Gaceta sanitaria
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To analyze the prioritization process for chemotherapy drugs in the Drug-Therapeutic Committees (DTCs) in Catalan hospitals and assess their impact on patients' access to these drugs. ⋯ We propose the implementation of a decision-making coordination strategy for all public sector hospitals. This strategy would allow an increasingly innovative environment to be exploited, in which inequalities in access to drugs at the hospital level should be avoided.
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Multicenter Study Comparative Study
[Parental stance towards alcohol consumption in 12- to 17-year-old adolescents from six urban areas in Spain].
To determine the opinions of urban parents on alcohol drinking in teenagers and their positioning regarding the legal restrictive measures. ⋯ Parents recognize adolescent alcohol drinking as a problem and tend to deal with it. Parents use distinct intervention strategies and generally approve legal measures.
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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. ⋯ Most patients wished to be listened to, informed and taken into account by their general practitioners and, to a lesser extent, wished to take decisions autonomously, especially for biomedical problems.
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Comparative Study
[Health services utilization by the immigrant and native-born populations in the autonomous region of Murcia (Spain)].
To analyze the patterns of utilisation for three types of public health services (outpatient specialist visits, emergency visits and hospitalisations) in the Comunidad Autónoma de la Región de Murcia. We examine the differences between the average rates of utilization of these services among natives and non-Spanish immigrants, and whether these differences are due to differences in demographic structure, or to different behaviour between these groups. ⋯ In this paper we show that the remarkable differences in the age-gender balance among different (in terms of nationality) groups of insured residents in Murcia has a considerable effect on consumption of health services and therefore on the average health care expenditure attributable to these groups.