hospital la incluyen como uno de los est&#225;ndares de calidad<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">4&#8211;6</span></a>&#46; Es as&#237; que la Fundaci&#243;n Europea para la Gesti&#243;n de la Calidad &#40;EFQM&#41; y la Organizaci&#243;n Internacional de Normalizaci&#243;n &#40;ISO&#41; destacan el papel decisivo del usuario en la evaluaci&#243;n de la calidad de los servicios de salud<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">7&#44;8</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Sin embargo&#44; el grado de satisfacci&#243;n no se explica &#250;nicamente por la experiencia vivida al entrar en contacto con el sistema de salud&#44; ya que esta &#250;ltima solo determina peque&#241;as variaciones cercanas al 10&#37;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">9</span></a>&#46; En este sentido&#44; y de acuerdo con los hallazgos de la literatura cient&#237;fica&#44; puede afirmarse que la satisfacci&#243;n del usuario&#44; adem&#225;s de reflejar&#44; obviamente&#44; ciertas particularidades propias de la calidad percibida en la prestaci&#243;n del servicio&#44; depende tambi&#233;n de la idiosincrasia del propio individuo&#44; e incluso se ha sugerido que podr&#237;a estar determinada&#44; en parte&#44; por las peculiaridades de su entorno social<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">10&#44;11</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Este &#171;determinismo&#187; ecol&#243;gico ha sido ampliamente contrastado&#44; de forma emp&#237;rica&#44; en diversos estudios epidemiol&#243;gicos sobre la salud&#47;enfermedad&#59; no obstante&#44; hasta que no se introdujeron los modelos de an&#225;lisis jer&#225;rquico result&#243; complejo determinar la importancia relativa de las variables contextuales compartidas por grupos de sujetos<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">12</span></a>&#46; Aun as&#237;&#44; este planteamiento no se ha aplicado todav&#237;a al estudio de los factores determinantes de la satisfacci&#243;n del usuario con los servicios de salud&#46; De hecho&#44; desde esta nueva perspectiva podr&#237;a hipotetizarse que la reacci&#243;n emocional derivada de las diferencias entre las expectativas y la percepci&#243;n de la atenci&#243;n sanitaria en los individuos pertenecientes a un mismo contexto socioecon&#243;mico tender&#225; a ser m&#225;s similar que con respecto a su pertenencia a un entorno diferente<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">13</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">En consecuencia&#44; con este estudio se pretende analizar la satisfacci&#243;n de las personas usuarias desde una perspectiva ecol&#243;gica&#44; identificando qu&#233; factores de los contextos socioecon&#243;mico y sanitario influyen sobre la percepci&#243;n de la satisfacci&#243;n de la poblaci&#243;n con los servicios de salud&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todo</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Dise&#241;o del estudio</span><p id="par0025" class="elsevierStylePara elsevierViewall">Se ha llevado a cabo un estudio transversal con los datos del cuestionario de adultos de la Encuesta Europea de Salud en Espa&#241;a 2009 &#40;EES-2009&#41;&#46; El tipo de muestreo fue triet&#225;pico &#40;1&#176;&#58; secciones censales&#59; 2&#176;&#58; viviendas familiares principales&#59; 3&#176;&#58; selecci&#243;n aleatoria de una persona adulta &#8805;16 a&#241;os&#41; y estratificado por el tama&#241;o del municipio&#46; La poblaci&#243;n de estudio fueron las personas mayores de 15 a&#241;os residentes en viviendas familiares principales &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>22&#46;188&#41;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">14</span></a>&#46; Adem&#225;s&#44; se realiz&#243; un estudio ecol&#243;gico con la informaci&#243;n obtenida a trav&#233;s de indicadores procedente de fuentes estad&#237;sticas de tipo poblacional&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Variable dependiente</span><p id="par0030" class="elsevierStylePara elsevierViewall">Se utiliz&#243; un indicador compuesto a partir de tres &#237;tems de la EES-2009&#44; que recog&#237;an en una escala Likert de cinco opciones &#40;desde muy satisfecho a muy insatisfecho&#41; el grado de satisfacci&#243;n global con el personal m&#233;dico de atenci&#243;n primaria&#44; los facultativos de consultas externas y el hospital &#40;incluyendo urgencias&#41;&#46; La consistencia interna de los tres &#237;tems se evalu&#243; mediante el coeficiente alfa de Cronbach &#40;0&#44;711&#41;&#46; A partir de los tres &#237;tems se construyeron dos variables dependientes&#160;de tipo dicot&#243;mico&#58;&#160;1&#41; &#171;Percepci&#243;n de excelencia con los servicios de salud&#187; &#40;se consider&#243; la percepci&#243;n como &#171;excelente&#187;&#160;si el sujeto estaba &#171;muy satisfecho&#187; con los tres servicios evaluados&#44;&#160;mientras que&#160;se categorizaron como &#171;no excelente&#187; el resto de las posibilidades conocidas&#41; y&#160;2&#41; &#171;Insatisfacci&#243;n&#187; &#40;se consider&#243; como tal&#160;si se respond&#237;a &#171;insatisfecho&#47;muy insatisfecho&#187; en dos de los tres servicios evaluados&#44; o bien si uno de los tres &#237;tems era &#171;insatisfecho&#47;muy insatisfecho&#187; y en los otros dos la respuesta era &#171;indiferente&#187;&#59;&#160;el resto de combinaciones conocidas se defini&#243; como &#171;no insatisfacci&#243;n&#187;&#41;&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Variables independientes</span><p id="par0035" class="elsevierStylePara elsevierViewall">Las variables individuales han sido las caracter&#237;sticas sociodemogr&#225;ficas y el estado de salud&#44; tanto f&#237;sica como mental&#46; En cuanto a las primeras&#44; se incluyeron sexo&#44; edad &#40;agrupada en cinco categor&#237;as&#41;&#44; lugar de nacimiento&#44; nivel estudios y comunidad aut&#243;noma de residencia&#46; En cuanto al segundo&#44; la salud mental se valor&#243; a partir de cuatro &#237;tems &#40;SF2&#44; SF6&#44; SF8 y SF10&#41; de los nueve que componen la dimensi&#243;n mental del SF-36&#44; de acuerdo con las normas de puntuaci&#243;n incluidas en el manual<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">15</span></a>&#46; El resto de las variables fueron el diagn&#243;stico m&#233;dico de alguna enfermedad cr&#243;nica &#40;s&#237;&#47;no&#41; y la limitaci&#243;n de las actividades en la vida diaria &#8805;6 meses&#46; La fuente de informaci&#243;n empleada fue en todos los casos la EES-2009&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Entre las variables contextuales se incluyeron indicadores socioecon&#243;micos&#44; de salud y de servicios sanitarios en el &#225;mbito de las comunidades aut&#243;nomas durante el a&#241;o 2009&#46; Se emplearon cuatro indicadores socioecon&#243;micos&#58; 1&#41; el producto interior bruto &#40;PIB&#41; per c&#225;pita&#59; 2&#41; el porcentaje del valor a&#241;adido bruto &#40;VAB&#41;&#59; 3&#41; la tasa de paro de larga duraci&#243;n&#59; y 4&#41; la proporci&#243;n de poblaci&#243;n analfabeta o sin estudios en los mayores de 16 a&#241;os&#46; Los indicadores de salud fueron&#58; 1&#41; la tasa estandarizada de mortalidad&#44; y 2&#41; la tasa de mortalidad evitable por prevenci&#243;n primaria&#46; Los indicadores de la organizaci&#243;n sanitaria fueron&#58; 1&#41; &#237;ndice de cobertura total de prestaciones sanitarias&#59; 2&#41; gasto por habitante en servicios sanitarios&#59; 3&#41; ratio entre el n&#250;mero de m&#233;dicos de atenci&#243;n primaria de salud y habitantes&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Las fuentes de informaci&#243;n para las variables contextuales han sido el portal del Instituto Nacional de Estad&#237;stica en sus apartados <span class="elsevierStyleItalic">Encuesta de poblaci&#243;n activa&#44; Fen&#243;menos demogr&#225;ficos&#44; Sociedad&#44; Cuentas Econ&#243;micas</span> y <span class="elsevierStyleItalic">Encuesta Anual de Servicios</span> en el caso de los indicadores<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">14</span></a>&#46; Las relacionadas con la salud y la organizaci&#243;n de servicios sanitarios se obtuvieron del Portal Estad&#237;stico del Sistema Nacional de Salud &#40;SNS&#44; Ministerio de Sanidad&#44; Servicios Sociales e Igualdad&#41;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">16</span></a>&#46; Adicionalmente se consult&#243; el informe <span class="elsevierStyleItalic">Evoluci&#243;n de los indicadores del estado de salud en Espa&#241;a y su magnitud en el contexto de la Uni&#243;n Europea</span><a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">17</span></a>&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">An&#225;lisis estad&#237;stico</span><p id="par0050" class="elsevierStylePara elsevierViewall">Se ha analizado la satisfacci&#243;n del paciente a partir de dos variables&#58; 1&#41; la percepci&#243;n de excelencia con los servicios de salud y 2&#41; la insatisfacci&#243;n&#46; Se estimaron las razones de prevalencia &#40;RP&#41; brutas y ajustadas mediante modelos de Poisson con estimaci&#243;n robusta de la variancia&#44; ajustando por todas las variables independientes de tipo individual&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Se ha valorado la relaci&#243;n de la percepci&#243;n de excelencia o insatisfacci&#243;n de los pacientes con variables de tipo ecol&#243;gico o contextual&#44; mediante un an&#225;lisis de regresi&#243;n log&#237;stica multinivel con tres niveles&#46; Este tipo de an&#225;lisis resulta apropiado dada la estructura jer&#225;rquica de los datos&#58; los individuos est&#225;n agrupados en secciones censales y estas en comunidades aut&#243;nomas&#44; y as&#237; se evita la posibilidad de cometer falacia ecol&#243;gica&#44; pues las variables contextuales se midieron por comunidades aut&#243;nomas&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Se us&#243; un modelo para cada una de las variables contextuales&#46; En todos los casos&#44; los modelos se ajustaron por las siguientes covariables&#58; sexo&#44; intervalo de edad&#44; nivel de estudios&#44; tama&#241;o del municipio&#44; lugar de nacimiento&#44; salud mental&#44; padecimiento de enfermedad cr&#243;nica y limitaci&#243;n de las actividades en la vida diaria&#46; La comunidad aut&#243;noma y la secci&#243;n censal fueron tratadas como efectos aleatorios&#44; y por tanto&#44; los modelos incluyen directamente las variables individuales y la variable contextual correspondiente&#46; Estas variables contextuales se categorizaron en cuartiles y se obtuvo la <span class="elsevierStyleItalic">odds ratio</span> &#40;OR&#41; ajustada seg&#250;n el nivel del indicador&#44; y tambi&#233;n se trataron como variables continuas para estudiar la tendencia lineal&#46; Adem&#225;s&#44; se calcul&#243; el coeficiente de correlaci&#243;n intraclase mediante el m&#233;todo de Snijders y Bosker<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">18</span></a>&#46; El an&#225;lisis estad&#237;stico se realiz&#243; usando el programa estad&#237;stico STATA10&#174; y la <span class="elsevierStyleItalic">macro gllamm</span> con la opci&#243;n <span class="elsevierStyleItalic">adaptative