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The IDIAP launches a database with the computerized medical records to improve research in primary care.

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The IDIAP launches a database with the computerized medical records to improve care research primary.


-el SIDIAP, information system for the development of research in primary care, is a database generated by IDIAP Jordi Gol and the ICS with data from computerized clinical history of the ICS (eCAP)

-Its objective is to provide reliable and valid information for primary care research

-EL SIDIAP offers individualized and information anonymized of 5.8 million allocated to primary care of the ICS equipment

Spain, 2011-October the University Institute for research in primary care, IDIAP Jordi Gol, makes time that began work to create a large database to make it available for research in primary care. Fruit of this work, was born the SIDIAP that general main objective is to create an information system with data from computerized medical records of the ICS, (what is known as the e-CAP) along with other sources of complementary, to obtain reliable and valid information to research in primary care.

E-CAP was implemented at the end of 1990, and since then, almost 10,000 professionals primary care of the ICS, collect clinical data of approximately 5.8 million citizens (80% of the Catalan population).

E-CAP information includes demographic data, visits made to primary care, problems of variable clinics, prescriptions, health, administration of vaccines and referrals to specialists. It also provides information of any analytical tests and medication dispensed in pharmacies.

In addition, the SIDIAP allows crossing data with high data bases of Catalonia. Currently you can already cross your data with the database of hospital high in Catalonia (MBDS-AH), with information on income in hospitals in Catalonia. It is expected that in future they can relate to each other sources as the registration of mortality, with information about date and cause of the death of all residents in Catalonia, the registration of artroplastias and other records.

The redIAPP, “network of research on preventive activities” financed by the Instituto de Salud Carlos III, also supports this platform.

The SIDIAP presents clear advantages respect other sources of information, as available data that provide great samples that allow tracking of long-term, low-cost, relationship with multiple sources of information, it does not interfere in clinical practice, and is representative of actual practice. In addition, relate to multiple sources of information (high hospital, death certificates, census data) allow a richer and more complete information, and it is not an active participation of the patient when collects the information.

Currently the SIDIAP participates in 21 national and international projects. Its Coordinator, Dr. Francisco Fina, stressed “we want to consolidate our position as the database Spanish better validated primary care and for greater ties with other sources of information. work also to be a reference as a database of research for the South of Europe”.

For Dr. Buenaventura Bolibar, director scientific of the IDIAP “the SIDIAP must enable IDIAP Jordi Gol to promote quality research between their research and lead groups and participate in highly competitive projects both nationally and internationally, while participating in various national networks and European consortia of research”.

what the IDIAP?

The Foundation Jordi Gol i Gurina was created in 1996 by the Catalan Health Institute, with the aim of promoting and managing innovation, training, teaching and research clinical, epidemiological and health services in the field of primary health care.

In 2006, he became the Institute for research in primary care Jordi Gol (IDIAP Jordi Gol), through the signing of an economic agreement with the Department of health and the Autonomous University of Barcelona.

From 2010 it is attached to the UAB as a University Institute of research in primary care.

The IDIAP works to make available to researchers the means and services that enable them to improve the development of their research; accredits and guarantees the projects and the process of research.

In addition, it promotes cooperation with other national and international research organizations and participates in initiatives public or private establishment of innovative platforms for management or research in the field of primary care.

From August 2011 has the quality certification ISO 9001: 2008 for its support and advisory activities to project of research

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PSN signs an agreement with doctors of Melilla and renews with Malaga and Palencia

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PSN signs an agreement with doctors of Melilla and renews with Malaga and Palencia

also SUSCRIBE two policies collective with the VETERINARIANS of GRANADA and PALENCIA

Spain, 2011-October the College of physicians Melilla, chaired by Jesús Francisco Delgado, has signed a collaboration agreement with PSN and joins the 36 provincial colleges of physicians that currently they maintain the mutual agreement. Thanks to this firm, Melilla nearly 300 physicians will have preferential access to the portfolio of products and services of PSN.

