Javier Mar
Biographic Data
| ID | 4046820 |
|---|---|
| NAME | Javier Mar |
| GIVEN NAMES | Javier |
| FAMILY NAME | Mar |
| SIGNATURE | MAR J |
| AFFILIATIONS | Biogipuzkoa Health Research Institute |
| ORCID | 0000-0002-9455-4869 |
| VERIFIED | Yes |
| TOTAL WORKS | 25 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 25 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2016 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Hospitalization and referral for mental illness among people under 30 in Euskadi
OBJECTIVE: To explore the trends in hospitalisations and referrals to a psychiatrist among 0- to 30-year-olds with a pre-existing mental disorder between 2019 and 2022. METHOD: We conducted an observational study of psychiatric hospitalisations and referrals from primary care to psychiatric services in the Basque Country population aged 0-30 years with a previously recorded mental disorder, from 2019 to 2022. Logistic regression models were used …
Healthcare inequity among people with dementia in Gipuzkoa
To compare the use of healthcare resources among the Gipuzkoa population with and without dementia. A retrospective, cross-sectional cost study was conducted on the entire population over 60 years of age registered with the Basque Health Service. We measured the use of health services (hospital and primary care) and health needs as a function of the presence of dementia and neuropsychiatric symptoms, adjusting for age, sex and comorbidity. Genera…
Evaluation of the epidemiological and economic impact of the Adlife intervention on medium- to long-term in patients with advanced chronic disease
Introduction: Patients with advanced chronic disease (ACD) experience transitions in their clinical stability, leading to increased healthcare resource use and costs. EU-funded ADLIFE digital intervention aimed to ensure their quality of life through individualised care plans, clinical decision-making support, and patient empowerment. This study assessed the impact and sustainability of ADLIFE. Materials and methods: Target population included pa…
Cost-effectiveness of direct oral anticoagulants in non-valvular atrial fibrillation
There is evidence on the efficiency of new direct oral anticoagulants (DOAC), mostly based on experimental efficacy data, but there is also a need to assess their cost-effectiveness in routine clinical practice using patient-level data. We designed a retrospective cohort study to assess the cost-effectiveness of DOAC compared to acenocoumarol in patients with non-valvular atrial fibrillation (NVAF) with a follow-up of up to 7 years. Basque Health…
El Exceso De Coste Social Directo De Los Síntomas Neuropsiquiátricos Relacionados Con La Demencia
The impact of non-pharmaceutical interventions on Covid-19 transmission and its effect on life expectancy in two European regions
Our model calibration approach provides a valuable tool for evaluating the effectiveness of interventions across multiple waves of an epidemic. By applying this method to COVID-19 dynamics, we have demonstrated the capacity to quantify the impact of non-pharmaceutical interventions (NPIs) on transmission rates. These findings offer practical insights into the effectiveness of NPIs in mitigating COVID-19 spread and contribute to the broader unders…
Gaceta Sanitaria en 2023. La función debe continuar. Adiós y gracias
Descriptive and predictive analysis identify centenarians' characteristics from the Basque population
Background: Centenarians exhibit extreme longevity and have been postulated, by some researchers, as a model for healthy aging. The identification of the characteristics of centenarians might be useful to understand the process of human aging. Methods: In this retrospective study, we took advantage of demographic, clinical, biological, and functional data of deceased individuals between 2014 and 2020 in Guipúzcoa (Basque Country, Spain) taken fro…
Gaceta Sanitaria en 2022. Máximo factor de impacto histórico y adecuación para la publicación continua
Coste-efectividad de la vacunación universal infantil frente a la hepatitis A en España
Evaluar el coste-efectividad de diferentes estrategias de vacunación universal infantil frente a la hepatitis A en España. A partir de un modelo dinámico y un árbol de decisión, se realizó un análisis de coste-efectividad para comparar tres estrategias de vacunación frente a la hepatitis A: no vacunación y vacunación universal infantil con una y dos dosis. La perspectiva del estudio escogida fue la del Sistema Nacional de Salud (SNS) y se conside…
Conflictos armados y crímenes de lesa humanidad. ¿Por qué persisten
Assessment of the Effectiveness, Socio-Economic Impact and Implementation of a Digital Solution for Patients with Advanced Chronic Diseases
Due to population ageing and medical advances, people with advanced chronic diseases (ACD) live longer. Such patients are even more likely to face either temporary or permanent reduced functional reserve, which typically further increases their healthcare resource use and the burden of care on their caregiver(s). Accordingly, these patients and their caregiver(s) may benefit from integrated supportive care provided via digitally supported interve…
