Francisco Jódar Sánchez

University of Malaga | UMA ·  Department of Statistics and Econometrics

BACKGROUND Depression and type 2 diabetes (T2DM) present a high comorbidity in Primary Care (PC) settings. Internet-delivered psychological interventions are a good alternative for care. OBJECTIVE To analyze the cost-effectiveness (CEA) and cost-utility (CUA) of a web-based psychological intervention to treat depressive symptomatology in people wi...

Background Depressive disorder and type 2 diabetes mellitus (T2DM) are prevalent in primary care (PC). Pharmacological treatment, despite controversy, is commonly chosen due to resource limitations and difficulties in accessing face-to-face interventions. Depression significantly impacts various aspects of a person’s life, affecting adherence to me...

Objective: To find out whether the leptospirosis incidence rate among red swamp crayfish collectors in the harvesting season is higher than in the general population, and to identify risk factors and assess the direct and indirect health costs associated with leptospirosis seroconversion. Method: This study was carried out between 1 July 2017 an...

Introducción La radioterapia guiada por resonancia magnética (RTgRM) representa el último avance hasta la fecha en el intento por controlar al máximo la dosis de radiación y tratar de preservar los tejidos adyacentes a la zona tumoral. Se trata de equipos híbridos que permiten realizar un seguimiento en vivo del tratamiento radioterápico y de esta...

Introduction and objectives The autopsy is considered the gold standard in death investigation. Performing an autopsy requires human and material resources that must be programmed in order to meet the demands of the judicial system. However, as far as we know, the cost of forensic autopsy in Spain has not been determined. Thus, the aim of this stud...

Purpose: The purpose of this study was to analyze the efficacy of a social interaction intervention delivered during the early postoperative time period on the coping process in persons with a new ostomy. Design: Randomized controlled trial. Subjects and setting: The sample comprised 52 persons who underwent surgical management of colorectal i...

Background and objectives: The aim of this study was to analyze indirect costs of vaginal and laparoscopic routes for hysterectomy to determine whether this makes a difference in total costs when considering route for surgery. Methods: A five-year observational retrospective cohort study was conducted in an academic tertiary care center. A total...

Background Comorbidity between diabetes mellitus and depression is highly prevalent. The risk of depression in a person with diabetes is approximately twice that of a person without this disease. Depression has a major impact on patient well-being and control of diabetes. However, despite the availability of effective and specific therapeutic inter...

Issue/problem Leptospirosis is an endemic disease which is mandatorily notifiable in Spain. It is associated with occupational activities in which workers come into contact with rat urine. In our region, this disease's rates of prevalence and incidence are highest among red swamp crayfish collectors (Procambarus clarkii) (RSCC). The increase in out...

Background Community pharmacy services play an important role in controlling some factors related to medicine use and patients can benefit from these services to improve the adherence and knowledge of their medications, besides to reduce medicine-related problems. Objective The aim of the REVISA project is to carry out a study on preliminary implem...

In order to achieve significant improvements in quality, cost, and accessibility (the health “iron triangle”), innovation in organizational and service delivery models is necessary to increase the value of healthcare. The aim of this study is to evaluate the efficiency of a model of organizational innovation based on advanced practice nurse in the...

Background: To perform a cost-error analysis based on a quasi-experimental pre-post study of the preanalytical errors in 2 hospital laboratories. The real cost and theoretical cost are defined as the cost resulting from errors with or without the training intervention. The real impact associated to the training program was estimated, calculated as...

BACKGROUND Smoking cessation is a persistent, leading public health challenge. Digital therapeutic solutions are emerging to improve smoking cessation treatments. Previous approaches have proposed supporting cessation with tailored motivational messages. Some managed to prove short-term improvements in smoking cessation. Yet, these approaches were...

Background: Smoking cessation is a persistent leading public health challenge. Mobile health (mHealth) solutions are emerging to improve smoking cessation treatments. Previous approaches have proposed supporting cessation with tailored motivational messages. Some managed to provide short-term improvements in smoking cessation. Yet, these approache...

ECONOMIC EVALUATION OF HYSTERECTOMY IN THE REAL CLINICAL PRACTICE: ROBOT-ASSISTED VERSUS CONVENTIONAL LAPAROSCOPIC Jódar-Sánchez F,1 García-Agua Soler N,2 Martínez-Maestre MA,1 Melero-Cortés LM,1 Coronado PJ,3 Garcia-Ruiz A2 1Virgen del Rocío University Hospital, Seville, Spain, 2University of Málaga, MALAGA, Spain, 3San Carlos Clinic Hospital, MAD...