On the other hand, the colleges of physicians of Palencia and Malaga have renewed agreements they have with PSN both since 2005. Francisco José del Riego (Palencia) and Juan José Sánchez Luque (Málaga) have opted for strengthening collaboration and the good traffic with the mutual. Both schools have shown interest for the products of the group, both in the insurance field (the two maintain a collective insurance policy subscribed) as in that of the rest of services, with special attention to data protection consulting.

PSN currently boasts more than 90.700 physicians insured from whom about 1,500 are Malaga, more than 700 palentinos and Melilla 50.

Other agreements

These conventions PSN adds paths collective policies for accidents subscribed with schools of veterinary in Palencia and Granada, with which the entity goes one step further in the protection of this professional group. Thanks to such insurance, vets under 65 of both provinces shall enjoy coverage of death by accident. In addition, both institutions have used the signing of collective insurance policies to renew their respective agreements of collaboration with PSN.

For its part, of the autonomous city of Melilla 800 licensed nurses will also have preferential access to PSN insurance thanks to the agreement signed by the President of his college, Julio Céspedes.

Finally the College of pharmacists of Valladolid has also renewed its agreement for collaboration with PSN, signed in 2005. Valladolid pharmacists have been represented by its President, Juan Dios Jódar, and the Secretary, José Benito Carnicero. This renewal will continue benefiting more than 700 members with access to protection insurance personal and family wealth management, consulting in the field of data protection and management systems of quality, among many other products and services.

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The SCE3 supports the College of education special Tomàs Llàcer from Alcoi (Alicante) in its request for a full time school nurse

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the SCE3 supports the College of education special Tomàs Llàcer from Alcoi (Alicante) in its request for a full-time school nurse

the Spanish scientific society of nursing school (SCE3) recalls that law 8, 2008 requires to “ equip with nursing staff to all the ECE of the Comunitat ”

Alicante, 2011-October the Spanish scientific society of nursing school (SCE3) supported yesterday publicly the claim of the public College of education special (EEC) Tomàs Llàcer from Alcoi (Alicante), with a total of 40 pupils and serves the counties of l ’ Alcoià and the ComtatIt has been requested to the Ministry of health a full-time nursing school professional staffing to meet the health needs of students with various functional plurideficiencias.

Eastern way, the President of the SCE3, sea Ortiz sailing, considered “ sensible and reasonable ” the request repeatedly made by the management of the public school, the School Board and the Association of mothers and fathers of students (AMPA) to the Ministry of health as soon as possible provide the school with a professional nursing school.

In this sense, Ortiz said that “ the continuous presence of a nurse specializing in special education schools is essential for the special health care needs of pupils between those who are from students with tetraplegia with probe gavage which requires feeding, hydration, and medication via enteral administrationup traqueotomizados, and various students who suffer seizures ”.

Thus, the President of the SCE3 warned that “ the absence of a nursing professional trained to respond to this type of care journals and emergencies that, sometimes, can cause the life of the student to run a serious danger, not should continue producing this kind of centres ”.
Addition, warned authorities that this situation “ contravenes ” law 8/2008, health rights of children and adolescents, which obliges all the centres of special education of the community “ with a nursing school, which must be present full-time professional complete to meet the students ”.

Sea Ortiz indicated that the past June 26 was the third anniversary of the publication of the law 8/2008 of health rights of the child and teenager, whose article 10.4 indicates: “ specific special education schools will be equipped with nursing personnel, organically depending on the corresponding Health Department ”.

Tasks of health

Finally, the President of the SCE3 lamented the current situation as “ without the presence of a health professional educators own teachers are forced to perform health work for which they are not qualified and which are not within its competence, and on other occasions, are forced to claim the presence of the parents to administer doses of medication or feed by sawto parenteral students with more severe pathologies ”.

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The number of Caesarean sections grows in Spain year after year despite have many more complications than vaginal birth.

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the number of Caesarean sections in Spain grows year after year despite have many more complications than the Parthian vaginal

some countries triple the rate recommended by who between 10 and 15%

-Although a caesarean section may have fewer complications for the fetus, maternal mortality increases between 5 and 6 times

– there are certain groups of pregnant women who crowd the 64.5 per cent of the indications for caesarean sections, with factors that could be modified to reduce this rate.