Experimental One-Sided Choppers Relating Neuromuscular Human Abilities to Heart Rates and Technological Evolution
The length of time it takes to experimentally make one-sided choppers, as found in the fossil record, bears a linear relationship to the knapping process of fabricating them. In addition, this temporal frame appears to be related to human heart rates measured as beats per minute, which act as a physiological metronome. We achieved these observations, assuming that any paleolithic one-sided chopper has the information needed to estimate, quantitat…
Gaceta Sanitaria en 2021. Proteger el planeta para proteger la salud
Sociología, Trabajo Social y Salud Pública
Changes in Social and Clinical Determinants of Covid-19 Outcomes Achieved by the Vaccination Program
Despite the lifting of many control measures during the second half of 2021, restoring human mobility patterns, the situation could not be defined as syndemic, clinical determinants seeming to have more influence than social ones on COVID-19 outcomes, both before and after vaccination program implementation
Cost-effectiveness of extending the HPV vaccination to boys
Gaceta Sanitaria en 2019. Trabajando para mejorar la eficiencia en la publicación científica
Como cada año, presentamos el informe de la actividad realizada por el equipo editorial a lo largo de 2019, así como los datos de desempeño de la revista. El documento permite analizar los avances y las áreas de mejora de la revista, así como los logros más relevantes que fueron alcanzados.\n\n\t\t\t\t Este año queremos destacar los progresos realizados en la implementación de medidas para mejorar la eficiencia y la integridad en la publicación c…
Probabilistic cost-utility analysis and expected value of perfect information for the Oncotype multigenic test
To carry out a cost-utility analysis of the application of the Oncotype genomic test to inform the decision to use or not to use chemotherapy in the Basque Country (Spain). The cost-utility study was carried out using a discrete event simulation model representing the natural history of breast cancer. The decision of treatment with chemotherapy based on Oncotype was compared with the standard of treatment based on clinical-pathological criteria. …
Los retos actuales de la salud mental desde la Salud Pública y la Administración Sanitaria. Informe Sespas 2020
Application of two-part models and Cholesky decomposition to incorporate covariate-adjusted utilities in probabilistic cost-effectiveness models
This study aimed to explain a joint statistical procedure (two-part models and Cholesky decomposition) to incorporate second-order uncertainty from covariate adjusted mean utility functions in probabilistic cost-effectiveness models. First, two-part models were applied to obtain parameters for the utility function. Second, a new set of correlated parameters for each simulation was obtained by Cholesky decomposition. The procedure was applied to E…
Impact Assessment of an Innovative Integrated Care Model for Older Complex Patients with Multimorbidity
The CareWell program resulted in improvements in the use of health services, strengthening the role of PC as the cornerstone of care provision for complex patients with multimorbidity
UPRIGHT, a resilience-based intervention to promote mental well-being in schools
ClinicalTrials.gov Identifier: NCT03951376 . Registered 15 May 2019
Evaluation of the colorectal cancer screening Programme in the Basque Country (Spain) and its effectiveness based on the Miscan-colon model
The Basque Country CRC Programme results are aligned to its strategy and comparable to other programmes. MISCAN model was found to be a useful tool to predict the benefits of the programme in the future. The effectiveness of the Programme has not been formally established as case control studies are required to determine long term benefits from the screening strategy
Development of a New Integrated Care Organizational Model for Patients with Complex Needs in The Basque Country
An introduction: (comprising context and problem statement) The high prevalence of patients with complex needs is an increasingly worrying reality in health systems. The most characteristic features of the current healthcare model are the fragmentation of care levels, the lack of coordination, integration and continuity in patient care, leading to problems of inappropriate use of human and economic resources and health services. The problem requi…
Modeling approach to managing the deployment of integrated organizational models for multi-morbid patients in the CareWell study. The Basque Country case
Introduction: An integrated care approach supported by information and communication technologies (ICT) is being deployed in the Basque Country within the European CareWell project, to best respond to the complex needs of multi-morbid patients. Our statistical analysis carried out in Donostialdea County has demonstrated that the profile of resource consumption has not shown the expected changes. The fact that no significant differences were found…