quadrature</span><a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">19</span></a>&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Resultados</span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Caracter&#237;sticas sociodemogr&#225;ficas y de salud de la poblaci&#243;n encuestada</span><p id="par0065" class="elsevierStylePara elsevierViewall">La tasa de respuesta a la EES-2009 fue muy elevada &#40;96&#44;5&#37;&#41;&#46; El 51&#37; de los sujetos de la muestra de estudio fueron mujeres&#44; el 68&#44;7&#37; ten&#237;an entre 25 y 64 a&#241;os de edad&#44; y la mayor&#237;a eran de nacionalidad espa&#241;ola &#40;85&#44;7&#37;&#41;&#46; El 79&#44;5&#37; resid&#237;an en municipios con m&#225;s de 10&#46;000 habitantes&#46; Con respecto al nivel de estudios&#44; el 85&#44;6&#37; hab&#237;an cursado estudios &#40;primaria&#44; secundaria o educaci&#243;n universitaria&#41;&#46; El 35&#44;8&#37; consideraban su salud mental como alta o muy alta&#46; El 51&#44;2&#37; declararon tener una enfermedad cr&#243;nica y el 24&#44;3&#37; ten&#237;an una limitaci&#243;n leve o importante para realizar las actividades diarias &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Factores individuales asociados con una percepci&#243;n de excelencia</span><p id="par0070" class="elsevierStylePara elsevierViewall">El an&#225;lisis multivariante &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41; evidenci&#243; que las mujeres estaban m&#225;s satisfechas con mayor frecuencia que los hombres &#40;RP ajustada&#58; 1&#44;14&#59; intervalo de confianza del 95&#37; &#91;IC95&#37;&#93;&#58; 1&#44;04-1&#44;25&#41;&#44; y que la frecuencia con que se percibe como excelente la atenci&#243;n proporcionada aumenta de forma paulatina con la edad y con el nivel de salud mental&#44; con diferencias que llegaron en este caso al 241&#37; entre los dos grupos extremos del nivel de salud mental&#46; Tambi&#233;n las personas originarias de pa&#237;ses de la Uni&#243;n Europea y de la zona del Magreb tienen una mayor probabilidad&#44; del 40&#37; y el 75&#37;&#44; respectivamente&#44; de calificar como excelentes los servicios de salud en comparaci&#243;n con la poblaci&#243;n aut&#243;ctona&#46; En el otro extremo&#44; en las personas que declararon el padecimiento de alguna enfermedad cr&#243;nica&#44; la percepci&#243;n de excelencia de los servicios de salud fue menos probable &#40;RP ajustada&#58; 0&#44;86&#59; IC95&#37;&#58;0&#44;77-0&#44;96&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Factores individuales asociados con la insatisfacci&#243;n del paciente</span><p id="par0075" class="elsevierStylePara elsevierViewall">En cuanto a la insatisfacci&#243;n del paciente con los servicios de salud&#44; el an&#225;lisis mostr&#243; un esquema similar al descrito anteriormente&#44; pero en sentido inverso&#44; con algunas particularidades &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46; Por ejemplo&#44; las diferencias seg&#250;n el sexo no se mantuvieron en el an&#225;lisis ajustado&#46; Tampoco se observaron diferencias seg&#250;n el lugar de nacimiento&#46; Por &#250;ltimo&#44; la probabilidad de mostrarse insatisfecho&#47;a con los servicios sanitarios es menor en las personas sin limitaci&#243;n en las actividades &#40;RP ajustada&#58; 0&#44;65&#59; IC95&#37;&#58; 0&#44;49-0&#44;85&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Determinantes contextuales de la percepci&#243;n de excelencia</span><p id="par0080" class="elsevierStylePara elsevierViewall">La <a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a> muestra que en las comunidades aut&#243;nomas con un PIB per c&#225;pita entre 21&#46;187 &#8364; y 26&#46;547 &#8364; existe con mayor frecuencia una percepci&#243;n de excelencia de los servicios sanitarios recibidos &#40;OR&#58; 2&#44;53&#59; IC95&#37;&#58; 1&#44;2-5&#44;4&#41;&#46; Ocurre de modo similar con el gasto por habitante en servicios sanitarios &#40;OR&#58; 2&#44;54&#59; IC95&#37;&#58; 1&#44;07-6&#44;02&#41;&#46; Hay mayor percepci&#243;n de excelencia cuando el gasto sanitario se encuentra entre los 1331 &#8364; y los 1397 &#8364;&#46; Por otra parte&#44; se evidenci&#243; que en las comunidades aut&#243;nomas con tasas m&#225;ximas &#40;&#62;15&#44;8&#37;&#41; de poblaci&#243;n sin estudios la percepci&#243;n de excelencia con los servicios recibidos disminu&#237;a&#46; Adem&#225;s&#44; se observ&#243; una tendencia lineal respecto a las tasas de poblaci&#243;n sin estudios&#59; es decir&#44; conforme estas van en aumento&#44; la satisfacci&#243;n va disminuyendo &#40;OR<span class="elsevierStyleInf">tendencia</span><span class="elsevierStyleInf">lineal</span>&#58; 0&#44;95&#59; IC95&#37;&#58; 0&#44;90-0&#44;98&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Determinantes contextuales de la insatisfacci&#243;n</span><p id="par0085" class="elsevierStylePara elsevierViewall">Las personas residentes en comunidades aut&#243;nomas con altas tasas de poblaci&#243;n sin estudios y tasas notables de paro de larga duraci&#243;n &#40;OR&#58; 1&#44;8&#59; IC95&#37;&#58; 1&#44;3-2&#44;6&#41; se mostraron insatisfechas con mayor frecuencia que aquellas de comunidades aut&#243;nomas con tasas inferiores&#46; Cuando el VAB en el sector servicios es extremadamente elevado &#40;&#62;71&#37;&#41;&#44; la frecuencia de personas insatisfechas casi se duplica&#46; Por el contrario&#44; una mayor ratio de n&#250;mero de m&#233;dicos de atenci&#243;n primaria de salud por habitante &#40;&#62;60&#47;10<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">4</span></a>&#41; se asoci&#243; significativamente a una menor frecuencia de insatisfacci&#243;n &#40;IC95&#37;&#58; 0&#44;50-0&#44;85&#41;&#46; No se demostr&#243; asociaci&#243;n significativa entre la prevalencia de sujetos insatisfechos y las otras variables contextuales analizadas&#46; En el an&#225;lisis de tendencias se aprecia que&#44; al aumentar las tasas de mortalidad&#44; de poblaci&#243;n sin estudios&#44; de paro de larga duraci&#243;n y el porcentaje del VAB en servicios&#44; la insatisfacci&#243;n lo hace tambi&#233;n&#46; Por el contrario&#44; el PIB per c&#225;pita&#44; el &#237;ndice de cobertura total del SNS y el gasto per c&#225;pita en servicios sanitarios se relacionan de forma inversamente proporcional con la prevalencia de personas insatisfechas &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">tabla 5</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia></span></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Discusi&#243;n</span><p id="par0090" class="elsevierStylePara elsevierViewall">Los estudios sobre satisfacci&#243;n del paciente han adquirido gran relevancia en la gesti&#243;n de los servicios de salud&#44; porque permiten integrar la opini&#243;n del paciente en el funcionamiento del sector sanitario&#46; As&#237;&#44; este trabajo se ha realizado con el prop&#243;sito de ampliar los conocimientos sobre la satisfacci&#243;n del paciente respecto a los servicios sanitarios recibidos en el SNS&#44; y la influencia que ciertos factores individuales y contextuales ejercen sobre ella&#46; Por tanto&#44; esta investigaci&#243;n aporta resultados &#250;tiles en la gesti&#243;n de los servicios de salud para orientar e implementar mejoras en las pol&#237;ticas sanitarias que se vean reflejadas en la prestaci&#243;n de servicios sanitarios&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Sin embargo&#44; a la luz de los resultados de esta investigaci&#243;n es preciso comentar que&#44; dentro de la literatura consultada para enriquecer la discusi&#243;n de esta investigaci&#243;n&#44; las evidencias procedentes de trabajos que emplean dise&#241;os ecol&#243;gicos o modelos de an&#225;lisis multinivel son escasas&#46; Por ello&#44; los resultados del presente estudio se contrastan fundamentalmente con otros de base individual&#46;</p><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Caracter&#237;sticas individuales del sujeto asociadas a la satisfacci&#243;n con los servicios de salud</span><p id="par0100" class="elsevierStylePara elsevierViewall">Los resultados de este an&#225;lisis demuestran variaciones en la satisfacci&#243;n en relaci&#243;n con algunas caracter&#237;sticas individuales del sujeto&#44; como el sexo&#44; la edad y el estado de salud&#46; Esto coincide con los hallazgos de otros estudios de &#225;mbito nacional e internacional<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">20</span></a>&#46; Investigaciones realizadas en Espa&#241;a entre los a&#241;os 2013<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">21</span></a> y 2015<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">22</span></a> muestran diferencias significativas con respecto a variables como sexo femenino&#44; mayor edad o mejor salud mental&#59; los individuos con estas caracter&#237;sticas manifiestan m&#225;s satisfacci&#243;n con los servicios sanitarios&#46; De forma similar&#44; trabajos desarrollados en Suecia&#44; Noruega&#44; los Estados Unidos y Arabia Saud&#237;&#44; se&#241;alan que la satisfacci&#243;n de los pacientes se asocia a caracter&#237;sticas individuales como la edad&#44; el sexo y el estado de salud&#44; entre otros&#46; Estos estudios explican&#44; por ejemplo&#44; que las personas mayores est&#225;n m&#225;s satisfechas con la atenci&#243;n recibida que las m&#225;s j&#243;venes&#44; independientemente de la cultura&#44; el pa&#237;s y el tipo de organizaci&#243;n del servicio sanitario<a class="elsevierStyleCrossRefs" href="#bib0250"><span class="elsevierStyleSup">23&#8211;25</span></a>&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Caracter&#237;sticas contextuales del lugar de residencia del sujeto asociadas a la satisfacci&#243;n con los servicios de salud</span><p id="par0105" class="elsevierStylePara elsevierViewall">Los resultados del presente estudio confirman la influencia de variables contextuales o ecol&#243;gicas sobre la satisfacci&#243;n que tiene el usuario respecto a la atenci&#243;n sanitaria&#46; Esto reafirma nuestra hip&#243;tesis de que las variaciones en la satisfacci&#243;n del paciente se explican&#44; en parte&#44; por factores que van m&#225;s all&#225; de las caracter&#237;sticas individuales&#44; y que por tanto se ven afectadas por determinantes de tipo contextual derivados del &#225;rea geogr&#225;fica de residencia&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Dichos elementos van desde indicadores econ&#243;micos&#44; como el PIB per c&#225;pita&#44; hasta la tasa de poblaci&#243;n sin estudios&#46; En este sentido&#44; un trabajo realizado con datos de 21 pa&#237;ses de la Uni&#243;n Europea lleg&#243; a una conclusi&#243;n similar al se&#241;alar que la satisfacci&#243;n con los servicios de salud es mayor entre las personas con rentas per c&#225;pita m&#225;s altas<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">9</span></a>&#46; Por ello&#44; dado que el estudio de la satisfacci&#243;n de &#225;mbito poblacional incluye a usuarios&#47;as tanto reales como potenciales de los servicios de salud&#44; no se puede descartar que esta dependa en gran parte de la valoraci&#243;n percibida de las pol&#237;ticas sociales y econ&#243;micas locales&#44; y que esta percepci&#243;n sea m&#225;s favorable en las &#225;reas con mejor nivel econ&#243;mico&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Asimismo&#44; el presente estudio ha evidenciado tambi&#233;n que un indicador de la organizaci&#243;n de los servicios sanitarios