Compartir
array:24 [
"pii" => "S0213911107719891"
"issn" => "02139111"
"doi" => "10.1157/13101039"
"estado" => "S300"
"fechaPublicacion" => "2007-03-01"
"aid" => "71989"
"copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
"copyrightAnyo" => "2007"
"documento" => "article"
"crossmark" => 0
"licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
"subdocumento" => "fla"
"cita" => "Gac Sanit. 2007;21:132-5"
"abierto" => array:3 [
"ES" => true
"ES2" => true
"LATM" => true
]
"gratuito" => true
"lecturas" => array:2 [
"total" => 2732
"formatos" => array:3 [
"EPUB" => 163
"HTML" => 2135
"PDF" => 434
]
]
"itemSiguiente" => array:19 [
"pii" => "S0213911107719908"
"issn" => "02139111"
"doi" => "10.1157/13101040"
"estado" => "S300"
"fechaPublicacion" => "2007-03-01"
"aid" => "71990"
"copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
"documento" => "article"
"crossmark" => 0
"licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
"subdocumento" => "fla"
"cita" => "Gac Sanit. 2007;21:136-41"
"abierto" => array:3 [
"ES" => true
"ES2" => true
"LATM" => true
]
"gratuito" => true
"lecturas" => array:2 [
"total" => 5295
"formatos" => array:3 [
"EPUB" => 141
"HTML" => 4025
"PDF" => 1129
]
]
"es" => array:11 [
"idiomaDefecto" => true
"cabecera" => "<span class="elsevierStyleTextfn">Originales</span>"
"titulo" => "Una propuesta destinada a complementar el cuestionario Font-Roja de satisfacción laboral"
"tienePdf" => "es"
"tieneTextoCompleto" => 0
"tieneResumen" => array:2 [
0 => "es"
1 => "en"
]
"paginas" => array:1 [
0 => array:2 [
"paginaInicial" => "136"
"paginaFinal" => "141"
]
]
"titulosAlternativos" => array:1 [
"en" => array:1 [
"titulo" => "An extended version of the Font-Roja job satisfaction questionnaire"
]
]
"contieneResumen" => array:2 [
"es" => true
"en" => true
]
"contienePdf" => array:1 [
"es" => true
]
"autores" => array:1 [
0 => array:2 [
"autoresLista" => "Eduardo Núñez González, Gabriel J. Estévez Guerra, Pablo Hernández Marrero, Carmen Delia Marrero Medina"
"autores" => array:4 [
0 => array:2 [
"nombre" => "Eduardo"
"apellidos" => "Núñez González"
]
1 => array:2 [
"nombre" => "Gabriel J."
"apellidos" => "Estévez Guerra"
]
2 => array:2 [
"nombre" => "Pablo"
"apellidos" => "Hernández Marrero"
]
3 => array:2 [
"nombre" => "Carmen Delia"
"apellidos" => "Marrero Medina"
]
]
]
]
]
"idiomaDefecto" => "es"
"EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719908?idApp=WGSE"
"url" => "/02139111/0000002100000002/v1_201301241548/S0213911107719908/v1_201301241548/es/main.assets"
]
"itemAnterior" => array:19 [
"pii" => "S021391110771988X"
"issn" => "02139111"
"doi" => "10.1157/13101038"
"estado" => "S300"
"fechaPublicacion" => "2007-03-01"
"aid" => "71988"
"copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
"documento" => "article"
"crossmark" => 0
"licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
"subdocumento" => "fla"
"cita" => "Gac Sanit. 2007;21:124-31"
"abierto" => array:3 [
"ES" => true
"ES2" => true
"LATM" => true
]
"gratuito" => true
"lecturas" => array:2 [
"total" => 2836
"formatos" => array:3 [
"EPUB" => 122
"HTML" => 2183
"PDF" => 531
]
]
"es" => array:11 [
"idiomaDefecto" => true
"cabecera" => "<span class="elsevierStyleTextfn">Originales</span>"
"titulo" => "Distribución del presupuesto sanitario público de Cataluña del año 2005 entre las 17 categorías CIE-9-MC"
"tienePdf" => "es"
"tieneTextoCompleto" => 0
"tieneResumen" => array:2 [
0 => "es"
1 => "en"
]
"paginas" => array:1 [
0 => array:2 [
"paginaInicial" => "124"
"paginaFinal" => "131"
]
]
"titulosAlternativos" => array:1 [
"en" => array:1 [
"titulo" => "Distribution of the public healthcare budget of Catalonia [Spain] for 2005 among the 17 ICD-9-CM categories"
]
]
"contieneResumen" => array:2 [
"es" => true
"en" => true
]
"contienePdf" => array:1 [
"es" => true
]
"autores" => array:1 [
0 => array:2 [
"autoresLista" => "Ramón Gisbert, Max Brosa, Lluís Bohigas"
"autores" => array:3 [
0 => array:2 [
"nombre" => "Ramón"
"apellidos" => "Gisbert"
]
1 => array:2 [
"nombre" => "Max"
"apellidos" => "Brosa"
]
2 => array:2 [
"nombre" => "Lluís"
"apellidos" => "Bohigas"
]
]
]
]
]
"idiomaDefecto" => "es"
"EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021391110771988X?idApp=WGSE"
"url" => "/02139111/0000002100000002/v1_201301241548/S021391110771988X/v1_201301241548/es/main.assets"
]
"en" => array:14 [
"idiomaDefecto" => true