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Modeling approach to managing the deployment of integrated organizational models for multi-morbid patients in the CareWell study. The Basque Country case
Introduction: An integrated care approach supported by information and communication technologies (ICT) is being deployed in the Basque Country within the European CareWell project, to best respond to the complex needs of multi-morbid patients. Our statistical analysis carried out in Donostialdea County has demonstrated that the profile of resource consumption has not shown the expected changes. The fact that no significant differences were found…
Evaluation of the colorectal cancer screening Programme in the Basque Country (Spain) and its effectiveness based on the Miscan-colon model
The Basque Country CRC Programme results are aligned to its strategy and comparable to other programmes. MISCAN model was found to be a useful tool to predict the benefits of the programme in the future. The effectiveness of the Programme has not been formally established as case control studies are required to determine long term benefits from the screening strategy
Development of a New Integrated Care Organizational Model for Patients with Complex Needs in The Basque Country
An introduction: (comprising context and problem statement) The high prevalence of patients with complex needs is an increasingly worrying reality in health systems. The most characteristic features of the current healthcare model are the fragmentation of care levels, the lack of coordination, integration and continuity in patient care, leading to problems of inappropriate use of human and economic resources and health services. The problem requi…
UPRIGHT, a resilience-based intervention to promote mental well-being in schools
ClinicalTrials.gov Identifier: NCT03951376 . Registered 15 May 2019
Gaceta Sanitaria en 2019. Trabajando para mejorar la eficiencia en la publicación científica
Como cada año, presentamos el informe de la actividad realizada por el equipo editorial a lo largo de 2019, así como los datos de desempeño de la revista. El documento permite analizar los avances y las áreas de mejora de la revista, así como los logros más relevantes que fueron alcanzados.\n\n\t\t\t\t Este año queremos destacar los progresos realizados en la implementación de medidas para mejorar la eficiencia y la integridad en la publicación c…
Probabilistic cost-utility analysis and expected value of perfect information for the Oncotype multigenic test
To carry out a cost-utility analysis of the application of the Oncotype genomic test to inform the decision to use or not to use chemotherapy in the Basque Country (Spain). The cost-utility study was carried out using a discrete event simulation model representing the natural history of breast cancer. The decision of treatment with chemotherapy based on Oncotype was compared with the standard of treatment based on clinical-pathological criteria. …
Los retos actuales de la salud mental desde la Salud Pública y la Administración Sanitaria. Informe Sespas 2020
Application of two-part models and Cholesky decomposition to incorporate covariate-adjusted utilities in probabilistic cost-effectiveness models
This study aimed to explain a joint statistical procedure (two-part models and Cholesky decomposition) to incorporate second-order uncertainty from covariate adjusted mean utility functions in probabilistic cost-effectiveness models. First, two-part models were applied to obtain parameters for the utility function. Second, a new set of correlated parameters for each simulation was obtained by Cholesky decomposition. The procedure was applied to E…
Impact Assessment of an Innovative Integrated Care Model for Older Complex Patients with Multimorbidity
The CareWell program resulted in improvements in the use of health services, strengthening the role of PC as the cornerstone of care provision for complex patients with multimorbidity
Cost-effectiveness of extending the HPV vaccination to boys
Gaceta Sanitaria en 2021. Proteger el planeta para proteger la salud
Sociología, Trabajo Social y Salud Pública
Changes in Social and Clinical Determinants of Covid-19 Outcomes Achieved by the Vaccination Program
Despite the lifting of many control measures during the second half of 2021, restoring human mobility patterns, the situation could not be defined as syndemic, clinical determinants seeming to have more influence than social ones on COVID-19 outcomes, both before and after vaccination program implementation
Descriptive and predictive analysis identify centenarians' characteristics from the Basque population
Background: Centenarians exhibit extreme longevity and have been postulated, by some researchers, as a model for healthy aging. The identification of the characteristics of centenarians might be useful to understand the process of human aging. Methods: In this retrospective study, we took advantage of demographic, clinical, biological, and functional data of deceased individuals between 2014 and 2020 in Guipúzcoa (Basque Country, Spain) taken fro…