como es el gasto per c&#225;pita en el sector sanitario se asocia con una mayor satisfacci&#243;n de la poblaci&#243;n&#46; Se ha sugerido&#44; al respecto&#44; que el gasto adicional en el cuidado de la salud ser&#237;a el equivalente a la compra de mayores cotas de satisfacci&#243;n&#59; adem&#225;s&#44; es posible que esta mayor satisfacci&#243;n se derive de la facilidad para acceder a las nuevas tecnolog&#237;as o a las instalaciones m&#225;s sofisticadas de los servicios de salud<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">17&#44;26</span></a>&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Tambi&#233;n se ha se&#241;alado que existe una relaci&#243;n directa entre la satisfacci&#243;n del paciente y los derechos en salud&#44; tales como la disponibilidad y la accesibilidad a los servicios&#46; De hecho&#44; en un estudio de revisi&#243;n de la literatura cient&#237;fica se encontr&#243; que la accesibilidad a los servicios de salud era un factor importante y constante de la satisfacci&#243;n del usuario<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">27</span></a>&#46; Este hallazgo coincide con los resultados de nuestro estudio&#44; que ponen de manifiesto que el incremento en la ratio de m&#233;dicos de atenci&#243;n primaria de salud por habitante reduce la prevalencia de sujetos insatisfechos&#44; lo cual podr&#237;a interpretarse como una mayor probabilidad de acceso oportuno y sin demora al primer nivel asistencial&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">En cuanto a los factores socioculturales&#44; en nuestro estudio se observa que la tasa de poblaci&#243;n sin estudios es un importante predictor de ambos extremos del constructo de la satisfacci&#243;n&#44; tanto de la percepci&#243;n de la excelencia como de la insatisfacci&#243;n&#46; En algunos estudios de base individual se llega a una conclusi&#243;n parecida&#46; En general&#44; la poblaci&#243;n sin ning&#250;n tipo de estudios suele mostrar menor satisfacci&#243;n que aquella con formaci&#243;n acad&#233;mica<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">20&#44;25</span></a>&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Para hacer una interpretaci&#243;n adecuada de los resultados del presente trabajo tenemos que considerar sus limitaciones&#46; Al tratarse de un estudio de tipo transversal no es posible asumir la causalidad en las asociaciones observadas&#46; Por lo tanto&#44; investigaciones futuras deber&#237;an ir encaminadas a establecer dichas relaciones entre las poblaciones de riesgo identificadas&#46; Adem&#225;s&#44; los resultados del an&#225;lisis ecol&#243;gico deben interpretarse con cautela&#44; teniendo en cuenta que este tipo de estudios podr&#237;a llevar a confundir el efecto de una exposici&#243;n individual con el efecto del contexto particular &#40;falacia ecol&#243;gica&#41;&#46; Por otra parte&#44; aunque la encuesta Europea de Salud m&#225;s reciente realizada en Espa&#241;a es la de 2014&#44; esta no incluye variables que permitan evaluar la satisfacci&#243;n&#59; de hecho&#44; la &#250;ltima con datos disponibles para analizar esta caracter&#237;stica es la del a&#241;o 2009&#46; El hecho de no disponer de esta variable dentro de las encuestas de salud limita las oportunidades de mejora en la gesti&#243;n de los servicios sanitarios&#44; al no incluir la perspectiva de los&#47;las usuarios&#47;as&#46; Si bien los resultados podr&#237;an ser obsoletos desde un punto de vista meramente descriptivo&#44; debido a que ese no ha sido el objetivo del presente estudio consideramos que ello no deber&#237;a afectar a las relaciones encontradas entre las caracter&#237;sticas socioecon&#243;micas de lugar de residencia y la satisfacci&#243;n del usuario&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Por otra parte&#44; cabe destacar que el cuestionario de la EES-2014 fue modificado por la Comisi&#243;n Europea&#44; y pas&#243; de 207 preguntas a 115 con el fin de reducir la carga a los informantes y dar oportunidad a los pa&#237;ses de incluir sus propias preguntas&#46;</p></span></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Conclusiones</span><p id="par0140" class="elsevierStylePara elsevierViewall">Esta investigaci&#243;n proporciona datos relevantes sobre la satisfacci&#243;n de los pacientes con los servicios recibidos dentro del SNS&#44; y logra identificar los factores socioecon&#243;micos que individualmente y en la poblaci&#243;n &#40;comunidades aut&#243;nomas&#44; variables contextuales&#41; se relacionan con la percepci&#243;n de las personas usuarias&#46; Individualmente se reconocen factores como la edad&#44; el sexo&#44; la salud mental&#44; la enfermedad cr&#243;nica&#44; la limitaci&#243;n de las actividades diarias y el pa&#237;s de nacimiento&#46; En cuanto a las variables poblacionales&#44; se identificaron indicadores de tipo socioecon&#243;mico&#44; como el PIB per c&#225;pita&#44; el gasto por habitante en servicios sanitarios&#44; la tasa de poblaci&#243;n sin estudios y la ratio de consultorios de salud por n&#250;mero de habitantes&#46; Asimismo&#44; se demostr&#243; que indicadores de resultados en salud como la tasa de mortalidad estandarizada o la tasa de mortalidad evitable por prevenci&#243;n primaria no se relacionan con la satisfacci&#243;n de los pacientes&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Los resultados obtenidos en esta investigaci&#243;n pueden ser &#250;tiles en la gesti&#243;n de los servicios de salud para orientar e implementar mejoras en las pol&#237;ticas sanitarias&#44; puesto que arrojan luz sobre el punto de vista de los pacientes acerca del sistema de salud&#44; permiten identificar los potenciales problemas que surgen en el sector salud por las diferencias en los indicadores socioecon&#243;micos entre las comunidades aut&#243;nomas&#44; y aportan una herramienta en la evaluaci&#243;n de los servicios de salud&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Sin embargo&#44; sigue existiendo la necesidad de realizar estudios con dise&#241;os que permitan determinar la causalidad en cuanto a las caracter&#237;sticas que influyen o no en la satisfacci&#243;n de los pacientes&#44; y que fruto de esta dinamizaci&#243;n de las investigaciones se generen objetivos en los marcos institucionales de decisi&#243;n&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Editor responsable del art&#237;culo</span><p id="par0155" class="elsevierStylePara elsevierViewall">David Cantarero&#46;</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Declaraci&#243;n de transparencia</span><p id="par0160" class="elsevierStylePara elsevierViewall">El autor principal &#40;garante responsable del manuscrito&#41; afirma que este manuscrito es un reporte honesto&#44; preciso y transparente del estudio que se remite a <span class="elsevierStyleSmallCaps">Gaceta Sanitaria&#44;</span> que no se han omitido aspectos importantes del estudio&#44; y que las discrepancias del estudio seg&#250;n lo previsto &#40;y&#44; si son relevantes&#44; registradas&#41; se han explicado&#46;<elsevierMultimedia ident="tb0005"></elsevierMultimedia></p></span><span id="sec0105" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0165">Contribuciones de autor&#237;a</span><p id="par0175" class="elsevierStylePara elsevierViewall">Todos&#47;as los&#47;las autores&#47;as han participado en el dise&#241;o y la elaboraci&#243;n del art&#237;culo&#46; En concreto&#44; J&#46;J&#46; Gasc&#243;n particip&#243; en la concepci&#243;n y la coordinaci&#243;n del proyecto&#44; y junto a S&#46;B&#46; P&#233;rez y O&#46; Monteagudo redactaron la primera versi&#243;n del texto&#46; D&#46; Salmer&#243;n fue el encargado de realizar el an&#225;lisis estad&#237;stico&#46; Todas las personas firmantes participaron en la interpretaci&#243;n de los datos&#44; as&#237; como en el proceso de revisi&#243;n del art&#237;culo&#44; y han le&#237;do y aprobado la versi&#243;n final&#46;</p></span><span id="sec0110" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0170">Financiaci&#243;n</span><p id="par0180" class="elsevierStylePara elsevierViewall">Ninguna&#46;</p></span><span id="sec0115" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0175">Conflictos de intereses</span><p id="par0185" class="elsevierStylePara elsevierViewall">Ninguno&#46;</p></span></span>"
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            0 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Caracter&#237;sticas sociodemogr&#225;ficas y de salud de la poblaci&#243;n encuestada"
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            1 => array:2 [
              "identificador" => "sec0045"
              "titulo" => "Factores individuales asociados con una percepci&#243;n de excelencia"
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              "titulo" => "Factores individuales asociados con la insatisfacci&#243;n del paciente"
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              "titulo" => "Determinantes contextuales de la percepci&#243;n de excelencia"
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              "titulo" => "Determinantes contextuales de la insatisfacci&#243;n"
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              "titulo" => "Caracter&#237;sticas individuales del sujeto asociadas a la satisfacci&#243;n con los servicios de salud"
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            1 => array:2 [
              "identificador" => "sec0075"
              "titulo" => "Caracter&#237;sticas contextuales del lugar de residencia del sujeto asociadas a la satisfacci&#243;n con los servicios de salud"
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          "identificador" => "sec0115"
          "titulo" => "Conflictos de intereses"
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          "titulo" => "Bibliograf&#237;a"
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    "pdfFichero" => "main.pdf"
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    "fechaRecibido" => "2016-11-25"
    "fechaAceptado" => "2017-05-25"
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            0 => "Satisfacci&#243;n del paciente"
            1 => "Determinantes"
            2 => "Garant&#237;a de la calidad de la atenci&#243;n de salud"
            3 => "Indicadores econ&#243;micos"
            4 => "An&#225;lisis multinivel"
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          "clase" => "keyword"
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            0 => "Patient satisfaction"
            1 => "Determinants"
            2 => "Quality assurance"
            3 => "Health care"
            4 => "Economic indexes"
            5 => "Multilevel analysis"
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    "resumen" => array:2 [
