josé martín martín

josé martín martín
University of Granada | UGR · Departamento de Economía Aplicada

About

53
Publications
8,189
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
555
Citations
Introduction

Publications

Publications (53)
Article
Full-text available
Objective: To analyze technical efficiency by type of property and management of general hospitals in the Spanish National Health System (2010-2012) and identify hospital and regional explanatory variables. Method: 230 hospitals were analyzed combining data envelopment analysis and fixed effects multilevel linear models. Data envelopment analysi...
Article
Full-text available
Background There is scant research that simultaneously analyzes the joint effects of long-term unemployment, poverty and public expenditure policies on poorer self-perceived health during the financial crisis. The aim of the study is to analyze the joint relationship between long-term unemployment, social deprivation, and regional social public exp...
Article
Full-text available
Objective: Adequate physical activity levels and a healthy lifestyle may prevent all kinds of non-communicable diseases, promote well-being and reduce health-care costs among perimenopausal women. This study assessed an exercise programme for perimenopausal women. Method: A total of 150 women (aged 45-64 years) not engaged in regular physical ac...
Article
Full-text available
PurposeWe analyze the influence of the dramatic changes in the Spanish labor market during the crisis on the perceived health of the Spanish population. Methods We use the longitudinal Living Conditions Survey database and multilevel longitudinal logistic models between 2007 and 2011, before and during the economic crisis in one of the European cou...
Article
Full-text available
Objective: To analyse the technical efficiency and productivity of general hospitals in the Spanish National Health Service (NHS) (2010-2012) and identify explanatory hospital and regional variables. Methods: 230 NHS hospitals were analysed by data envelopment analysis for overall, technical and scale efficiency, and Malmquist index. The robustn...
Article
The text analyzes the impact of the economic crisis in some critical aspects of the National Health System: outcomes, health expenditure, remuneration policy and privatization through Private Public Partnership models. Some health outcomes related to social inequalities are worrying. Reducing public health spending has increased the fragility of th...
Article
Analizar el coste-efectividad de la utilización de la técnica de moxibustión para corregir la posición fetal no-cefálica y disminuir el número de cesáreas realizadas a término de embarazo.
Article
Full-text available
The high prevalence of women that do not reach the recommended level of physical activity is worrisome. A sedentary lifestyle has negative consequences on health status and increases health care costs. The main objective of this project is to assess the cost-effectiveness of a primary care-based exercise intervention in perimenopausal women. The pr...
Article
To analyse the impact that the economic crisis and the evolution of socioeconomic inequality before (2007) and during (2011) the current crisis have had on unmet dental care needs in Spain. The Living Conditions Surveys from the years 2007 and 2011 were used, including 44 138 adults aged under 65 years. A descriptive and stratified analysis was car...
Article
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...
Article
Full-text available
Aims To analyse the cost effectiveness of using the moxibustion technique to correct non-vertex presentation and to reduce the number of caesarean sections performed at term. Method A deterministic model of decision analysis has been developed to analyse the cost of treatment in which heat is applied by moxibustion (the combustion of Artemisia vulg...
Article
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...
Article
Full-text available
Background Missed, delayed or incorrect diagnoses are considered to be diagnostic errors. The aim of this paper is to describe the methodology of a study to analyse cognitive aspects of the process by which primary care (PC) physicians diagnose dyspnoea. It examines the possible links between the use of heuristics, suboptimal cognitive acts and dia...
Article
Full-text available
Objective: To evaluate a combined set of 6 time-series models for improving the management of short-term calls for emergency health services. Methods: The demand for emergency health services in the province of Malaga was analyzed between 2004 and 2008. Using standard software, we constructed and evaluated 3 decomposition models and 3 econometric m...
Article
