Ildefonso Hernández‐aguado
Datos Biográficos
| ID | 4808650 |
|---|---|
| NOMBRE | Ildefonso Hernández‐aguado |
| NOMBRES | Ildefonso |
| APELLIDO | Hernández‐aguado |
| FIRMA | AGUADO I H |
| AFILIACIONES | Universitat de Miguel Hernández d'Elx |
| ORCID | 0000-0003-1911-5759 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAS | 17 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1994 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Assessing the impact of co-created community initiatives on health and equity
Introduction: The Western health system has primarily focused on a biomedical approach, prioritizing pharmaceutical and clinical treatments while overlooking the social, economic, psychological, and environmental dimensions of health. As a result, biomedical solutions have received disproportionate attention, while non-pharmacological, community-based interventions remain underutilized. The CAIR project seeks to address this imbalance by co-creat…
Guías y otros documentos que también guían la práctica clínica
Financial conflicts of interest among authors of clinical practice guidelines in Spain
To assess the financial conflicts of interest (COI) reported by authors of major clinical practice guidelines (CPG) in Spain, based on their COI declaration. We conducted a cross-sectional study comparing the financial COI declared by CPG authors with the transfers of value reported by pharmaceutical companies. Author declarations were extracted from CPG developed for the management of diverse disease conditions. Data on industry transfers of val…
Abuse of power over medical residents and students
OBJECTIVE: To qualitatively analyze the abuse situations, as well as victims' perception on the resources needed for reporting and prevention. METHOD: Interviews with 10 medical students and 15 medical residents were conducted using a semi-structured questionnaire. The interviews were interrupted once saturation was reached in both aspects of the research subject. Information was collected using pre-designed outlines and completed with transcribe…
Evaluación independiente de la crisis de la Covid-19. Lecciones por aprender
El informe de evaluación independiente del desempeño del Sistema Nacional de Salud frente a la crisis de la COVID-19 es riguroso y está bien planteado y ejecutado. Ha contado con la participación de numerosas personas expertas e instituciones. Destaca el esfuerzo altruista de los coordinadores y de centenares de personas expertas, profesionales y ciudadanos/as que no justifica la asimetría entre el «todo gratis» cuando se trata de inteligencia co…
Prioridades de políticas de salud. Encuentro Sespas en la XXXIII Escuela de Salud Pública de Menorca
OBJECTIVE: In September 2022, the Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS) brought together a panel of experts with the aim of defining and prioritizing health policy proposals, from the perspective of the Spanish State as a whole, to adapt the National Health System (NHS) to current risks and to contemporary/present-day society. METHOD: Expert meeting structured using a mix of procedures adapted from brainstorming, …
La Agencia Estatal de Salud Pública
La creación de un centro estatal de salud pública, con una dotación adecuada de recursos, permitirá afrontar los desafíos de la salud pública del presente y del futuro en España. Para ello, las funciones de esta futura institución, que se propone como Agencia Estatal, deben abordar, además de las necesidades habituales de organización de la salud pública, la conexión de estas con los Objetivos de Desarrollo Sostenible, coordinando una estrategia …
Reflexiones sobre cómo evaluar y mejorar la respuesta a la pandemia de Covid-19
The COVID-19 pandemic has hit Spain particularly hard, despite being a country with a developed economy and being praised for the robustness of its national health system. In order to understand what happened and to identify how to improve the response, we believe that an independent multi-disciplinary evaluation of the health, political and socio-economic spheres is essential. In this piece we propose objectives, principles, methodology and dime…
Solving gender gaps in health, what else is missing
In recent years, a great deal of attention has been paid to gender inequities in health. However, while we have a good body of evidence on the impact of gender on the health and vulnerability of women and men, we have not yet been able to generate sufficient evidence on effective interventions that can transform this situation or can influence public health policy making. Only a limited number of educational interventions on gender-sensitivity, g…
Evolution of Legislation and Crimes Based on Sexual Identity or Orientation in Spain
Respect for different sexual options and orientations prevents the occurrence of hate crimes against lesbian, gay, bisexual, trans and intersex (LGTBI) persons for this reason. Our aim was to review the legislation that protects the rights of LGTBI people and to quantify the victimization rates of hate crimes based on sexual identity and orientation. A retrospective observational study was conducted across all regions of Spain from 2011-2021. The…