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar qu&#233; factores de los contextos socioecon&#243;mico y sanitario influyen sobre la percepci&#243;n de la satisfacci&#243;n de la poblaci&#243;n con los servicios de salud&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los datos provienen de la Encuesta Europea de Salud de 2009&#46; En los 22&#46;188 sujetos encuestados se estudi&#243; la relaci&#243;n entre percepci&#243;n de la satisfacci&#243;n con los servicios sanitarios recibidos y las variables tanto individuales como contextuales&#44; aplicando un an&#225;lisis multinivel&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los factores de los contextos socioecon&#243;mico y sanitario que influyen sobre la satisfacci&#243;n son las mayores tasas de poblaci&#243;n sin estudios&#44; en la cual la percepci&#243;n de excelencia es menos probable &#40;<span class="elsevierStyleItalic">odds ratio</span> &#91;OR&#93;&#58; 0&#44;48-0&#44;82&#41; y la insatisfacci&#243;n es m&#225;s prevalente &#40;OR&#58; 1&#44;46-1&#44;63&#41;&#46; Asimismo&#44; la proporci&#243;n de personas insatisfechas es menor cuando el gasto per c&#225;pita en servicios sanitarios es muy elevado &#40;&#62;1400 &#8364;&#41; &#40;OR&#58; 0&#44;49-0&#44;87&#41; y la ratio entre m&#233;dicos de atenci&#243;n primaria de salud y habitantes es alta &#40;&#62;60&#41; &#40;OR&#58; 0&#44;50-0&#44;85&#41;&#46; Adem&#225;s&#44; la prevalencia de insatisfacci&#243;n describe una tendencia lineal positiva con la tasa de paro &#40;OR&#58; 1&#44;12&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#41; y la magnitud relativa del sector servicios &#40;OR&#58;1&#44;03&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Por el contrario&#44; esta tendencia lineal es negativa conforme aumenta el &#237;ndice de cobertura de la prestaci&#243;n sanitaria &#40;OR&#58; 0&#44;88&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;04&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los factores individuales que determinan la satisfacci&#243;n del paciente son el sexo&#44; la edad&#44; la salud mental y el pa&#237;s de nacimiento&#46; Adem&#225;s&#44; hay diferencias en la satisfacci&#243;n del paciente entre las comunidades aut&#243;nomas de acuerdo con determinantes socioecon&#243;micos&#44; como el producto interior bruto per c&#225;pita&#44; las tasas de poblaci&#243;n sin estudios&#44; las tasas de paro o la ratio n&#250;mero de habitantes&#47;consultorios&#46; Los estudios de satisfacci&#243;n del usuario&#44; adem&#225;s de ajustarse por variables individuales como el sexo&#44; la edad o el nivel de salud&#44; tambi&#233;n deber&#237;an tomar en consideraci&#243;n caracter&#237;sticas del entorno socioecon&#243;mico del &#225;rea geogr&#225;fica de residencia&#46;</p></span>"
        "secciones" => array:4 [
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            "titulo" => "Objetivo"
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            "identificador" => "abst0010"
            "titulo" => "M&#233;todo"
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            "identificador" => "abst0015"
            "titulo" => "Resultados"
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            "titulo" => "Conclusiones"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine which factors of the socioeconomic and health contexts influence the perception of the satisfaction of the population with the health services&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The data come from the European Health Survey of 2009&#46; In the 22&#44;188 subjects surveyed&#44; the relationship between the perception of satisfaction with the health services received and the individual and contextual variables was studied&#44; applying a multilevel analysis&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The factors of the socioeconomic and health contexts that influence satisfaction are&#58; higher rates of low level of studies where the perception of excellence is less likely &#40;odds ratio &#91;OR&#93;&#58; 0&#46;48-0&#46;82&#41; and dissatisfaction is more prevalent &#40;OR&#58; 1&#46;46-1&#46;63&#41;&#46; Likewise&#44; the proportion of unsatisfied citizens is lower when per capita expenditure on health services is very high &#40;&#62;1400 &#8364;&#41; &#40;OR&#58; 0&#46;49-0&#46;87&#41; and the ratio &#8220;primary health care physicians&#47;inhabitants&#8221; is high &#40;&#62;60&#41; &#40;OR&#58; 0&#46;500&#46;85&#41;&#46; In addition&#44; the prevalence of dissatisfaction describes a positive linear trend with the unemployment rate &#40;OR&#58; 1&#46;12&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0001&#41; and the relative magnitude of the services sector &#40;OR&#58; 1&#46;03&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; By contrast&#44; this linear trend is negative as the Health Care Coverage Ratio increases &#40;OR&#58; 0&#46;88&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;04&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The individual factors that determine patient satisfaction are&#58; sex&#44; age&#44; mental health and country of birth&#46; In addition&#44; there are differences in patient satisfaction among the autonomous communities according to socio-economic determinants such as GDP per capita&#44; low-level study rates&#44; unemployment rates or number of inhabitants&#47;doctor&#39;s ratio&#46; User satisfaction studies as well as being adjusted for individual variables such as sex&#44; age or health level should also take into account characteristics of the socioeconomic environment of the geographic area where they reside&#46;</p></span>"
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">120&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;0 &#40;0&#44;83&#8211;1&#44;31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Habitantes municipio de residencia</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8804;10&#46;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#46;809&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&#44;5 &#40;20&#44;15&#8211;20&#44;92&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>10&#46;001-50&#46;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#46;550&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&#44;0 &#40;25&#44;58&#8211;26&#44;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>50&#46;001-100&#46;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;087&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#44;8 &#40;12&#44;43&#8211;13&#44;15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>100&#46;001- 400&#46;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#46;280&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&#44;0 &#40;21&#44;57&#8211;22&#44;35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;400&#46;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;462&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18&#44;7 &#40;18&#44;32&#8211;19&#44;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Poblaci&#243;n sin estudios</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sin estudios&#47;primaria incompleta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;888&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;3 &#40;13&#44;59&#8211;15&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Primaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#46;489&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&#44;5 &#40;21&#44;68&#8211;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Secundaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9&#46;101&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&#44;2 &#40;45&#44;17&#8211;47&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Universitaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;688&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&#44;0 &#40;16&#44;23&#8211;17&#44;86&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Salud mental</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Muy baja&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;618&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;1 &#40;13&#44;52&#8211;14&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Baja&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#46;659&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;8 &#40;15&#44;16&#8211;16&#44;47&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#46;356&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">34&#44;3 &#40;33&#44;40&#8211;35&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#46;469&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&#44;5 &#40;20&#44;69&#8211;22&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Muy alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;790&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;3 &#40;13&#44;54&#8211;15&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Enfermedad cr&#243;nica</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>S&#237;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#46;512&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">51&#44;3 &#40;50&#44;24&#8211;52&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9&#46;663&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">48&#44;8 &#40;47&#44;75&#8211;49&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Limitaci&#243;n de las actividades</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sin limitaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#46;888&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">75&#44;7 &#40;74&#44;89&#8211;76&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Limitaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#46;906&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18&#44;9 &#40;18&#44;26&#8211;19&#44;56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Limitaci&#243;n grave&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#46;394&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#44;5 &#40;5&#44;10&#8211;5&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "es" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Distribuci&#243;n de las caracter&#237;sticas individuales de la poblaci&#243;n&#46; Encuesta Europea de Salud en Espa&#241;a 2009 &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>22&#46;188&#41;</p>"