– scientifically proven upon ripening the cervix substantially increases the possibilities of vaginal delivery, and less Caesarean sections. The method of choice is the application, by means of a device of prolonged release of prostaglandins.

Madrid, October 2011.- The Cesarean rate grows without stopping in the majority of developed countries, sometimes reaching triple recommended by the who that lies between 10 and 15 per cent; is conventional wisdom that this increase is partly due to reasons not justified clinically, such as the particular appropriateness of some pregnant women or specialists who care, increasing demands in the specialty, the fetal viability before possible pathologies (that it has lowered the 24 week of gestation), teams with less experience in tocurgialess dangerous than before caesarean section, or the lack of adherence to protocols work, among others.

The idea behind the general population is caesarean section to simplify the delivery and print security on the fetus being safe for the mother. Scientific evidence shows that this increase in caesarean section policy is detrimental to medium and long term on maternal health and infant, ostensibly to increase health care costs.

“ Significantly increase the direct costs of surgery and hospitalization, the risk of second Caesarean sections or more sick leave, among others. The decrease of one percentage point in the rates of caesarean section versus vaginal delivery, would produce savings close to 6 million euros a year in all Spain ”, says Dr. Eduardo Cabrillo, Chief of obstetrics and Gynaecology of the La Moraleja Hospital service.

There are certain groups of pregnant women who crowd the 64.5 per cent of the indications for caesarean sections, with factors that could be modified to reduce this rate: women in their first pregnancy to term induces the delivery term already sometimes have given birth and women with a previous caesarean section andFinally, pregnant with the fetus in breech (from bottom).

For Dr. Juan Luis Delgado Marín, Coordinator of the unit of medicine Materno-Fetal of the Hospital Universitario Virgen of the Arrixaca Murcia, “ the classic a greater number of inductions paradigm, greater number of Caesarean sections should be replaced by a more properly listed and led labor inductionssmaller number of Caesarean sections, based on scientific evidence. Improve the conditions of the cervix (cervix), maturing previously, substantially increases the chances of success in childbirth safely for mother and son ”.

And continues “ of all methods to promote this maturation, local prostaglandins, administered through an extended release device, are the method of choice without any discussion. Have been postulated other methods to ripen the cervix, since methods “natural” (performed sexual intercourse often days before childbirth, products of herbal medicine, acupuncture, homeopathy, etc.) up methods more invasive as the flaps of the membranes of the bag, the break artificial membranes or the direct use of intravenous oxytocin, but none of them exceeds the prostaglandins in the maturing effect on the cervix ”.

On the other hand, is essential to driving correct delivery, optimizing the protocols of care for the pregnant woman in the last weeks of pregnancy, improving circuits of induction of labor in hospitals, forming to the professionals involved, continually re-evaluating the results and the satisfaction of the parents, adapting the times of care for the pregnant woman with childbirth induced according to guidelines of the delivery of the SEGO (women with labor induction has initially very unfavourable birthing obstetric conditions, so it must be given adequate time to make progress in the delivery). In this way, increases the level of adequacy of induction and minimizes the number of Caesarean sections by failed inductions.

According to experts there to eliminate indications of elective induction of labor by convenience of the mother and the gynecologist (inconvenience and overloading of the end of the gestation, apparently large babies, convenience of dates, etc.) that they do not pose risk to fetal health, and yes they can lead to a prolonged laborunwanted by anyone, or c-section for failing the induction of labour. The Spanish society of gynaecology and obstetrics Association (SEGO) establishes that the optimum time to induce childbirth in pregnant women in low-risk term is between 41 and 42 weeks of gestation, whereas as the post-term pregnancy that extends beyond the week 42, period in which exponentially increases the risks to the fetus.

Although caesarean section may have fewer complications for the fetus, it can be assumed grave consequences for the mother with complications by bleeding, possible urinary or intestinal injuries, infections, thrombophlebitis, etc., increasing mortality because it should not be forgotten that this is one major operation. Maternal mortality increases between 5 and 6 times in the case of a caesarean section, ensure the experts meeting in Malaga recently in the V Symposium of obstetrics, Ferring-sponsored.