The aim of this study is to test the influence of personal income (absolute income hypothesis), income inequalities and welfare (relative income hypothesis) on health. A multilevel cross-sectional logit model is used with two alternative specifications of the dependent variable: self-perceived health and chronic illnesses, and six specifications of...
Article
Full-text available
The aim of this study is to evaluate the influence of personal income [absolute income hypothesis (AIH)], income inequality and welfare [relative income hypothesis (RIH)], and social capital on the health of older people. Multi-level, cross-sectional logit models are calculated separately for women and men. The database employed was the Spanish Lif...
Article
Full-text available
The Spanish National Health System (SNHS) has sustainability problems resulting from weaknesses in institutional design and governance compounded by the economic crisis it faces. The global economic crisis has had a particularly virulent impact in Spain, characterized by high levels of unemployment and public and private debt. Fiscal adjustment pol...
Article
The Spanish National Health System (SNHS) has sustainability problems resulting from weaknesses in institutional design and governance compounded by the economic crisis it faces. The global economic crisis has had a particularly virulent impact in Spain, characterized by high levels of unemployment and public and private debt. Fiscal adjustment pol...
Article
This study reviews the literature on determinants of healthcare expenditure for the period 1998 to 2007. The methodology combines searches in the MesH database of PubMed with the search in the principal journals of Health Economics. 20 primary studies were found that met the criteria for inclusion. No single pattern of results is clearly identified...
Article
Full-text available
RESUMEN Este trabajo forma parte del proyecto de investigación: Evaluación de la Eficiencia de los Hospitales del Sistema Sanitario Público de Andalucía (SSPA), financiado por la Agencia de Evaluación de Tecnologías Sanitarias y coordinado por José Jesús Martín Martín. Los objetivos de este trabajo son analizar el estado actual de las medidas de ef...
Article
Objectives To determine the association between being injecting drug user (IDU) and the level of health of people living with HIV/AIDS (disability adjusted life years [DALY]), differentiated by gender, in three periods, before HAART (highly active antiretroviral therapies) -before 1996, limited use of HAART -1997 and 1998- and HAART —after 1998—.
Article
Full-text available
The epidemic of HIV/AIDS and treatments that have emerged to alleviate, have brought about a shift in the burden of disease from death to quality of life/disability. The aim was to determine which factors are associated with improvements in the level of health of male and female patients with HIV/AIDS in Andalusia, in terms of disability-adjusted l...
Article
Full-text available
The aim of this study is to measure horizontal equity in the use of healthcare services in Spain, proposing two methodological innovations. First by defending it as equality of access for equal need, irrespective of educational level, unlike the prevailing methodological approach to horizontal equity which relates it to income. Second, by estimatin...
Article
The aim of this study is to obtain a measure of health needs at regional level, on the basis of information provided by the health module of the Survey of Disabilities, Deficiencies and State of Health, 1999 (SDDSH99). The methodology includes a careful selection of the independent variables and both estimations as tests of alternative regression m...
Article
This study measures the process of convergence in the state of health among the provinces and regions of Spain during 1980-2001 in order to analyse the possible influence of the decentralisation of healthcare management to the regions in this period. Sigma and beta convergence models, traditionally employed in macroeconomics, have been used, taking...
Article
To assess the cost-effectiveness of two diagnostic strategies for prostate cancer in men with prostate-specific antigen (PSA) levels of 4-10 ng/ml and normal digital rectal examination (DRE). Cost-effectiveness analysis was performed using a decision tree model. Data collection and a systematic review of patients at the Urology Department (Carlos H...
Article
Full-text available
El objetivo de este trabajo es medir el proceso de convergencia en salud a nivel provincial y regional en España durante el periodo 1975-2000 para analizar en que medida el proceso histórico de descentralización de competencias sanitarias a nivel regional ha podido influir en el mismo. Se han utilizando los modelos de convergencia sigma y beta trad...
Article
Full-text available