Gaceta Sanitaria en 2022. Máximo factor de impacto histórico y adecuación para la publicación continua
Coste-efectividad de la vacunación universal infantil frente a la hepatitis A en España
Evaluar el coste-efectividad de diferentes estrategias de vacunación universal infantil frente a la hepatitis A en España. A partir de un modelo dinámico y un árbol de decisión, se realizó un análisis de coste-efectividad para comparar tres estrategias de vacunación frente a la hepatitis A: no vacunación y vacunación universal infantil con una y dos dosis. La perspectiva del estudio escogida fue la del Sistema Nacional de Salud (SNS) y se conside…
Conflictos armados y crímenes de lesa humanidad. ¿Por qué persisten
Assessment of the Effectiveness, Socio-Economic Impact and Implementation of a Digital Solution for Patients with Advanced Chronic Diseases
Due to population ageing and medical advances, people with advanced chronic diseases (ACD) live longer. Such patients are even more likely to face either temporary or permanent reduced functional reserve, which typically further increases their healthcare resource use and the burden of care on their caregiver(s). Accordingly, these patients and their caregiver(s) may benefit from integrated supportive care provided via digitally supported interve…
Experimental One-Sided Choppers Relating Neuromuscular Human Abilities to Heart Rates and Technological Evolution
The length of time it takes to experimentally make one-sided choppers, as found in the fossil record, bears a linear relationship to the knapping process of fabricating them. In addition, this temporal frame appears to be related to human heart rates measured as beats per minute, which act as a physiological metronome. We achieved these observations, assuming that any paleolithic one-sided chopper has the information needed to estimate, quantitat…
Gaceta Sanitaria en 2023. La función debe continuar. Adiós y gracias
Evaluation of the epidemiological and economic impact of the Adlife intervention on medium- to long-term in patients with advanced chronic disease
Introduction: Patients with advanced chronic disease (ACD) experience transitions in their clinical stability, leading to increased healthcare resource use and costs. EU-funded ADLIFE digital intervention aimed to ensure their quality of life through individualised care plans, clinical decision-making support, and patient empowerment. This study assessed the impact and sustainability of ADLIFE. Materials and methods: Target population included pa…
Cost-effectiveness of direct oral anticoagulants in non-valvular atrial fibrillation
There is evidence on the efficiency of new direct oral anticoagulants (DOAC), mostly based on experimental efficacy data, but there is also a need to assess their cost-effectiveness in routine clinical practice using patient-level data. We designed a retrospective cohort study to assess the cost-effectiveness of DOAC compared to acenocoumarol in patients with non-valvular atrial fibrillation (NVAF) with a follow-up of up to 7 years. Basque Health…
El Exceso De Coste Social Directo De Los Síntomas Neuropsiquiátricos Relacionados Con La Demencia
The impact of non-pharmaceutical interventions on Covid-19 transmission and its effect on life expectancy in two European regions
Our model calibration approach provides a valuable tool for evaluating the effectiveness of interventions across multiple waves of an epidemic. By applying this method to COVID-19 dynamics, we have demonstrated the capacity to quantify the impact of non-pharmaceutical interventions (NPIs) on transmission rates. These findings offer practical insights into the effectiveness of NPIs in mitigating COVID-19 spread and contribute to the broader unders…
Hospitalization and referral for mental illness among people under 30 in Euskadi
OBJECTIVE: To explore the trends in hospitalisations and referrals to a psychiatrist among 0- to 30-year-olds with a pre-existing mental disorder between 2019 and 2022. METHOD: We conducted an observational study of psychiatric hospitalisations and referrals from primary care to psychiatric services in the Basque Country population aged 0-30 years with a previously recorded mental disorder, from 2019 to 2022. Logistic regression models were used …
Healthcare inequity among people with dementia in Gipuzkoa
To compare the use of healthcare resources among the Gipuzkoa population with and without dementia. A retrospective, cross-sectional cost study was conducted on the entire population over 60 years of age registered with the Basque Health Service. We measured the use of health services (hospital and primary care) and health needs as a function of the presence of dementia and neuropsychiatric symptoms, adjusting for age, sex and comorbidity. Genera…
Medicine (14 works) · Nursing (7 works) · Chronic Disease Management Strategies (6 works) · Environmental health (6 works) · Health care (6 works) · Health Systems, Economic Evaluations, Quality of Life (6 works) · Population (5 works) · Computer Science (4 works) · Humanities (4 works) · Integrated care (4 works)