PROSHADE Protocol
Background: Opportunistic prostate-specific antigen (PSA) screening may reduce prostate cancer mortality risk but is associated with false positive results, biopsy complications and overdiagnosis. Although different organisations have emphasised the importance of shared decision making (SDM) to assist men in deciding whether to undergo prostate cancer screening, recent evaluations show that the available decision aids fail to facilitate SDM, main…
Defunciones por Covid-19
La exactitud en el número de defunciones por COVID-19 ha generado polémica pública. La urgencia en disponer de esta información conjuntamente con otros datos para valorar la pandemia, ha inducido una variedad de procedimientos y formatos de modo que los datos no siempre se han tramitado de forma comparable al Ministerio de Sanidad. La elaboración de las estadísticas de mortalidad es compleja. Intervienen varias administraciones centrales y autonó…
Será mejor la salud pública tras la Covid-19
Encuadre mediático de la obesidad infantil en las noticias de prensa generalista en España
OBJECTIVE: To explore the frame, individual or collective, of childhood obesity in the main Spanish lay media. METHOD: Analysis of a convenience sample of 132 publications regarding childhood obesity (August 2016-September 2018). Descriptive analysis about approach, measures and causes of obesity and food industry influence in the development of the publication. RESULTS: 47% of the publications presented an individual approach. 54% included eatin…
Social Capital during the First Wave of the Covid-19 Outbreak
The rapidly evolving coronavirus pandemic has drastically altered the economic and social lives of people throughout the world. Our overall goal is to understand the mechanisms through which social capital shaped the community response to the pandemic on the island of Menorca, Spain, which was under a strict lockdown in 2020. Between April and June 2020, we performed qualitative interviews ( n = 25) of permanent residents of the island. From the …
Contextualizing Evidence for Action on Diabetes in Low-Resource Settings—Project Cead Part-II, Strengthening the Health System
Diabetes is a major public health problem, increasingly affecting low- and middle-income countries. The project CEAD (Contextualizing Evidence for Action in Diabetes in low-resource settings) aims to evaluate the implementation of comprehensive diabetes care in two low-resource settings in Ecuador and to stimulate context-led health systems innovations to improve diabetes care and reduce inequity. The mixed-methods approach includes a 24-month re…
Revolving doors and conflicts of interest in health regulatory agencies in Brazil
The 'Revolving Doors' phenomenon is both controversial and common worldwide, but little evidence exists from health sectors in low and middle-income countries (LMIC). We analyse the circulation of agents from regulatory to regulated entities in Brazil's two main health regulatory agencies. Almost half of the executives from such agencies in the last 20 years either started in or ended up working for the private health sector. We discuss paths and…
Contextualizing Evidence for Action on Diabetes in Low-Resource Settings—Project Cead Part I
Challenges remain for policy adoption and implementation to tackle the unprecedented and relentless increase in obesity, diabetes and other non-communicable diseases (NCDs), especially in low- and middle-income countries. The aim of this mixed-methods study is to analyse the contextual relevance and applicability to low-resource settings of a sample of evidence-based healthy public policies, using local knowledge, perceptions and pertinent epidem…
Gender disparities in clinical practice
The role of the media in the health policymaking process
Health and political communication disciplines address the influences that mass media have on health policy processes such as agenda setting and framing. However, we have fewer insights into the direct interactions among interest groups, media, and decision-makers. We conducted a case study using semi-structured interviews with journalists (N = 7) and other key actors in Spanish health policy (N = 47). A purposive sample of interviewees sought to…
Investigación en salud pública
Este artículo pretende contribuir al debate sobre la objetividad de la ciencia, la independencia y la libertad académica de quienes investigan. A partir de una breve panorámica sobre los factores que moldean la investigación en salud pública, se pretende iniciar una reflexión desde la perspectiva ética sobre la libertad de los y las investigadoras a la hora de realizar su investigación -las fuerzas externas e internas que la moldean- y el propósi…
The impact of the tax on sweetened beverages
Pathways of undue influence in health policy-making
