Francisco Garrido Peña

El enfoque de género en las necesidades de atención sociosanitaria

Social conditions are the first environment that modulate external factors which impact on health. In turn gender is a decisive factor in these social determinants of health. This paper analyzes gender bias in the health system as a relevant part in social determinants. We can distinguish three types of bias: cognitive, social, and institutional. In the institutional biases, we analyze the risks of gender and costs originated from the coordination between the health system and the system of social protection. Finally, we suggest a series of measures to minimize these biases and risks.

Factores predictores de la institucionalización de personas mayores en situación de dependencia en Andalucía

OBJECTIVE Identifying preferences regarding type of care and risk factors for institutionalization of elderly persons in dependency situations in Andalusia. METHODS The data on 200,039 persons registered in the System for Autonomy and Dependency Care over the period 2007-2012 were analysed. The study population was described in terms of: age, dependency situation, preferences, support network and clinical factors at the time of inclusion in the study. Separate analysis was made for men and women. A logistic regression model was designed to determine the risk factors for institutionalization for each sex. RESULTS 87,4% of women and 85,9% of men expressed their wish to receive care in their own home. The risk of institutionalization is three times higher among men than among women. Among women, the risks of institutionalization are: level of dependency, wishing to move into a residential care home, medium consistency and fragility of support network and being diagnosed with dementia. Among men, the risks are: wishing to move into a residential care home and low or medium consistency of support network. CONCLUSIONS Care in the home is the preferred alternative for elderly persons in dependency situations. The risk of institutionalization is conditioned more by the preferences of the person and their family and the characteristics of the support network than by individuals clinical condition.

Participação em debate: uma avaliação qualitativa do plano Andaluz de HIV/AIDS

This paper aims to analyze the perspectives and meanings of social participation for the participants in a health program. A qualitative evaluation was conducted on the Andalusian Program against HIV/Aids and other sexually transmitted infections. The participants were selected through a theoretic sample: 20 HIV carriers, 19 representatives and volunteers from anti HIV associations and six administrative representatives. The information was obtained through semi-structured interviews and triangle groups; content analysis was performed. Participation has different meanings to the participant groups. HIV carriers consider it should be accomplished by communication mechanisms, support and prevention; association members consider it a right and a tool to change health policies, while two conceptions coexist among administrative representatives. The encouragement of participatory designs is proposed that respect the theoretical diversity and favor interaction based on distinct attitudes.Este trabajo tiene como objetivo analizar las perspectivas y significados que tienen de la participacion social los principales actores involucrados en un programa de salud. Se realizo una evaluacion cualitativa del Programa Andaluz frente al VIH/Sida y otras infecciones de trasmision sexual. Mediante muestreo teorico se seleccionaron los participantes: 20 portadores de VIH, 19 representantes y voluntarios de asociaciones antisida y seis representantes de la administracion. La informacion se obtuvo mediante entrevistas semi-estructuradas y grupos triangulares; haciendose analisis de contenido. La participacion tiene significados diferentes para los grupos participantes. Los portadores de VIH consideran que debe concretarse en mecanismos de comunicacion, ayuda y prevencion; los integrantes de asociaciones la entienden como un derecho y una herramienta para cambiar las politicas sanitarias, mientras que en los representantes de la administracion coexisten dos concepciones. Se propone impulsar disenos participativos que respeten la diversidad teorica y favorezcan la interaccion desde distintas posturas.

La participación a debate: una evaluación cualitativa del plan Andaluz frente al VIH/SIDA

This paper aims to analyze the perspectives and meanings of social participation for the participants in a health program. A qualitative evaluation was conducted on the Andalusian Program against HIV/Aids and other sexually transmitted infections. The participants were selected through a theoretic sample: 20 HIV carriers, 19 representatives and volunteers from anti HIV associations and six administrative representatives. The information was obtained through semi-structured interviews and triangle groups; content analysis was performed. Participation has different meanings to the participant groups. HIV carriers consider it should be accomplished by communication mechanisms, support and prevention; association members consider it a right and a tool to change health policies, while two conceptions coexist among administrative representatives. The encouragement of participatory designs is proposed that respect the theoretical diversity and favor interaction based on distinct attitudes.Este trabajo tiene como objetivo analizar las perspectivas y significados que tienen de la participacion social los principales actores involucrados en un programa de salud. Se realizo una evaluacion cualitativa del Programa Andaluz frente al VIH/Sida y otras infecciones de trasmision sexual. Mediante muestreo teorico se seleccionaron los participantes: 20 portadores de VIH, 19 representantes y voluntarios de asociaciones antisida y seis representantes de la administracion. La informacion se obtuvo mediante entrevistas semi-estructuradas y grupos triangulares; haciendose analisis de contenido. La participacion tiene significados diferentes para los grupos participantes. Los portadores de VIH consideran que debe concretarse en mecanismos de comunicacion, ayuda y prevencion; los integrantes de asociaciones la entienden como un derecho y una herramienta para cambiar las politicas sanitarias, mientras que en los representantes de la administracion coexisten dos concepciones. Se propone impulsar disenos participativos que respeten la diversidad teorica y favorezcan la interaccion desde distintas posturas.

Participation in debate: a qualitative assessment of the andalusian plan for HIV/AIDS

This paper aims to analyze the perspectives and meanings of social participation for the participants in a health program. A qualitative evaluation was conducted on the Andalusian Program against HIV/Aids and other sexually transmitted infections. The participants were selected through a theoretic sample: 20 HIV carriers, 19 representatives and volunteers from anti HIV associations and six administrative representatives. The information was obtained through semi-structured interviews and triangle groups; content analysis was performed. Participation has different meanings to the participant groups. HIV carriers consider it should be accomplished by communication mechanisms, support and prevention; association members consider it a right and a tool to change health policies, while two conceptions coexist among administrative representatives. The encouragement of participatory designs is proposed that respect the theoretical diversity and favor interaction based on distinct attitudes.Este trabajo tiene como objetivo analizar las perspectivas y significados que tienen de la participacion social los principales actores involucrados en un programa de salud. Se realizo una evaluacion cualitativa del Programa Andaluz frente al VIH/Sida y otras infecciones de trasmision sexual. Mediante muestreo teorico se seleccionaron los participantes: 20 portadores de VIH, 19 representantes y voluntarios de asociaciones antisida y seis representantes de la administracion. La informacion se obtuvo mediante entrevistas semi-estructuradas y grupos triangulares; haciendose analisis de contenido. La participacion tiene significados diferentes para los grupos participantes. Los portadores de VIH consideran que debe concretarse en mecanismos de comunicacion, ayuda y prevencion; los integrantes de asociaciones la entienden como un derecho y una herramienta para cambiar las politicas sanitarias, mientras que en los representantes de la administracion coexisten dos concepciones. Se propone impulsar disenos participativos que respeten la diversidad teorica y favorezcan la interaccion desde distintas posturas.