"cabecera" => "<span class="elsevierStyleTextfn">Originales</span>"
"titulo" => "Influence of available resources on medical practitioners’ decision-making process and practice: study of a reference hospital emergency department"
"tieneTextoCompleto" => 0
"paginas" => array:1 [
0 => array:2 [
"paginaInicial" => "132"
"paginaFinal" => "135"
]
]
"autores" => array:1 [
0 => array:4 [
"autoresLista" => "Juan Viñas Salas, Ramón Casals Garrigó, Ana M. Jiménez Vilchez, Pere Godoy"
"autores" => array:4 [
0 => array:4 [
"nombre" => "Juan"
"apellidos" => "Viñas Salas"
"email" => array:1 [
0 => "vinyes@cirurgia.udl.es"
]
"referencia" => array:1 [
0 => array:2 [
"etiqueta" => "<span class="elsevierStyleSup">¿</span>"
"identificador" => "cor1"
]
]
]
1 => array:2 [
"nombre" => "Ramón"
"apellidos" => "Casals Garrigó"
]
2 => array:2 [
"nombre" => "Ana M."
"apellidos" => "Jiménez Vilchez"
]
3 => array:2 [
"nombre" => "Pere"
"apellidos" => "Godoy"
]
]
"afiliaciones" => array:1 [
0 => array:1 [
"entidad" => "Arnau de Vilanova University Hospital, School of Medicine, University of Lleida, Lleida, Spain"
]
]
"correspondencia" => array:1 [
0 => array:3 [
"identificador" => "cor1"
"etiqueta" => "⁎"
"correspondencia" => "Correspondence: Juan Viñas Salas. Pintor Benseny, 7. 25008 Lleida. Spain."
]
]
]
]
"pdfFichero" => "main.pdf"
"tienePdf" => true
"fechaRecibido" => "2005-10-13"
"fechaAceptado" => "2006-12-01"
"PalabrasClave" => array:2 [
"en" => array:1 [
0 => array:4 [
"clase" => "keyword"
"titulo" => "Key words"
"identificador" => "xpalclavsec13845"
"palabras" => array:4 [
0 => "Health care management"
1 => "Emergencies"
2 => "Resources"
3 => "Health care quality"
]
]
]
"es" => array:1 [
0 => array:4 [
"clase" => "keyword"
"titulo" => "Palabras clave"
"identificador" => "xpalclavsec13846"
"palabras" => array:4 [
0 => "Gestión de servicios sanitarios"
1 => "Urgencias"
2 => "Recursos"
3 => "Calidad de los servicios de salud"
]
]
]
]
"tieneResumen" => true
"resumen" => array:2 [
"en" => array:2 [
"titulo" => "Abstract"
"resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To evaluate variations in the observation period in the emergency department (ED) in response to bed availability.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">A quasi-experimental pre-test post-test study without a control group was conducted in the ED observation ward over 2 1-month periods. During this time the only variable that changed was the number of beds available, which decreased from 20 (pre-test period) to 16 (post-test period).</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The ED attended 7,725 patients: 3,706 patients in pre-test period, 335 of whom were admitted to the observation ward, with an average length of stay of 1,105.4 minutes per patient, and 4,019 patients in post-test period, 570 of whom were admitted to the observation ward, with an average length of stay of 686.1 minutes per patient (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001). There was no variation in mortality, re-admissions or complaints.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">A reduction in bed availability for observation purposes shortens patient length of stay.</p>"
]
"es" => array:2 [
"titulo" => "Resumen"
"resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar la variación del indicador “periodo de tiempo de observación” dedicado a cada paciente, en respuesta a una reducción del número de camas disponibles.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se realizó un estudio «quasiexperimental preprueba postprueba» sin grupo control en una unidad de urgencias durante 2 períodos de un mes. En este tiempo el único cambio fue el número de camas disponibles, que disminuyeron de 20 (período A) a 16 (período B).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El servicio de urgencias atendió a 7.725 pacientes: 3.706 pacientes en el período A, 335 de los cuales fueron admitidos en la unidad de observación con una estancia media de 1.105,4 minutos por paciente; y 4.019 pacientes en el período B, 570 de los cuales fueron admitidos en la unidad de observación con una estancia media de 686,1 minutos por paciente (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001). No hubo variaciones en la mortalidad, readmisiones o quejas.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Una disminución en el número de camas disponibles para observación comporta una reducción en el tiempo de estancia de los pacientes.</p>"