The data show that the number of interventions is even greater in private care, around 40% compared to 23-25% of the public, due inter alia to the doctor usually work alone, so there are private hospitals that are developing programs to meet the delivery teamto equivalence of the public health system, thereby facilitating the vaginal delivery.

Experts point out that cervical ripening should be obligatorily performed in those pregnant women with unfavourable cervix (rigid, without delete, barely dilated uterus necks, etc.), but also offers good results in patients with obstetric conditions – without contractions-since the start of the delivery is much more effectivethe dilation is achieved at an optimal rate and shortens the time of delivery. To analyse not only the clinical or medical benefits, but the cost of such conduct, the induction of labour with prostaglandins is the option with greater cost-effectiveness in the pregnant woman to a conclusion.

For its part, induction is recommended provided that there is minimal risk to mother or fetus, in the case of pathological pregnancies, and at the end of the gestation in low-risk pregnancy, with strict control of mother and child, risks are minimal, comparable to any delivery of spontaneous onset.

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The non payment, the fall of the margin and the increase in the workload apuntillan system health and pharmaceutical

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default, the fall of the margin and the increase in the workload apuntillan system health and pharmaceutical

presentation of the study “ risks of the welfare State in drug delivery and proposals for an efficient model ”

-the measures referred to in the study would generate an economic positive impact of 4,000 million euros.

-offices of pharmacy with a volume of annual turnover to the national health system of between 15,000 and 20,000 recipes are at risk of survival.

-Performed in offices of pharmacy dispensing of medicines in hospitals facilitates the control of expenditure and prevents current covert copayment associated with dispensing in hospitals. In addition, favors the creation of employment.

Madrid, October 2011.- The growing incidence of chronic diseases by increased life expectancy, the lack of control in spending on hospital medicines and a problem of moral hazard in the consumption of drugs are the determinants of the growth of spending on medicines in Spain, according to the study “ risk of the welfare State in drug delivery and proposals for an efficient model “ submitted yesterday in Madrid.

Responsible for study, Dr. Francesco D. Sandulli, Professor at the University Complutense of Madrid and of California, Berkeley, and Professor David Cordova, director of senior programs at IE Business School, introduced him with the President of the Business Federation of pharmacists Spaniards (FEFE) Fernando Redondo. At the start of the event, Redondo referred to the non-payment, the big problem that threatens health in general and the pharmacist in particular, and noted the fall in the margin, the increase in the burden of work and, above all, default, “ apuntillan ” sector.

Analysis of situation

Professor Sandulli began the presentation of the study explaining that the increase in the incidence of chronic diseases – the first of the causes of the growth of spending – implies increased demand for medicines per capita and increases the weight of the passive classes in total consumption of drugs. As for the lack of control of the cost of medicines in hospitals, said that “ it has doubled in the last decade and the bulk of this expenditure is caused by patient, causing, in addition, a covert co-pay ”. Complutense University Professor also spoke of the “ problem of moral hazard in the consumption of drugs ” because the current system of co-responsibility in the payment of medicines the patient is becoming uncoupled from the economic impact of their consumption.

Professor Sandulli later addressed the economic viability of the pharmacy Office stating that between 1999 and 2009 spending on medicines excused in pharmacy Office grew 3.7 percent, while in 2010 the same expenditure fell by 7 per cent ”. In addition, in the last decade, the number of prescriptions per capita has increased 40%, while spending for prescription has fallen 32 percent. A fall in turnover and margin per employee, also occurs that increases the workload per employee. Thus, if the threshold of profitability was 14,500 recipes, by end of 2011 will be it placed on 17,500 recipes.

Containment

The first measurement of containment is to promote the monitoring of the State of health of citizens through specialised offices of pharmacy pharmaceutical intervention. The study reflects that if 30 percent of the population of chronic patients receive a specialized pharmaceutical intervention service the positive economic impact would be 1.6 billion euros. In addition, it would create skilled jobs.

