Luis Andrés López-Fernández

• MPH
• Professor (Full) at Andalusian School of Public Health

Objetivo: Conocer la valoración de personas migrantes sobre su acceso al sistema sanitario tras la entrada en vigor del Real Decreto-Ley16/2012 y sobre el efecto que han podido producir los recortes económicos en dicho acceso. Método: Estudio cualitativo fenomenológico con entrevistas semiestructuradas, realizado en Andalucía, en dos fases (2009-2...

This theoretical essay analyzes the fiscal measures adopted in Spain as a response to the economic crisis of 2008, its implications to the Spanish National Health System (SNS) and the social response. We performed a case study having as primary source of information the narrative of a social actor who participated in the Spanish reform. We also use...

Resumen Este artículo es el producto de los resultados de un taller con expertos y expertas en salud pública realizado en Granada en octubre de 2015, que tuvo por objetivo reflexionar sobre qué elementos clave deberían caracterizar una salud pública orientada desde los determinantes sociales de la salud. La labor de abogacía y la formación de profe...

Background: COPD is a frequent severe illness that increasingly affects females. Gender inequalities have been reported in COPD care. Objective: To analyze decision-making in primary care for men and women with identical COPD as a function of the gender of the family physician (FP). Methods: Cross-sectional, multicenter study in 457 Andalusian...

Until April 2012, all Spanish citizens were entitled to health care and policies had been developed at national and regional level to remove potential barriers of access, however, evidence suggested problems of access for immigrants. In order to identify factors affecting immigrants’ access to health care, we conducted a qualitative study based on...

Two components of professional success have been defined: objective career success (OCS) and subjective career success (SCS). Despite the increasing number of women practicing medicine, gender inequalities persist. The objectives of this descriptive, cross-sectional, and multicenter study were (a) to construct and validate OCS and SCS scales, (b) t...

Qué es la estrategia de la OMS, evolución histórica y situación para siglo XXI, y eficacia y efectividad Actividad acreditada con 2,3 créditos por el Para lograr el certificado acreditativo debes superar el 70% del test: haz clic aquí para acceder al cuestionario de evaluación Para consultar dudas contactar con pacap@samfyc.es Luis Andrés López-Fer...

Estudio sobre las repercusiones de la crisis economica sobre la salud y los servicios de salud en España.

Objective To determine the relationships between a group of professional and family characteristics and the components of physical and mental health in female and male primary care physicians working in health centers in Andalusia (Spain). Methods A descriptive, cross-sectional, multicenter study was performed. The population consisted of urban he...

Although until April 2012, all Spanish citizens regardless of their origin, residence status and work situation were entitled to health care, available evidence suggested inadequate access for immigrants. Following the Aday and Andersen model, we conducted an analysis of policy elements that affect immigrants' access to health care in Spain, based...

Background: The concept of achievement is important to study the professional development. In medicine there are gender inequalities in career. The purpose was to know and compare the professional achievement's perceptions and attributions of female and male primary care physicians in Andalusia. Method: Qualitative study with 12 focus groups (Octob...

Fundamentos: El concepto de logro es clave para estudiar el desarrollo profesional. En medicina existen desigualdades de género en la carrera profe- sional. El objetivo fue conocer y comparar la percepción de resultados y atri- buciones de logro en médicas y médicos de familia de Andalucía. Método: Estudio cualitativo con 12 grupos de discusión. Po...

OBJECTIVE: To determine the relationships between a group of professional and family characteristics and the components of physical and mental health in female and male primary care physicians working in health centers in Andalusia (Spain). METHODS: A descriptive, cross-sectional, multicenter study was performed. The population consisted of urban h...

Repaso a los sistemas de salud pública de los paises de MERCOSUR en 2013, Argentina, Brasil, Paraguay y Uruguay

Objectives This study describes the design and implementation of a health impact assessment (HIA) conducted in 2010 of the regeneration project of San Fernando Street, the main avenue crossing the San Miguel-El Castillo neighborhood in Alcala de Guadaíra (Seville, Spain). This project is part of the wider URBAN Plan aimed at the social, urban and e...

Studying the work-family relationships is important because it affects the personal and professional life. Women increases in medicine without redistribute domestic tasks and responsibilities. The purpose of this study was to create and validate a scale of work-family relations in women and men family physician (FP) in Andalusia. Cross sectional an...