BACKGROUND: It is crucial to know the extent to which influences lead to policy capture-by which the policy-making process is shifted away from the public interest towards narrow private interests. Using the case study of Spain, our aim was to identify interactions between public administration, civil society and private companies that could influence health policies. METHODS: 54 semistructured interviews with key actors related to health policy.…
The tobacco ban in Spain
In January 2011 new legislation on tobacco control, a smoke-free policy, was enacted in Spain that amended the former law in force since January 2006. The new regulation removed all exceptions for hospitality venues, which had been used to continue to allow smoking in most bars and restaurants. The new law also added some restrictions on smoking in open places. The former law was a step forward in smoking prevention and implemented many of the me…
Health information and advocacy for “Health in All Policies”
Placing health in the agendas of all policy makers remains a challenge. Finding new ways to boost Health in All Policies should be a continuous process. Currently, health information initiatives gather core health statistics, indicators related to healthcare, along with individual level risk factors such as smoking or obesity. However, there is a lack of identifiable information showing the effect of non-primary health policies on population heal…
The Environmental Millennium Development Goal
Pathways of undue influence in health policy-making
BACKGROUND: It is crucial to know the extent to which influences lead to policy capture-by which the policy-making process is shifted away from the public interest towards narrow private interests. Using the case study of Spain, our aim was to identify interactions between public administration, civil society and private companies that could influence health policies. METHODS: 54 semistructured interviews with key actors related to health policy.…
The tobacco ban in Spain
In January 2011 new legislation on tobacco control, a smoke-free policy, was enacted in Spain that amended the former law in force since January 2006. The new regulation removed all exceptions for hospitality venues, which had been used to continue to allow smoking in most bars and restaurants. The new law also added some restrictions on smoking in open places. The former law was a step forward in smoking prevention and implemented many of the me…
Health information and advocacy for “Health in All Policies”
Placing health in the agendas of all policy makers remains a challenge. Finding new ways to boost Health in All Policies should be a continuous process. Currently, health information initiatives gather core health statistics, indicators related to healthcare, along with individual level risk factors such as smoking or obesity. However, there is a lack of identifiable information showing the effect of non-primary health policies on population heal…
Maternal glucose tolerance status influences the risk of macrosomia in male but not in female fetuses
OBJECTIVE: To elucidate whether the risk of macrosomia, large for gestational age (LGA) and small for gestational age (SGA) is influenced by maternal body mass index and glucose tolerance differently in male and female fetuses. METHODS: A population study was conducted in 16 general hospitals from the Spanish National Health Service that included 9270 consecutive women with singleton pregnancies and without a former diagnosis of diabetes mellitus…
Sharing hypotheses and ideas in public health research
Collaboration and sharing of research resources and ideas in the development of science
Gender differences in progression to Aids and death from HIV seroconversion in a cohort of injecting dug users from 1986 to 2001
Background: Although the consensus is that gender does not influence HIV progression, its relevance may depend on the setting. Aim: To study gender differences in HIV progression to AIDS and death from 1986 to 2001 in a cohort of injecting drug user (IDU) seroconverters in Spain. Methods: Risk of AIDS and death in persons infected for the same length of time were compared through Kaplan-Meier, allowing for late entry, and Cox regression adjusting…
Globalisation and health
There is a growing concern about the effects of globalisation on health. Different positions for and against globalisation are arising in the public health community world wide as they are in the different political persuasions in our societies. The JECH offers to its readers a debate on this topic with participation of Frances Baum, Ron Labonte, Douglas Bettcher, Heather Wipfli, and Kelley Lee. Irrespective of the positions of the different pers…
Neocolonialism and epidemiology
The International Conference on Health Research for Development celebrated last year in Bangkok provided the stimulus for a special issue of the BMJ related to global health and the governance of global health research was discussed. Several papers emphasised the need to turn round the inequitable nature of health research. The effect on health research of the interests and conditions posed by the international funding bodies was considered also …
Aids in Spain