]
]
"bibliografia" => array:2 [
"titulo" => "Bibliografía"
"seccion" => array:1 [
0 => array:1 [
"bibliografiaReferencia" => array:14 [
0 => array:3 [
"identificador" => "bib1"
"etiqueta" => "1."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Heart failure observation units: optimizing care"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:5 [
0 => "W.F Peacock"
1 => "J. Young"
2 => "S. Collins"
3 => "D. Diercks"
4 => "C. Emerman"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1016/j.annemergmed.2005.07.006"
"Revista" => array:6 [
"tituloSerie" => "Ann Emerg Med"
"fecha" => "2006"
"volumen" => "47"
"paginaInicial" => "22"
"paginaFinal" => "33"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/16387215"
"web" => "Medline"
]
]
]
]
]
]
]
]
1 => array:3 [
"identificador" => "bib2"
"etiqueta" => "2."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "A clinical prediction rule for early discharge of patients with chest pain"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:6 [
0 => "J. Christenson"
1 => "G. Innes"
2 => "D. McKnight"
3 => "C.R. Thompson"
4 => "H. Wong"
5 => "E. Yu"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1016/j.annemergmed.2005.08.007"
"Revista" => array:6 [
"tituloSerie" => "Ann Emerg Med"
"fecha" => "2006"
"volumen" => "47"
"paginaInicial" => "1"
"paginaFinal" => "10"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/16387209"
"web" => "Medline"
]
]
]
]
]
]
]
]
2 => array:3 [
"identificador" => "bib3"
"etiqueta" => "3."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Los frecuentadores de los servicios de urgencias"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "J.L. Azpiazu"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:5 [
"tituloSerie" => "Med Clin (Barc)"
"fecha" => "1997"
"volumen" => "108"
"paginaInicial" => "737"
"paginaFinal" => "738"
]
]
]
]
]
]
3 => array:3 [
"identificador" => "bib4"
"etiqueta" => "4."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Ambulatory visits to hospital emergency departments"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:5 [
0 => "G.P. Young"
1 => "M.B. Wagner"
2 => "A.L. Kellermann"
3 => "J. Ellis"
4 => "D. Bouley"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "JAMA"
"fecha" => "1996"
"volumen" => "276"
"paginaInicial" => "460"
"paginaFinal" => "465"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/8691553"
"web" => "Medline"
]
]
]
]
]
]
]
]
4 => array:3 [
"identificador" => "bib5"
"etiqueta" => "5."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "The role of emergency department"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "R. Steinbrook"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1056/NEJM199603073341010"
"Revista" => array:6 [
"tituloSerie" => "N Engl J Med"
"fecha" => "1996"
"volumen" => "334"
"paginaInicial" => "657"
"paginaFinal" => "658"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/8592532"
"web" => "Medline"
]
]
]
]
]
]
]
]
5 => array:3 [
"identificador" => "bib6"
"etiqueta" => "6."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Saturación del servicio de urgencias: factores asociados y cuantificación"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:6 [
0 => "M. Sánchez"
1 => "O. Miró"
2 => "B. Coll-Vinent"
3 => "E. Bragulat"
4 => "G. Espinosa"
5 => "E. Gómez-Angelats"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:5 [
"tituloSerie" => "Med Clin (Barc)"
"fecha" => "2003"
"volumen" => "121"
"paginaInicial" => "167"
"paginaFinal" => "172"
]
]
]
]
]
]
6 => array:3 [
"identificador" => "bib7"
"etiqueta" => "7."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Tiempos de espera y calidad asistencial en urgencias"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:4 [
0 => "A. Fernández Moyano"
1 => "J.L. Callejas Rubio"
2 => "M.I. Paredes García"
3 => "D. Navarro Hidalgo"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:4 [
"tituloSerie" => "Med Clin (Barc)"
"fecha" => "2001"
"volumen" => "117"
"paginaInicial" => "559"
]
]
]
]
]
]
7 => array:3 [
"identificador" => "bib8"
"etiqueta" => "8."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Validez del protocolo de evaluación del uso inapropiado de la hospitalización"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "S. Peiró"
1 => "R. Meneu"
2 => "M.L. Roselló"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:5 [
"tituloSerie" => "Med Clin (Barc)"