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="right" valign="top" scope="col" style="border-bottom: 2px solid black">RP cruda &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">RP ajustada &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Sexo femenino</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;09 &#40;1&#44;00-1&#44;20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;14 &#40;1&#44;04-1&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>16- 24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>25- 44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;16 &#40;0&#44;92-1&#44;46&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;23 &#40;0&#44;98-1&#44;56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>45- 64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;61 &#40;1&#44;28-2&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;75 &#40;1&#44;39-2&#44;21&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>65- 74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;79 &#40;2&#44;20-3&#44;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#44;09 &#40;2&#44;39-3&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#44;35 &#40;2&#44;65-4&#44;22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#44;04 &#40;3&#44;13-5&#44;22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Espa&#241;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Uni&#243;n Europea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;33 &#40;0&#44;99-1&#44;78&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;39 &#40;1&#44;04-1&#44;87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Europa del Este&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;84 &#40;0&#44;51-1&#44;37&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;27 &#40;0&#44;77-2&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Am&#233;rica Latina&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;93 &#40;0&#44;70-1&#44;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;29 &#40;0&#44;97-1&#44;71&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Pa&#237;ses del Magreb&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;23 &#40;0&#44;75-2&#44;03&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;75 &#40;1&#44;04-2&#44;93&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Otros&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;89 &#40;0&#44;44-1&#44;81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;31 &#40;0&#44;65-2&#44;63&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sin estudios&#47;primaria incompleta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Primaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;85 &#40;0&#44;74-&#44;97&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;15 &#40;1&#44;01-1&#44;31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Secundaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;62 &#40;0&#44;54-0&#44;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;12 &#40;0&#44;97-1&#44;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Universitaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;64 &#40;0&#44;54-0&#44;74&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;10 &#40;0&#44;93-1&#44;32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Muy baja&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Baja&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;74 &#40;0&#44;62-0&#44;89&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;98 &#40;0&#44;82-1&#44;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;92 &#40;0&#44;80-1&#44;07&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;37 &#40;1&#44;17-1&#44;60&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;16 &#40;0&#44;99-1&#44;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;83 &#40;1&#44;53-2&#44;19&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Muy alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;46 &#40;1&#44;23-1&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;41 &#40;1&#44;98-2&#44;93&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Enfermedad cr&#243;nica</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;70 &#40;0&#44;63-0&#44;77&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;86 &#40;0&#44;77-0&#44;96&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Limitaci&#243;n grave&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Limitaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;90 &#40;0&#44;75-1&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;93 &#40;0&#44;77-1&#44;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sin limitaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;69 &#40;0&#44;58-0&#44;81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;83 &#40;0&#44;68-1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "es" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Factores asociados con la percepci&#243;n de una satisfacci&#243;n excelente con la atenci&#243;n recibida en los servicios del Sistema Nacional de Salud&#46; Encuesta Europea de Salud 2009</p>"
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          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">IC95&#37;&#58; intervalo de confianza del 95&#37;&#59; RP&#58; raz&#243;n de prevalencia&#46;</p><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Las RP y los IC95&#37; han sido calculados teniendo en cuenta los pesos muestrales y el muestreo estratificado y por conglomerados&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">RP cruda &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">RP ajustada &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Sexo femenino</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;20 &#40;1&#44;06-1&#44;36&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;10 &#40;0&#44;97-1&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Edad &#40;a&#241;os&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>16- 24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>25- 44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;28 &#40;1&#44;02-1&#44;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;19 &#40;0&#44;94-1&#44;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>45- 64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;93 &#40;0&#44;73-1&#44;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;77 &#40;0&#44;60-0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>65- 74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;77 &#40;0&#44;58-1&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;59 &#40;0&#44;43-0&#44;81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;43 &#40;0&#44;31-0&#44;59&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;27 &#40;0&#44;19-0&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Lugar de nacimiento</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Espa&#241;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Uni&#243;n Europea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;78 &#40;0&#44;48-1&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;79 &#40;0&#44;49-1&#44;26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Europa del Este&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;83 &#40;0&#44;46-1&#44;49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;71 &#40;0&#44;39-1&#44;29&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Am&#233;rica Latina&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;19 &#40;0&#44;88-1&#44;60&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00 &#40;0&#44;74-1&#44;34&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Pa&#237;ses del Magreb&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;64 &#40;0&#44;31-1&#44;33&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;59 &#40;0&#44;29-1&#44;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Otros&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;18 &#40;0&#44;53-2&#44;64&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;98 &#40;0&#44;44-2&#44;19&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Poblaci&#243;n sin estudios</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sin estudios&#47;primaria incompleta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Primaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;28 &#40;1&#44;03-1&#44;59&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;11 &#40;0&#44;89-1&#44;40&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Secundaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;53 &#40;1&#44;26-1&#44;86&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;19 &#40;0&#44;95-1&#44;49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Universitaria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;37 &#40;1&#44;09-1&#44;74&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;07 &#40;0&#44;82-1&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"><span class="elsevierStyleItalic">Salud mental</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Muy baja&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Baja&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;72 &#40;0&#44;60-0&#44;86&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;68 &#40;0&#44;56-0&#44;83&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Media&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;63 &#40;0&#44;53-0&#44;73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;51 &#40;0&#44;41-0&#44;62&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;48 &#40;0&#44;38-0&#44;61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Muy alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;43 &#40;0&#44;34-0&#44;55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;42 &#40;0&#44;32-0&#44;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Enfermedad cr&#243;nica</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;94 &#40;0&#44;84-1&#44;07&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;99 &#40;0&#44;86-1&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Limitaci&#243;n de actividades</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Limitaci&#243;n grave&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Limitaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;86 &#40;0&#44;67-1&#44;09&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;84 &#40;0&#44;66-1&#44;07&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sin limitaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;69 &#40;0&#44;55-0&#44;87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;65&#40;0&#44;49-0&#44;85&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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        "descripcion" => array:1 [
          "es" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Factores asociados con la percepci&#243;n de insatisfacci&#243;n con la atenci&#243;n recibida en los servicios del Sistema Nacional de Salud&#46; Encuesta Europea de Salud 2009</p>"
        ]
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        "etiqueta" => "Tabla 4"
        "tipo" => "MULTIMEDIATABLA"
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          "leyenda" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">APS&#58; atenci&#243;n primaria de salud&#59; CCI&#58; coeficiente de correlaci&#243;n intraclase&#59; OR&#58; <span class="elsevierStyleItalic">odds ratio&#59;</span> PIB&#58; producto interior bruto&#59; Q&#58; cuartil&#59; SNS&#58; Servicio Nacional de Salud&#59; VAB&#58; valor a&#241;adido bruto&#46;</p>"
