La privatización de la gestión sanitaria: efecto secundario de la crisis y síntoma de mal gobierno

nCon frecuencia se asegura que la gestión pública de los centros sanitarios es ineficiente. A partir de estapremisa, no contrastada, se argumenta la necesidad de introducir elementos privatizadores en la gestión.En este artículo se revisa la evidencia disponible, a escala nacional e internacional, acerca de la aplica-ción de mecanismos de gestión privada en sistemas predominantemente…

Valuing Qalys at the End of Life

ABSTRACT The possibility of weighting QALYs differently for different groups of patients has been a source of debate. Most recently, this debate has been extended to the relative value of QALYs at the end of life (EoL). The objective of this study is to provide evidence of societal preferences in relation to this topic. Three…

Validation and comparison of 15-D and EQ-5D-5L instruments in a Spanish Parkinson’s disease population sample

Purpose: To contribute to the ongoing discussion on the choice of a preference-based health-related quality of life (HRQoL) instrument to be used in cost-effectiveness analysis by studying and comparing the validity, sensitivity and relative efficiency of 15-D and EuroQol 5D 5L (EQ-5D-5L) in a Spanish Parkinson’s disease (PD) population sample. Methods: One hundred and thirty…

Economic evaluation of colorectal cancer (CRC) screening

ABSTRACT Because of its incidence and mortality colorectal cancer represents a serious public health issue in industrial countries. In order to reduce its social impact a number of screening strategies have been implemented, which allow an early diagnosis and treatment. These basically include faecal tests and studies that directly explore the colon and rectum. No…