Evidence map›Paper›PMID 32391809›Full record

ArticleRevista espanola de salud publica2020

[Impact of the chronic disease care program on social determinants of health in Asturias.]

Ana Fernández-Feito, Henar Vallina-Crespo, Óscar Suárez-Álvarez, Elena Aldasoro-Unamuno, Marcial Argüelles-Suárez, Rafael Cofiño-Fernández

Abstract read
In one paragraph

Article in Revista espanola de salud publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ana Fernández-FeitoDepartamento de Medicina. Facultad de Medicina y Ciencias de la Salud. Universidad de Oviedo. Oviedo. España.
Henar Vallina-CrespoServicio de Salud del Principado de Asturias. España.
Óscar Suárez-ÁlvarezObservatorio de Salud Pública de Asturias. Servicio de Salud Poblacional. Consejería de Salud del Principado de Asturias. Oviedo. España.
Elena Aldasoro-UnamunoDepartamento de Salud del Gobierno Vasco. Vitoria-Gasteiz. España.
Marcial Argüelles-SuárezInstituto de Investigación Sanitaria del Principado de Asturias. Oviedo. España.
Rafael Cofiño-FernándezDirección General de Salud Pública. Consejería de Salud del Principado de Asturias. Oviedo. España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveProviding care for people with chronic diseases is a challenge requiring institutional programs and strategies, thus it necessary to evaluate the impact of the same on the social determinants of health (SDH). The aims were: 1) to describe the impact of the structural determinants of the Health Strategy for the Population with Chronic Diseases (EAPEC) in Asturias and 2) to propose actions for improvement regarding social stratification factors.

methodsQualitative study of six strategic programs of the Chronic Disease Strategy: Health Observatory, Social and Healthcare Coordination, School for Patients Program, Caregivers Program, Mental Health Services Continuity, and Quality and Safety in Healthcare. A screening tool was used, validated for evaluation of the health impact on the structural determinants (socioeconomic and political context and social stratification factors) of the SDH. A personal semi-structured interview was carried out with the manager of each program in 2016, and a final report was produced that included the impacts found and proposals for improvement.

resultsAll programs had a positive impact on social values (social justice, equity) and the state of wellbeing (social and educational policies). In terms of social stratification, the principal positive effects included age and functional diversity. Regarding the factors linked to geographic location, gender, origin/ethnicity, and social class the principal effects were negative.

conclusionsThis strategy aimed at people with chronic diseases has positive effects. However, paying attention to social stratification factors during implementation of the same is a priority.

Indexed as

Community Health ServicesHealth Impact AssessmentHealth PolicyHealth PromotionSocial Determinants of HealthAdolescentAdultAgedAged, 80 and overChildChild, PreschoolChronic DiseaseFemaleHealthcare DisparitiesHumansInfantChronic diseaseHealthcare disparitiesHealth impact assessmentHealth systemsSocial determinants of healthSocioeconomic factorsSpain

Identifiers

PMID32391809
PMCPMC11582891

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.