The epidemiologic transition theory to describe and explain the spectacular fall in mortality which has occurred in all currently industrialised countries, it can also be used to speculate on the likely consequences of future changes in mortality in countries which are lagging behind those which have already completed the epidemiolo- gic transition: will a fall in infectious disease mortality in currently developing countries lead to a rise in ch…
Smoking and drinking habits before and during pregnancy in Spanish women
STUDY OBJECTIVE--To investigate possible changes in smoking and drinking habits during pregnancy and to elucidate the sociodemographic factors associated with these changes in Spanish women. DESIGN--A cross-sectional survey. PARTICIPANTS AND SETTING--A total of 1004 pregnant women of between 12 and 18 weeks of gestation who were attending the antenatal clinic of the main regional hospital of Valencia (Spain) during 1989 were studied. All particip…
Variation in Surgical Rates
OBJECTIVES: The objective of this study was to compare the use of certain surgical services by physicians to three other professional groups (architects, lawyers, and nurses) and to the general population. To meet this objective, variations in six surgical procedures were studied: appendectomy, tonsillectomy, herniorrhaphy, cholecystectomy, cesarean section, and hysterectomy. METHODS: This was a cross-sectional study in the city of Valencia (Spai…
More opportunities for your opinions
In this numberMore opportunities for your opinions: The JECH speaker's corner Although the world has been always changing, there is some consensus concerning the high speed of current changes.The classic way in the public health community to shape opinions was the use of conferences, seminars, papers and books.But we should maybe accept that in a high speed changing world we need new tools in accordance to our times and the times to come.This is …
Globalisation and health
There is a growing concern about the effects of globalisation on health. Different positions for and against globalisation are arising in the public health community world wide as they are in the different political persuasions in our societies. The JECH offers to its readers a debate on this topic with participation of Frances Baum, Ron Labonte, Douglas Bettcher, Heather Wipfli, and Kelley Lee. Irrespective of the positions of the different pers…
Neocolonialism and epidemiology
The International Conference on Health Research for Development celebrated last year in Bangkok provided the stimulus for a special issue of the BMJ related to global health and the governance of global health research was discussed. Several papers emphasised the need to turn round the inequitable nature of health research. The effect on health research of the interests and conditions posed by the international funding bodies was considered also …
Roots and Tributes
According to Spitzer, writing in this issue, Alvan R Feinstein “influenced the very meaning of clinical research. He eschewed the concept of the patient as merely the ultimate beneficiary of clinical research and closed the loop by demonstrating that the best clinical data were provided by the patient”. Full circle, then, from clinical epidemiology to “the doctor, the patient and the illness”. Diagnostic research needs to find new ways of produci…
The winding road towards evidence based diagnoses
Objective To test the feasibility of reporting diabetes indicators at a regional and community level in order to provide feedback to local leaders on health system performance. Design Analysis of administrative data from hospital discharges and physician billings. Setting Sioux Lookout region of Ontario. Participants Residents from 30 remote communities served by the Sioux Lookout First Nations Health Authority. Main outcome measures Incidence an…
Gender differences in progression to Aids and death from HIV seroconversion in a cohort of injecting dug users from 1986 to 2001
Background: Although the consensus is that gender does not influence HIV progression, its relevance may depend on the setting. Aim: To study gender differences in HIV progression to AIDS and death from 1986 to 2001 in a cohort of injecting drug user (IDU) seroconverters in Spain. Methods: Risk of AIDS and death in persons infected for the same length of time were compared through Kaplan-Meier, allowing for late entry, and Cox regression adjusting…
Assessing the social meaning, value and implications of research in genomics
Genomic discoveries need to be translated to clinical and public health practice
Sharing hypotheses and ideas in public health research
Collaboration and sharing of research resources and ideas in the development of science
Factores económicos relacionados con los Objetivos de Desarrollo del Milenio en salud
OBJECTIVES: To systematize all the information published on the status of and progress made toward the Health-related Millennium Development Goals (HMDGs), as well as to understand associations with certain economic factors and the potential for success. METHODS: A search was conducted for all scientific articles covering the Millennium Development Goals in general, published from 1 January 2000 to 31 August 2006, in the electronic databases of t…