"fecha" => "1996"
"volumen" => "107"
"paginaInicial" => "1124"
"paginaFinal" => "1129"
]
]
]
]
]
]
8 => array:3 [
"identificador" => "bib9"
"etiqueta" => "9."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "The association of respiratory syncitial virus infection and influenza with emergency admissions for respiratory disease in London: an anlysis of routine surveillance data"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:5 [
0 => "P. Mangtani"
1 => "S. Hajat"
2 => "S. Kovats"
3 => "P. Wilkinson"
4 => "B. Armstrong"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1086/499810"
"Revista" => array:6 [
"tituloSerie" => "Clin Infect Dis"
"fecha" => "2006"
"volumen" => "42"
"paginaInicial" => "640"
"paginaFinal" => "646"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/16447109"
"web" => "Medline"
]
]
]
]
]
]
]
]
9 => array:3 [
"identificador" => "bib10"
"etiqueta" => "10."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Ingreso hospitalario urgente: factores sociales asociados y sus diferencias en función de la edad"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:3 [
0 => "J.L. González-Montalvo"
1 => "J.J. Baztán"
2 => "L. Rodríguez-Mañas"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:5 [
"tituloSerie" => "Med Clin (Barc)"
"fecha" => "1994"
"volumen" => "103"
"paginaInicial" => "441"
"paginaFinal" => "444"
]
]
]
]
]
]
10 => array:3 [
"identificador" => "bib11"
"etiqueta" => "11."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Measuring hospital quality. What physicians do? How patients fare? or Both?"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:1 [
0 => "A.K. Jha"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1001/jama.296.1.95"
"Revista" => array:6 [
"tituloSerie" => "JAMA"
"fecha" => "2006"
"volumen" => "296"
"paginaInicial" => "95"
"paginaFinal" => "97"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/16820553"
"web" => "Medline"
]
]
]
]
]
]
]
]
11 => array:3 [
"identificador" => "bib12"
"etiqueta" => "12."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Variaciones en la práctica médica: importancia, causas e implicaciones"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:4 [
0 => "J. Marión Buen"
1 => "S. Peiró"
2 => "S. Márquez Calderón"
3 => "R. Meneu de Guillerna"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:5 [
"tituloSerie" => "Med Clin (Barc)"
"fecha" => "1998"
"volumen" => "110"
"paginaInicial" => "382"
"paginaFinal" => "390"
]
]
]
]
]
]
12 => array:3 [
"identificador" => "bib13"
"etiqueta" => "13."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Inpatient general medicine is evidence-based"
"autores" => array:1 [
0 => array:2 [
"etal" => false
"autores" => array:4 [
0 => "J. Ellis"
1 => "I. Mulligan"
2 => "J. Rowe"
3 => "D.L. Sackett"
]
]
]
]
]
"host" => array:1 [
0 => array:1 [
"Revista" => array:6 [
"tituloSerie" => "Lancet"
"fecha" => "1995"
"volumen" => "346"
"paginaInicial" => "407"
"paginaFinal" => "410"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/7623571"
"web" => "Medline"
]
]
]
]
]
]
]
]
13 => array:3 [
"identificador" => "bib14"
"etiqueta" => "14."
"referencia" => array:1 [
0 => array:2 [
"contribucion" => array:1 [
0 => array:2 [
"titulo" => "Emergency physicians’ fear of malpractice in evaluating patients with possible acute cardiac ischemia"
"autores" => array:1 [
0 => array:2 [
"etal" => true
"autores" => array:6 [
0 => "D.A. Katz"
1 => "G.C. Williams"
2 => "R.L. Brown"
3 => "T.P. Aufderheide"
4 => "M. Bogner"
5 => "P.S. Rahko"
]
]
]
]
]
"host" => array:1 [
0 => array:2 [
"doi" => "10.1016/j.annemergmed.2005.04.016"
"Revista" => array:6 [
"tituloSerie" => "Ann Emerg Med"
"fecha" => "2005"
"volumen" => "46"
"paginaInicial" => "525"
"paginaFinal" => "533"
"link" => array:1 [
0 => array:2 [
"url" => "https://www.ncbi.nlm.nih.gov/pubmed/16308068"
"web" => "Medline"
]
]
]
]
]
]
]
]
]
]
]
]
]
"idiomaDefecto" => "en"
"url" => "/02139111/0000002100000002/v1_201301241548/S0213911107719891/v1_201301241548/en/main.assets"
"Apartado" => array:4 [
"identificador" => "764"
"tipo" => "SECCION"
"es" => array:2 [
"titulo" => "Originales"
"idiomaDefecto" => true
]
"idiomaDefecto" => "es"
]
"PDF" => "https://static.elsevier.es/multimedia/02139111/0000002100000002/v1_201301241548/S0213911107719891/v1_201301241548/en/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
"EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719891?idApp=WGSE"
]