El objetivo de este trabajo es obtener una medida de necesidad sanitaria a nivel regional, a partir de la información suministrada por el modulo de salud de la Encuesta sobre Discapacidades, Deficiencias y Estado de Salud, 1999 (EDDES99). Se desarrolla una metodología en tres fases. En primer lugar se realiza una cuidada selección de las variables...
Article
Full-text available
1-Financiación de centros sanitarios y Técnicas Multicriterio El objetivo de este trabajo, es aplicar distintos modelos de programación multicriterio interactivos para determinar sistemas óptimos de financiación de áreas o centros sanitarios del Servicio Andaluz de Salud (SAS). Este trabajo continua una línea de investigación (Martin et all, 2001)...
Article
Full-text available
En España ha coexistido durante casi veinte años un modelo de gestión centralizada con otro descentralizado. El caso español permite contrastar los resultados en salud de dos modelos organizativos distintos en condiciones de experimento natural. El objetivo de esta investigación es medir los resultados en salud de ambos modelos desde 1978 (llegada...
Article
Full-text available
El nuevo sistema de financiación autonómica profundiza en conceptos como estabilidad, responsabilidad e integración financiera. Los recursos que distribuye suponen casi el 90% del total de presupuestos consolidados de las CCAA de régimen común. El presente documento realiza una aproximación a la configuración del nuevo modelo, también afronta y cua...
Article
One of the main problems that the decision centers of public sanitary systems must face is the budget distribution among the different hospitals of the system. Sanitary, economical, and political criteria must be combined to take the final decision. In this paper, a combined procedure, which uses several interactive multiple objective methods, is a...
Article
El Sistema Nacional de Salud español (SNS) comparte con el resto de los sistema sanitarios europeos la necesidad de hacer compatibles los principios éticos de universalidad e igualdad en el acceso a los servicios sanitarios con los requerimientos inherentes de la Comunidad Europea. A tal fin, las reformas realizadas se encaminan hacia la separación...
Article
The article analyzes the need to obtain support from all actors if the reform of the health system is to be finalized. The relevant groups are the government, professional groups, workers, the population, civil servants, managers and firms with interests in the health field. It is necessary to develop a social marketing strategy that reinforces and...
Article
The article desired organizational an managerial changes in Primary Health Care, so as to develop a sound and feasible social marketing strategy. Key elements that should be changed are: 1. Rigid and centralized administrative structures and procedures. 2. Incentives system centralized and dissociated from the managerial structure. 3. Primary Healt...
Article
The article analyzes the need to obtain support from all actors if the reform of the health system is to be finalized. The relevant groups are the government, professional groups, workers, the population, civil servants, managers and firms with interests in the health field. It is necessary to develop a social marketing strategy that reinforces and...
Article
The article desired organizational and managerial changes in Primary Health Care, so as to develop a sound and feasible social marketing strategy. Key elements that should be changed are: 1. Rigid and centralized administrative structures and procedures. 2. Incentives system centralized and dissociated from the managerial structure. 3. Primary Heal...
Article
Full-text available
This study measures the process of convergence in health among the provinces and regions of Spain from 1975-2000 so as to analyze the possible influence of the decentralization of healthcare management to the regions in this period. Sigma and beta convergence models, traditionally employed in macroeconomics, have been used, taking Life Expectancy a...
Article
Full-text available
Resumen El objetivo de este trabajo es analizar el estado actual de la medida de eficiencia de las organizaciones sanitarias con énfasis en España. Se describen las principales aportaciones tanto del análisis no frontera desarrollado en el marco de la gestión sanitaria y epidemiológica, como el análisis frontera, fundamentalmente la frontera estocá...
Article
Sumario: Este trabajo analiza y evalúa los cambios organizativos recientes producidos en el Sistema Nacional de Salud español. Las jerarquías públicas centralizadas en el INSALUD y otros servicios regionales de salud se están orientando hacia modelos híbridos y relaciones contractuales a través de dos instrumentos esencialmente: el contrato program...

Network

Cited By

Projects

Project (1)
Archived project