The Environmental Millennium Development Goal
Maternal glucose tolerance status influences the risk of macrosomia in male but not in female fetuses
OBJECTIVE: To elucidate whether the risk of macrosomia, large for gestational age (LGA) and small for gestational age (SGA) is influenced by maternal body mass index and glucose tolerance differently in male and female fetuses. METHODS: A population study was conducted in 16 general hospitals from the Spanish National Health Service that included 9270 consecutive women with singleton pregnancies and without a former diagnosis of diabetes mellitus…
Health information and advocacy for “Health in All Policies”
Placing health in the agendas of all policy makers remains a challenge. Finding new ways to boost Health in All Policies should be a continuous process. Currently, health information initiatives gather core health statistics, indicators related to healthcare, along with individual level risk factors such as smoking or obesity. However, there is a lack of identifiable information showing the effect of non-primary health policies on population heal…
The tobacco ban in Spain
In January 2011 new legislation on tobacco control, a smoke-free policy, was enacted in Spain that amended the former law in force since January 2006. The new regulation removed all exceptions for hospitality venues, which had been used to continue to allow smoking in most bars and restaurants. The new law also added some restrictions on smoking in open places. The former law was a step forward in smoking prevention and implemented many of the me…
The impact of the tax on sweetened beverages
Pathways of undue influence in health policy-making
BACKGROUND: It is crucial to know the extent to which influences lead to policy capture-by which the policy-making process is shifted away from the public interest towards narrow private interests. Using the case study of Spain, our aim was to identify interactions between public administration, civil society and private companies that could influence health policies. METHODS: 54 semistructured interviews with key actors related to health policy.…
The role of the media in the health policymaking process
Health and political communication disciplines address the influences that mass media have on health policy processes such as agenda setting and framing. However, we have fewer insights into the direct interactions among interest groups, media, and decision-makers. We conducted a case study using semi-structured interviews with journalists (N = 7) and other key actors in Spanish health policy (N = 47). A purposive sample of interviewees sought to…
Investigación en salud pública
Este artículo pretende contribuir al debate sobre la objetividad de la ciencia, la independencia y la libertad académica de quienes investigan. A partir de una breve panorámica sobre los factores que moldean la investigación en salud pública, se pretende iniciar una reflexión desde la perspectiva ética sobre la libertad de los y las investigadoras a la hora de realizar su investigación -las fuerzas externas e internas que la moldean- y el propósi…
Revolving doors and conflicts of interest in health regulatory agencies in Brazil
The 'Revolving Doors' phenomenon is both controversial and common worldwide, but little evidence exists from health sectors in low and middle-income countries (LMIC). We analyse the circulation of agents from regulatory to regulated entities in Brazil's two main health regulatory agencies. Almost half of the executives from such agencies in the last 20 years either started in or ended up working for the private health sector. We discuss paths and…
Contextualizing Evidence for Action on Diabetes in Low-Resource Settings—Project Cead Part I
Challenges remain for policy adoption and implementation to tackle the unprecedented and relentless increase in obesity, diabetes and other non-communicable diseases (NCDs), especially in low- and middle-income countries. The aim of this mixed-methods study is to analyse the contextual relevance and applicability to low-resource settings of a sample of evidence-based healthy public policies, using local knowledge, perceptions and pertinent epidem…
Gender disparities in clinical practice
Defunciones por Covid-19
La exactitud en el número de defunciones por COVID-19 ha generado polémica pública. La urgencia en disponer de esta información conjuntamente con otros datos para valorar la pandemia, ha inducido una variedad de procedimientos y formatos de modo que los datos no siempre se han tramitado de forma comparable al Ministerio de Sanidad. La elaboración de las estadísticas de mortalidad es compleja. Intervienen varias administraciones centrales y autonó…
Será mejor la salud pública tras la Covid-19
Medicine (31 obras) · Political science (22 obras) · Public health (15 obras) · Nursing (12 obras) · Environmental health (10 obras) · Global Public Health Policies and Epidemiology (9 obras) · Law (9 obras) · Economics (8 obras) · Public relations (8 obras) · Business (7 obras)