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              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">OR<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a> &#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CCI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleBold">Indicadores socioecon&#243;micos</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">PIB bruto per c&#225;pita &#40;&#8364;&#41;</span></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;084&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;15&#46;931-19&#46;086&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;19&#46;087-21&#46;186&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;41 &#40;0&#44;67-2&#44;96&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;21&#46;187-26&#46;547&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;53<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">c</span></a> &#40;1&#44;18-5&#44;42&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;26&#46;548-30&#46;040&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;45 &#40;0&#44;65-3&#44;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Porcentaje del VAB en sector servicios &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;098&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;56&#44;2&#8211;62&#44;21&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;62&#44;3&#8211;66&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;78 &#40;0&#44;37-1&#44;65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;66&#44;7&#8211;70&#44;7&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;72 &#40;0&#44;31-1&#44;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;70&#44;8&#8211;85&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;54 &#40;0&#44;25-1&#44;17&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Tasa de paro de larga duraci&#243;n &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;097&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;1&#44;2&#44;2&#44;3&#44;7&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;3&#44;8&#8211;4&#44;3&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;99 &#40;0&#44;46-2&#44;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;4&#44;4&#44;5&#44;9&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;68 &#40;0&#44;31-1&#44;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;6&#44;0&#8211;12&#44;9&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;56 &#40;0&#44;26-1&#44;21&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Tasa de poblaci&#243;n sin estudios &#40;&#37;&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">b</span></a></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;091&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;2&#44;2&#8211;8&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;3&#44;3&#8211;8&#44;8&#8211;10&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;82 &#40;0&#44;38-1&#44;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;4&#8211;9&#44;9&#44;10&#44;10&#8211;15&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;80 &#40;0&#44;35-1&#44;83&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;16&#44;0&#8211;27&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;48 &#40;0&#44;24-0&#44;97&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleBold">Indicadores de salud</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Tasa de mortalidad estandarizada &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;103&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;3&#8211;6&#44;6&#44;9&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;6&#44;9&#8211;7&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;49 &#40;0&#44;64-3&#44;46&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;1&#8211;7&#44;7&#44;7&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;94 &#40;0&#44;39-2&#44;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;2&#44;7&#44;8&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;80 &#40;0&#44;33-1&#44;95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Mortalidad evitable por prevenci&#243;n primaria &#40;por 10</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">4</span></span><span class="elsevierStyleItalic">defunciones&#41;</span></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;107&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;306&#44;7&#8211;345&#44;7&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;345&#44;8&#8211;367&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;83 &#40;0&#44;37-1&#44;90&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;367&#44;4&#8211;400&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;25 &#40;0&#44;53-2&#44;94&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;400&#44;1&#8211;464&#44;9&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;97 &#40;0&#44;43-2&#44;21&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="char" valign="top"><span class="elsevierStyleBold">Indicadores de servicios sanitarios</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="char" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Gasto per c&#225;pita en servicios sanitarios &#40;&#8364;&#41;</span></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;091&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;1111&#8211;1184&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;1185&#8211;1330&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;74 &#40;0&#44;67-4&#44;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;1331&#8211;1397&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;54<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">c</span></a> &#40;1&#44;07-6&#44;02&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;1398&#8211;1633&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;54 &#40;0&#44;67-3&#44;58&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#205;ndice de cobertura total del SNS &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;106&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;88&#44;0&#8211;89&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;89&#44;6&#8211;90&#44;4&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;92 &#40;0&#44;40-2&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;90&#44;5&#8211;90&#44;8&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;42 &#40;0&#44;62-3&#44;24&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;91&#44;0&#8211;92&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;97 &#40;0&#44;44-2&#44;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Ratio m&#233;dicos APS&#47;10</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">4</span></span><span class="elsevierStyleItalic">habitantes</span></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;47&#44;9&#8211;55&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;55&#44;1&#8211;60&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;10 &#40;0&#44;43-2&#44;83&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;60&#44;2&#8211;67&#44;5&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;89 &#40;0&#44;82-4&#44;32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;67&#44;6&#8211;93&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;52 &#40;0&#44;66-3&#44;49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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            0 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">An&#225;lisis de regresi&#243;n log&#237;stica multinivel ajustado por las variables individuales &#40;sexo&#44; edad&#44; lugar de nacimiento&#44; nivel de estudios&#44; salud mental&#44; enfermedad cr&#243;nica&#44; limitaci&#243;n de actividades diarias&#41;&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0015"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">OR de tendencia lineal&#58; 0&#44;95&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;017&#46;</p>"
            ]
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              "identificador" => "tblfn0020"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">p &#8804;0&#44;05&#46;</p>"
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        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Percepci&#243;n de excelencia de los servicios de salud seg&#250;n el contexto socioecon&#243;mico y sanitario de la comunidad aut&#243;noma de residencia&#46; An&#225;lisis multinivel&#44; Encuesta Europea de Salud 2009</p>"
        ]
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        "etiqueta" => "Tabla 5"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
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            "identificador" => "at5"
            "detalle" => "Tabla "
            "rol" => "short"
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        "tabla" => array:3 [
          "leyenda" => "<p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">APS&#58; atenci&#243;n primaria de salud&#59; CCI&#58; coeficiente de correlaci&#243;n intraclase&#59; OR&#58; <span class="elsevierStyleItalic">odds ratio&#59;</span> PIB&#58; producto interior bruto&#59; Q&#58; cuartil&#59; SNS&#58; Servicio Nacional de Salud&#59; VAB&#58; valor a&#241;adido bruto&#46;</p>"
          "tablatextoimagen" => array:1 [
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">OR<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">OR<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CCI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleBold">Indicadores socioecon&#243;micos</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">PIB per c&#225;pita &#40;&#8364;&#41;</span></td><td class="td" title="table-entry  " align="left" valign="top">1&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;028&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;018&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;15&#46;931-19&#46;086&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;19&#46;087-21&#46;186&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;83-1&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;21&#46;187-26&#46;547&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;55-1&#44;18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;26&#46;548-30&#46;040&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;51-1&#44;11&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Porcentaje del VAB en sector servicios &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="left" valign="top">1&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;56&#44;2&#8211;62&#44;21&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;62&#44;3&#8211;66&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;91-1&#44;62&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;66&#44;7&#8211;70&#44;7&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;94-1&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;70&#44;8&#8211;85&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;38-2&#44;53&#41;<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Tasa de paro de larga duraci&#243;n &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="left" valign="top">1&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;1&#44;2&#44;2&#44;3&#44;7&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;3&#44;8&#8211;4&#44;3&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;96-1&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;4&#44;4&#44;5&#44;9&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;98-1&#44;88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;6&#44;0&#8211;12&#44;9&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;32-2&#44;55&#41;<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Tasa de poblaci&#243;n sin estudios &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="left" valign="top">1&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;2&#44;2&#8211;8&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;3&#44;3&#8211;8&#44;8&#8211;10&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;03-2&#44;06&#41;<a class="elsevierStyleCrossRef" href="#tblfn0035"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;4&#8211;9&#44;9&#44;10&#44;10&#8211;15&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;10-2&#44;30&#41;<a class="elsevierStyleCrossRef" href="#tblfn0035"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;16&#44;0&#8211;27&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;63&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;17-2&#44;30&#41;<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleBold">Indicadores de salud</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Tasa de mortalidad estandarizada &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="left" valign="top">1&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;165&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;3&#8211;6&#44;6&#44;9&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;6&#44;9&#8211;7&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;67-1&#44;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;1&#8211;7&#44;7&#44;7&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;99-1&#44;85&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;2&#44;7&#44;8&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;82-1&#44;53&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Mortalidad evitable por prevenci&#243;n primaria &#40;por 10</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">4</span></span><span class="elsevierStyleItalic">defunciones&#41;</span></td><td class="td" title="table-entry  " align="left" valign="top">1&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;218&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;024&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;306&#44;7&#8211;345&#44;7&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;345&#44;8&#8211;367&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;81-1&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;367&#44;4&#8211;400&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;66-1&#44;52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;400&#44;1&#8211;464&#44;9&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;89-1&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleBold">Indicadores de servicios sanitarios</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Gasto per c&#225;pita en servicios sanitarios &#40;&#8364;&#41;</span></td><td class="td" title="table-entry  " align="left" valign="top">1&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;034&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;1111&#8211;1184&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;1185&#8211;1330&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;69-1&#44;19&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;1331&#8211;1397&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;78-1&#44;34&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;1398&#8211;1633&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;49- 0&#44;87&#41;<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">&#205;ndice de cobertura total del SNS &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="left" valign="top">0&#44;88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;023&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;88&#44;0&#8211;89&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;89&#44;6&#8211;90&#44;4&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;67-1&#44;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;90&#44;5&#8211;90&#44;8&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;54-1&#44;21&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;91&#44;0&#8211;92&#44;6&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;50-1&#44;09&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Ratio m&#233;dicos APS&#47;10</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">4</span></span><span class="elsevierStyleItalic">habitantes</span></td><td class="td" title="table-entry  " align="left" valign="top">0&#44;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;105&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;006&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q1 &#91;47&#44;9&#8211;55&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q2 &#91;55&#44;1&#8211;60&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;57-1&#44;04&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q3 &#91;60&#44;2&#8211;67&#44;5&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;50-0&#44;85&#41;<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Q4 &#91;67&#44;6&#8211;93&#44;0&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;54-0&#44;91&#41;<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">d</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">&#191;Qu&#233; se sabe sobre el tema&#63;</span><p id="par0165" class="elsevierStylePara elsevierViewall">La satisfacci&#243;n de las personas usuarias&#44; adem&#225;s de reflejar la calidad percibida de los servicios de salud&#44; depende tambi&#233;n de caracter&#237;sticas ajenas a ellas&#44; como son el sexo&#44; la edad o el nivel de salud propio&#46; Incluso se ha sugerido que tambi&#233;n podr&#237;a estar determinada por las peculiaridades del entorno social&#46;</p></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0160">&#191;Qu&#233; a&#241;ade el estudio realizado a la literatura&#63;</span><p id="par0170" class="elsevierStylePara elsevierViewall">Las caracter&#237;sticas del entorno&#44; en concreto la tasa de poblaci&#243;n sin estudios&#44; el producto interior bruto y la inversi&#243;n en sanidad&#44; entre otros&#44; son determinantes de la satisfacci&#243;n de las personas usuarias&#44; con independencia de sus caracter&#237;sticas personales&#46; Los estudios de la satisfacci&#243;n de las personas usuarias no solo deber&#237;an ajustarse por variables individuales como el sexo&#44; la edad o el nivel de salud&#44; sino que tambi&#233;n deber&#237;an tomar en consideraci&#243;n otras variables del entorno socioecon&#243;mico&#46;</p></span></span>"
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                        0 => array:2 [
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                          ]
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                      "doi" => "10.1016/j.cali.2012.01.005"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22402414"
                            "web" => "Medline"
                          ]
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              "etiqueta" => "2"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gesti&#243;n de calidad en medicina interna&#46; Desde Pareto al EFQM"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;A&#46;A&#46; Mart&#237;nez"
                          ]
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                      "doi" => "10.1016/j.medcli.2010.12.006"
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                        "paginaFinal" => "311"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21376352"
                            "web" => "Medline"
                          ]
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              "etiqueta" => "3"
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                      "titulo" => "El modelo de acreditaci&#243;n de atenci&#243;n primaria de Catalunya&#58; un modelo v&#225;lido"
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                        0 => array:2 [
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                          "autores" => array:3 [
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                            1 => "M&#46; Gens"
                            2 => "C&#46; Pareja"
                          ]
                        ]
                      ]
                    ]
                  ]
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                        "fecha" => "2014"
                        "volumen" => "143"
                        "paginaInicial" => "74"
                        "paginaFinal" => "80"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25128364"
                            "web" => "Medline"
                          ]
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                    0 => array:2 [
                      "titulo" => "Patient satisfaction&#58; the Australian patient perspective"
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                          "autores" => array:3 [
                            0 => "A&#46; Henderson"
                            1 => "G&#46; Caplan"
                            2 => "A&#46; Daniel"
                          ]
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                      ]
                    ]
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                      "Revista" => array:6 [
                        "tituloSerie" => "Aust Health Rev&#46;"
                        "fecha" => "2004"
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                        "paginaInicial" => "73"
                        "paginaFinal" => "83"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15362299"
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                      "titulo" => "Perception and use of the results of patient satisfaction surveys by care providers in a French teaching hospital"
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                            2 => "E&#46; Doutre"
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                        "tituloSerie" => "Int J Qual Health Care&#46;"
                        "fecha" => "2006"
                        "volumen" => "18"
                        "paginaInicial" => "359"
                        "paginaFinal" => "364"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16931825"
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                    0 => array:2 [
                      "titulo" => "Patient satisfaction&#58; a valid concept"
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                          "autores" => array:1 [
                            0 => "B&#46; Williams"
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                        "tituloSerie" => "Soc Sci Med&#46;"
                        "fecha" => "1994"
                        "volumen" => "38"
                        "paginaInicial" => "509"
                        "paginaFinal" => "516"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8184314"
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                    0 => array:2 [
                      "titulo" => "A new imperative for listening to patients"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;C&#46; Goldberg"
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                        "tituloSerie" => "JONA&#46;"
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                        "volumen" => "24"
                        "paginaInicial" => "11"
                        "paginaFinal" => "12"
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                    ]
                  ]
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                      "titulo" => "Plan de encuestas de satisfacci&#243;n del CatSalut-PLAENSA&#46; Estrategias para incorporar la percepci&#243;n de la calidad de servicio de los ciudadanos en las pol&#237;ticas de salud"
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                            2 => "J&#46;M&#46; Argimon-Pall&#224;s"
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                      "doi" => "10.1016/S0025-7753(11)70030-6"
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                        "tituloSerie" => "Med Clin &#40;Barc&#41;&#46;"
                        "fecha" => "2011"
                        "volumen" => "137"
                        "paginaInicial" => "55"
                        "paginaFinal" => "59"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22310365"
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                ]
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                      "titulo" => "&#214;zaltin E&#44; Murray CJ&#46; How does satisfaction with the health-care system relate to patient experience"