Although the proportion of women in medicine is growing, female physicians continue to be disadvantaged in professional activities. The purpose of the study was to determine and compare the professional activities of female and male primary care physicians in Andalusia and to assess the effect of the health center on the performance of these activi...

to determine, for five health problems, whether preference for a male or female general practitioner (GP) is related to patient gender, GP gender and/or patient expectations of GP behaviour. cross-sectional study in 14 health centres in Spain, administering a questionnaire to 360 patients. Outcome variables were: preference for male GP, female GP o...

Objectives To identify patient expectations of clinical decision-making at consultations with their general practitioners for distinct health problems and to determine the patient and general practitioner characteristics related to these expectations, with special focus on gender.

Objectives: To identify patient expectations of clinical decision-making at consultations with their general practitioners for distinct health problems and to determine the patient and general practitioner characteristics related to these expectations, with special focus on gender. Methods: We performed a multicenter cross-sectional study in 360 pa...

El artículo que presentamos es una reflexión sobre la incertidumbre social que gira en torno a la Gripe A y las consecuencias que puede generar en las decisiones sobre las políticas de promoción de salud. Utilizamos conceptos y metáforas de la Teoría de la Elección Racional, entre ellas el "efecto ingratitud" y "el efecto desconfianza" y analizamos...

Fundamentos: Las características de familia de origen y familia formada se relacionan con la carrera profesional de los/las profesionales de la medicina. El objetivo es describir, por sexo, las características de la familia de origen y de la familia propia o formada de especialistas de Medicina Familiar y Comunitaria de Andalucía. Métodos: Diseño t...

To identify patient expectations of clinical decision-making at consultations with their general practitioners for distinct health problems and to determine the patient and general practitioner characteristics related to these expectations, with special focus on gender. We performed a multicenter cross-sectional study in 360 patients who were inter...

This article is a reflection on the social uncertainty caused by Influenza A and on the consequences that it can have on decision making in health promotion policies. We use concepts and metaphors of the Rational Choice Theory, among them, the "in gratitude effect" or the "distrust effect", as we analyse how these can become obstacles for the effic...

The origin and formed family characteristics are related to physician's professional career. The purpose of this study was to know and compare by sex the characteristics of the origin family and formed family of women and men family physician in Andalusia. Cross sectional and multicenter study. Setting: Urban primary health care centres from Andalu...

To validate a scale that measures patients' expectations when seeking advice for health problems of different types. 360 patients who had consulted their general practitioner (GP) during the previous 12 months were randomly selected from the lists of 30 GPs. A questionnaire, including a 13-item expectation scale, was administered by interview in th...

Comparison of mRNA differences between pre- and post-senescence MSC and in TMC. Microarray analysis pattern of overall mRNA differences between pre- and post-senescence MSC (A), and pre-senescence MSC and TMC (B). MA plots are shown, being A: log-ratio of two expression intensities vs. M: the mean log-expression of the two. (4.09 MB TIF)

Main mRNA differences between pre-senescence MSC and TMC focused in genes implicated in bioenergetic pathways. (0.11 MB DOC)

Primers used for q-RT-PCR analysis with Universal ProbeLibrary protocol. (0.04 MB DOC)

Objective To create and validate a tool to assess the organizational climate (OC) perceived by general practitioners (GP). Design Descriptive, cross-sectional, and multi-site, study. Setting Health centres (HC) in Jaén and Málaga province Spain. Participants Random sample of 38 HCs and 387 GPs. Main measurements A self-administered questionnair...

To create and validate a tool to assess the organizational climate (OC) perceived by general practitioners (GP). Descriptive, cross-sectional, and multi-site, study. Health centres (HC) in Jaén and Málaga province Spain. Random sample of 38 HCs and 387 GPs. A self-administered questionnaire in March 2001, with the personal variables of sex, age, gr...

In this paper we analyse the relations between sex of patients and professionals, social class and health insurance scheme, with the type of medical practice and level of satisfaction with care received by the patients. Following recent literature it can be said that medical practices based on the psychosocial paradigm obtain better results in term...

In this paper we analyse the relations between sex of patients and professionals, social class and health insurance scheme, with the type of medical practice and level of satisfaction with care received by the patients. Following recent literature it can be said that medical practices based on the psychosocial paradigm obtain better results in term...

Objective To describe, analyse and discuss the activities in the Network of Community Activities of the Programme of Community Activities in Primary Care of the Spanish Society of Family and Community Medicine. Design Description of the activities within this Network. Setting Network of Community Activities of the Spanish Society of Family and Co...