Background: The aim of this study is to carry out the economic evaluation, in term of a cost-minimization analysis that considers healthcare costs and indirect costs, of robot-assisted hysterectomy (RAH) compared with conventional laparoscopic hysterectomy (CLH) in female adults scheduled for total laparoscopic hysterectomy for benign conditions....

BACKGROUND Smoking is considered the main cause of preventable illness and premature deaths worldwide. The treatment usually prescribed to subjects who wish to quit smoking is a multidisciplinary intervention, combining both psychological advice and pharmacological therapy, since the application of both strategies significantly increases the chance...

En el año 2013 la Sociedad Española de Farmacia Familiar y Comunitaria (SEFAC), mediante la subcomisión de revisión del uso de los medicamentos (RUM), integrada en la comisión de servicios profesionales e inspirada en el servicio británico MUR (Medicines Use Review), puso en marcha el proyecto Revisa® con el fin de implantar este servicio en España...

Background: New technologies, such as telerehabilitation and gaming devices offer the possibility for patients to train at home. This opens the challenge of safety for the patient as he is called to exercise neither with a therapist on the patients' side nor with a therapist linked remotely to supervise the sessions. Aim: To study the safety, us...

Introduction and objectives Despite of the success of the ICER (incremental cost-effectiveness ratio), its use is still very controversial because the estimates might be highly variable or just because a correct interpretation of this indicator is not so easy to give. Focusing on oncology and cancer studies, the statistical median (not the mean) is...

The concept of pharmaceutical care is operationalized through pharmaceutical professional services, which are patient-oriented to optimize their pharmacotherapy and to improve clinical outcomes. The objective of this study was to estimate the incremental cost-effectiveness ratio (ICER) of a medication review with follow-up (MRF) service for older a...

This paper introduces the evaluation report after fostering a Standard-based Interoperability Framework (SIF) between the Virgen del Rocío University Hospital (VRUH) Haemodialysis (HD) Unit and 5 outsourced HD centres in order to improve integrated care by automatically sharing patients' Electronic Health Record (EHR) and lab test reports. A pre-po...

We conducted a cost-utility analysis of a telehealth programme for patients with severe chronic obstructive pulmonary disease (COPD) compared with usual care. A randomized controlled trial was carried out over four months with 45 patients treated with long-term oxygen therapy, 24 in the telehealth group (TG) and 21 in the control group (CG). The an...

Objectives: To compare the cost-effectiveness of a pharmacotherapy follow-up for elderly nursing home (NH) residents with that of usual care. Design: Prospective observational study with a concurrent control group conducted over 12 months. Setting: Fifteen NHs in Andalusia assigned to control (n = 6) or intervention (n = 9). Participants: Re...

Objective To assess the healthcare costs associated with six radiation therapy (RT) techniques for the adjuvant treatment of early breast cancer. Methods A team of six radiation oncologists and a specialist in health economics performed a descriptive cost analysis among the following RT techniques: 3-dimensional conformal RT (3DCRT) using either c...

Resumen. La cefalea es un problema sanitario importante por su elevada prevalencia, las repercusiones negativas que tiene en el ámbito social y laboral, y por la merma en la calidad de vida que sufre el enfermo. Se producen un elevado número de derivaciones al especialista, incrementando los tiempos de espera, siendo el contacto directo entre neuró...

Serious games specifically designed for rehabilitation have the potential to improve motor deficits and can be used to enhance functional recovery after stroke. Serious games provide a repetitive and structured gamebased training while monitoring user performance and progress. In this paper, we present a description of an ongoing pilot study of a s...

Introduction: Social networks applied through Web 2.0 tools have gained importance in health domain, because they produce improvements on the communication and coordination capabilities among health professionals. This is highly relevant for multimorbidity patients care because there is a large number of health professionals in charge of patient c...

We conducted a pilot study of the effectiveness of home telehealth for patients with advanced chronic obstructive pulmonary disease treated with long-term oxygen therapy. Patients were randomized into a telehealth group (n = 24) and a control group (n = 21) who received usual care. Patients in the telehealth group measured their vital signs on week...

Health care service based on telemedicine can reduce both physical and time barriers in stroke treatments. Moreover, this service connects centers specializing in stroke treatment with other centers and practitioners, thereby increasing accessibility to neurological specialist care and fibrinolytic treatment. Development, implementation, and evalua...