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                          "autores" => array:1 [
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                        "paginaFinal" => "163"
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                          0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Patient characteristics and quality dimensions related to patient satisfaction"
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                          "autores" => array:2 [
                            0 => "M&#46; Rahmquist"
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                        "tituloSerie" => "Int J Qual Health Care&#46;"
                        "fecha" => "2010"
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                        "paginaFinal" => "92"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20133477"
                            "web" => "Medline"
                          ]
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              "identificador" => "bib0195"
              "etiqueta" => "12"
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                0 => array:2 [
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                      "titulo" => "Social capital&#44; place and health&#58; creating&#44; validating and applying small-area indicators in the modelling of health outcomes"
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                          "etal" => true
                          "autores" => array:3 [
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                            1 => "S&#46; Banard"
                            2 => "K&#46; Jones"
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                        "fecha" => "2004"
                        "editorial" => "NHS Health Developing Agency"
                        "editorialLocalizacion" => "Bristol"
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                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0200"
              "etiqueta" => "13"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
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                          "autores" => array:1 [
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                      "Libro" => array:5 [
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                        "editorial" => "Departamento de Sociolog&#237;a&#44; Universidad de Granada&#46; Metodolog&#237;a de Encuestas"
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              "identificador" => "bib0205"
              "etiqueta" => "14"
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                0 => array:1 [
                  "referenciaCompleta" => "Instituto Nacional de Estad&#237;stica&#46; Encuesta Europea de Salud en Espa&#241;a &#40;EES 2009&#41;&#46; &#40;Consultado el 2&#47;2&#47;2016&#46;&#41; Disponible en&#58; <a href="http://www.ine.es/">http&#58;&#47;&#47;www&#46;ine&#46;es&#47;</a>&#46;"
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              "identificador" => "bib0210"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "SF-36 Health Survey&#46; Manual and interpretation guide"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;E&#46; Ware"
                            1 => "K&#46;K&#46; Snow"
                            2 => "M&#46; Kosinski"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1993"
                        "editorial" => "The Health Institute&#44; New England Medical Center"
                        "editorialLocalizacion" => "Boston"
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                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0215"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ministerio de Sanidad&#44; Servicios Sociales e Igualdad&#46; Portal Estad&#237;stico del Sistema Nacional de Salud&#46; &#40;Consultado el 2&#47;2&#47;2016&#46;&#41; Disponible en&#58; <a href="http://www.msssi.gob.es/">http&#58;&#47;&#47;www&#46;msssi&#46;gob&#46;es&#47;</a>&#46;"
                ]
              ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Indicadores de salud 2009&#46; Evoluci&#243;n de los indicadores del estado de salud en Espa&#241;a y su magnitud en el contexto de la Uni&#243;n Europea"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Regidor"
                            1 => "J&#46;L&#46; Guti&#233;rrez-Fisac"
                            2 => "M&#46; Alfaro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                      "Libro" => array:3 [
                        "fecha" => "2009"
                        "editorial" => "Ministerio de Sanidad y Pol&#237;tica Social"
                        "editorialLocalizacion" => "Madrid"
                      ]
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                ]
              ]
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              "identificador" => "bib0225"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Multilevel analysis&#58; an introduction to basic and advanced multilevel modelling"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;A&#46;B&#46; Snijders"
                            1 => "R&#46;J&#46; Bosker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "fecha" => "1999"
                        "paginaInicial" => "13"
                        "paginaFinal" => "37"
                        "editorial" => "Sage Publications"
                        "editorialLocalizacion" => "Thousand Oaks&#44; CA"
                      ]
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                  ]
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              "identificador" => "bib0230"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Stata Statistical Software&#58; Release 10&#46; StataCorp 2007&#46; College Station&#44; TX&#58; Statacorp LP&#59; 2007&#46;"
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Determinants of patient satisfaction and willingness to return with emergency care"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "B&#46;C&#46; Sun"
                            1 => "J&#46; Adams"
                            2 => "E&#46;J&#46; Orav"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Emerg Med&#46;"
                        "fecha" => "2000"
                        "volumen" => "35"
                        "paginaInicial" => "426"
                        "paginaFinal" => "434"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10783404"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0240"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "&#191;Qu&#233; factores ayudan a explicar la satisfacci&#243;n con la atenci&#243;n primaria en Espa&#241;a&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Arrazola"
                            1 => "J&#46; de Hevia"
                            2 => "L&#46; Rodr&#237;guez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.cali.2015.04.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Calid Asist&#46;"
                        "fecha" => "2015"
                        "volumen" => "30"
                        "paginaInicial" => "226"
                        "paginaFinal" => "236"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26118843"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0245"
              "etiqueta" => "22"
              "referencia" => array:1 [
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                          "autores" => array:3 [
                            0 => "G&#46; Young"
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                            2 => "K&#46; Desai"
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                        ]
                      ]
                    ]
                  ]
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                        "tituloSerie" => "Med Care&#46;"
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                        "volumen" => "38"
                        "paginaInicial" => "325"
                        "paginaFinal" => "334"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10718357"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "etiqueta" => "24"
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                      "titulo" => "Are older patients more satisfied with hospital care tan younger patients&#63;"
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                          "autores" => array:2 [
                            0 => "C&#46;K&#46; Jaipaul"
                            1 => "G&#46;E&#46; Rosenthal"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Gen Intern Med&#46;"
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                        "volumen" => "18"
                        "paginaInicial" => "18"
                        "paginaFinal" => "23"
                      ]
                    ]
                  ]
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                      "titulo" => "Patient satisfactions in relation to age&#46; Health status and other background factors&#58; a model for comparisons of care units"
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                          "etal" => false
                          "autores" => array:1 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Qual Health Care&#46;"
                        "fecha" => "2001"
                        "volumen" => "13"
                        "paginaInicial" => "385"
                        "paginaFinal" => "390"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11669566"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "etiqueta" => "26"
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                    0 => array:2 [
                      "titulo" => "Public opinion and the national health service&#58; patterns and perspectives in consumer satisfaction"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; Judge"
                            1 => "M&#46; Solomons"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Soc Policy&#46;"
                        "fecha" => "1993"
                        "volumen" => "22"
                        "paginaInicial" => "299"
                        "paginaFinal" => "327"
                      ]
                    ]
                  ]
                ]
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                    0 => array:2 [
                      "titulo" => "Satisfaction of patients&#58; a right to health indicator"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;K&#46; Mpinga"
                            1 => "P&#46; Chastonay"
                          ]
                        ]
                      ]
                    ]
                  ]
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                      "doi" => "10.1016/j.healthpol.2010.11.001"
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                        "tituloSerie" => "Health Policy&#46;"
                        "fecha" => "2011"
                        "volumen" => "100"
                        "paginaInicial" => "144"
                        "paginaFinal" => "150"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21126793"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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