Objetivos: Los objetivos del estudio son: conocer la opinión de los gestores de atención primaria acerca de la importancia y legitimidad de distintas fuentes de influencia en la práctica médica, y comparar estos resultados con la opinión de los médicos asistenciales de los equipos de atención primaria. Material y métodos: Diseño de estudio transver...

To determine the opinion of primary healthcare managers on the importance and legitimacy of different sources of influence in medical practice, and to compare the results with the opinions of physicians in healthcare teams. Design: cross-sectional study. Population: primary healthcare managers in the Spanish public health system (area managers, med...

To describe, analyse and discuss the activities in the Network of Community Activities of the Programme of Community Activities in Primary Care of the Spanish Society of Family and Community Medicine. Description of the activities within this Network.Setting. Network of Community Activities of the Spanish Society of Family and Community Medicine. S...

Objectives To identify the differences between the clinical practice (conduct) of male and female doctors and its determining factors; and to find the variability in the various conducts studied which is explained by a set of variables, gender among them. Design Cross-sectional, multi-centre descriptive study. Setting Andalusian health centres wi...

To identify the differences between the clinical practice (conduct) of male and female doctors and its determining factors; and to find the variability in the various conducts studied which is explained by a set of variables, gender among them. Cross-sectional, multi-centre descriptive study. Andalusian health centres with populations of over 10000...

Objective To analyse the informal system of caring for people with neuro-degenerative disease: what it consists of and the characteristics of main carers, the type of care given, and the consequences for the main carer of assuming these functions. Design Descriptive cross-sectional study conducted by means of a home-filled questionnaire. Setting...

To explore the opinion of general practitioners on the importance and legitimacy of sources of influence on medical practice. General practitioners (n=723) assigned to Primary Care Teams (PCTs) in two Spanish regions were randomly selected to participate in this study. A self administered questionnaire was sent by mail and collected by hand. The de...

To analyse the informal system of caring for people with neuro-degenerative disease: what it consists of and the characteristics of main carers, the type of care given, and the consequences for the main carer of assuming these functions. Descriptive cross-sectional study conducted by means of a home-filled questionnaire. Autonomous Community of And...

To find and analyse the views of both health centre users and users of private insurance companies on the quality of services offered. Descriptive, crossover study using qualitative methodology. The views of health centre and private insurance company users on the quality of services delivered were gathered through 8 focus groups. The variables of...

To identify in Health Centres (HC), doctors' offices and out-patient clinics the variables among the use, the doctor and organisation, which most affect satisfaction of the Primary Care (PC) user. A descriptive crossover study. PC level in three Andalusian cities. A sample of groups of 460 users of out-patient clinics and doctors' offices and 400 f...

To identify the defining characteristics of Primary (PC) and Specialist Care (SC), along with the level of concordance between managers in both sectors in the definition of these characteristics. Intermediate course in Administration of the Andalucian School of Public Health, Granada. By means of the Philips 66 technique, followed by consensus cons...

Una vision de lo que es Promoción de Salud, como enfoque teórico de la Salud Pública y como se plasma en la práctica.

This study was carried out in the framework of a wider research project concerning the degree of patient satisfaction with the various types of primary health care. We have studied the relationship among the gender of the doctor, the gender of the patient and the type of primary health care center involved. In 1 type of primary care center (health...

This study was carried out in the framework of a wider research project concerning the degree of patient satisfaction with the various types of primary health care. We have studied the relationship among the gender of the doctor, the gender of the patient and the type of primary health care center involved. In 1 type of primary care center (health...

A study was completed to investigate if any differences are observed in user satisfaction with health care centres, polyclinics and solo-practice, furthermore to identify user, organizational characteristics and doctors as variables that relate to user satisfaction in health care. A sample of users was chosen from the Andalusian cities of Granada,...

One of the most important challenges in the management of childhood immunization programmes is the persistence of some population groups with deficient immunization coverage. In the present study we identify some factors associated with deficient immunization coverage in pre-school populations living in Murcia (Spain). The main purpose is to develo...

The paper which follows is an attempt to delve into the field of Health Promotion, proposing a questionnaire which would study the attitudes towards the subject held by various professionals in Primary Care Teams, in this case in the province of Malaga. In the introduction, we evaluate the importance of these attitudes as a variable which is involv...