On the other hand, if 30 percent of the drugs given in hospital gave at offices of pharmacy, the positive economic impact would amount to 590 million euros. Professor Sandulli qualifies in this respect that “ though it erodes the margin of the Office of pharmacy, helps the patient ”.

The third measure put forward in this study seeks to quantify the problem of moral hazard and is to redefine the system of financing and co-responsibility for consumption of drugs. Experts study here a simulation. Thus, they were considering elasticity of the demand for drugs equal to – 0.1, the measure might encourage responsible consumption and a reduction in spending of about EUR 600 million. The net effect on the Spanish economy would be good, to save 550 million euros.

The last proposed measure is also aimed to alleviate the effects of the problem of moral hazard and to achieve maximum economic efficiency in the access to medicines. It aims to reduce public spending in pharmaceutical on a set of drugs for the treatment of mild and occasional pathologies. As well, to make an approach to the defects of this measure and be able to quantify, was raised a theoretical exercise about all the medications of less than 2 euros PVL. This measure, which does not penalize patients with economic resources more small – medium of the same no more than 0.2 per cent of the pension being the impact more low – would produce an economic positive impact of over 738 million pesetas.

The study concludes talking about measures of increased productivity of Office Pharmacy and points out that if the ability of each employee productivity increased by 17 percent, the economic impact of the measure would be earnings exceeding the EUR 80 million, but employment would be destroyed and would not favour smaller pharmacies.

The conclusions.

-the consumption of drugs has better performance than other items of expenditure health.

-the three main causes of the growth of spending on medicines in Spain are:
1. Increasing incidence of chronic diseases and life expectancy
2. Lack of control in the cost of medicines in hospitals.
3. Problem of moral hazard in the consumption of drugs.

– the Office of pharmacy is trapped between two opposing forces: the fall of the margin and the increase in the burden of work.

-the economic viability of the offices of pharmacy with an annual turnover to the national health system located between 15,000 and 20,000 recipes are at risk for survival.

-specialized pharmaceutical intervention It helps to contain hospital expenses generated by the growing population of chronically ill and allows the creation of employment.

-the dispensation of medicines at the pharmacy instead of in the hospital Office facilitates the control of expenditure on medicines and prevents current covert copayment associated with hospital delivery and allows the creation of employment qualified.

-the responsibility of the citizen in the spending and the Elimination of the coverage of medicinal products used in minor pathologies allows the promotion of the responsible consumption of drugs and the moderation of the fall in the margin trade.

-productivity improvement action facilitates the absorption of the growing workload in the Office of Pharmacy, but does not imply any advantage for small pharmacies.

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Surah Al-Rehman – The Ultimate Free Remedy for Incurable Diseases

(By Listening Only- 20 Minutes Only)

Kindly download the Surah “AL-REHMAN” (recited by Qari Abdul Basit without translation) from here.


Treatment Plan

Just Listen to it three times a day (morning, afternoon, evening) for seven consecutive days using following procedure:-


    Before listening:

  • Close your eyes
  • Feel your self in front of ALLAH Almighty/ God
  • Then listen to it with greater concentration and closed eyes

    When the recitation/ AUDIO is finished:

  • Open your eyes and take half glass of water
  • Close your eyes again and say “ALLAH” three times in your heart with deep affection/ love
  • Then drink the water with closed eyes in three sips

Surah Al-Rehman – The Ultimate Free Remedy for Incurable Diseases

(By Listening Only- 20 Minutes Only)

Kindly download the Surah “AL-REHMAN” (recited by Qari Abdul Basit without translation) from here.


Treatment Plan

Just Listen to it three times a day (morning, afternoon, evening) for seven consecutive days using following procedure:-


    Before listening:

  • Close your eyes
  • Feel your self in front of ALLAH Almighty/ God
  • Then listen to it with greater concentration and closed eyes

    When the recitation/ AUDIO is finished:

  • Open your eyes and take half glass of water
  • Close your eyes again and say “ALLAH” three times in your heart with deep affection/ love
  • Then drink the water with closed eyes in three sips