Enrique Bernal‐Delgado
Dados Biográficos
| ID | 6775243 |
|---|---|
| NOME | Enrique Bernal‐Delgado |
| PRENOMES | Enrique |
| SOBRENOME | Bernal‐Delgado |
| ASSINATURA | DELGADO E B |
| AFILIAÇÕES | Instituto Aragonés de Ciencias de la Salud |
| ORCID | 0000-0002-0961-3298 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 14 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 14 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Lessons for better integrated care in the Spanish National Health System. Sespas Report 2026
Integrated care combines primary health care with hospital support through coordinated clinical, organizational, and policy changes. This approach reduces fragmentation and improves service efficiency, patient experience, and health outcomes. • A conceptual map organized into dimensions was developed to categorize the reviewed literature on integrated care policy instruments from a primary care perspective. • Evidence on the potential impact of i…
Enabling policy action using scenario simulation in procedures with guarantees of maximum time to surgery
Facilitate policy action using scenario simulation of waiting list situations for each of the surgical procedures in order to establish guarantees of maximum waiting times for surgery. Using the conceptual framework of queuing theory, management indicators can be defined based on a finite set of parameters, among which are the maximum waiting time guarantee until surgery and the probability of non-fulfillment of the guarantee. These scenarios can…
Estacionalidad diferencial en las salidas de las listas de espera quirúrgica en España
OBJECTIVE: To analyse the seasonal variability of surgical procedures with guaranteed maximum waiting times with a view to figure out whether there are differences between urgent admissions and need-sensitive procedures, and those supply-sensitive. METHOD: Retrospective longitudinal observational study with administrative data on hospital episodes of the National Health System for 14 autonomous communities, years 2003 to 2022, aggregated monthly.…
Allocating socioeconomic census data to primary care areas
Provide a method for reusing National Institute of Statistics (INE) socioeconomic data and reconstructing the Spanish National Health System primary care areas (PCA) from INE census tracts. The reconstruction of PCA boundaries entailed aligning, assigning, and integrating census tracts within the limits of the PCA using 2022 INE and 2018 Atlas VPM digital maps. 36,282 census tracts were assigned to 2,405 PCA. The alignment of digital maps showed …
Health care coverage and access for displaced persons from Ukraine
John E. Wennberg (1935-2024). Apoyando la hipótesis nula
Availability and financing of CAR-T cell therapies
Chimeric antigen receptor T-cell therapies (CAR-T therapies) are a type of advanced therapy medicinal product (ATMP) that belong to a new generation of personalised cancer immunotherapies. This paper compares the approval, availability and financing of CAR-T cell therapies in ten countries. It also examines the implementation of this type of ATMP within the health care system, describing the organizational elements of CAR-T therapy delivery and t…
Work like a Doc
BACKGROUND: Medical residents work long, continuous hours. Working in conditions of extreme fatigue has adverse effects on the quality and safety of care, and on residents' quality of life. Many countries have attempted to regulate residents' work hours. OBJECTIVES: We aimed to review residents' work hours regulations in different countries with an emphasis on night shifts. METHODS: Standardized qualitative data on residents' working hours were c…
Why the US spends more treating high-need high-cost patients
One of the most pressing challenges facing most health care systems is rising costs. As the population ages and the demand for health care services grows, there is a growing need to understand the drivers of these costs across systems. This paper attempts to address this gap by examining utilization and spending of the course of a year for two specific high-need high-cost patient types: a frail older person with a hip fracture and an older person…
Early health system responses to the Covid-19 pandemic in Mediterranean countries
Balancing financial incentives during Covid-19
Factors underlying the growth of hospital expenditure in Spain in a period of unexpected economic shocks
Building learning health systems on Real World Data
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Evidence based educational outreach visits
Aims: To evaluate the effectiveness of an evidence based group educational outreach visit on prescription patterns of non-steroidal anti-inflammatory drugs (NSAIDs) in primary care. Design: Randomised controlled simple blind trial, with randomisation into three groups: experimental (evidence based educational outreach visit), placebo (conventional education session), and control (without intervention). Setting: The 24 primary care centres of the …
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Evidence based educational outreach visits
Aims: To evaluate the effectiveness of an evidence based group educational outreach visit on prescription patterns of non-steroidal anti-inflammatory drugs (NSAIDs) in primary care. Design: Randomised controlled simple blind trial, with randomisation into three groups: experimental (evidence based educational outreach visit), placebo (conventional education session), and control (without intervention). Setting: The 24 primary care centres of the …
Building learning health systems on Real World Data
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Factors underlying the growth of hospital expenditure in Spain in a period of unexpected economic shocks
Early health system responses to the Covid-19 pandemic in Mediterranean countries
Balancing financial incentives during Covid-19
Work like a Doc
BACKGROUND: Medical residents work long, continuous hours. Working in conditions of extreme fatigue has adverse effects on the quality and safety of care, and on residents' quality of life. Many countries have attempted to regulate residents' work hours. OBJECTIVES: We aimed to review residents' work hours regulations in different countries with an emphasis on night shifts. METHODS: Standardized qualitative data on residents' working hours were c…
Why the US spends more treating high-need high-cost patients
One of the most pressing challenges facing most health care systems is rising costs. As the population ages and the demand for health care services grows, there is a growing need to understand the drivers of these costs across systems. This paper attempts to address this gap by examining utilization and spending of the course of a year for two specific high-need high-cost patient types: a frail older person with a hip fracture and an older person…
John E. Wennberg (1935-2024). Apoyando la hipótesis nula
Availability and financing of CAR-T cell therapies
Chimeric antigen receptor T-cell therapies (CAR-T therapies) are a type of advanced therapy medicinal product (ATMP) that belong to a new generation of personalised cancer immunotherapies. This paper compares the approval, availability and financing of CAR-T cell therapies in ten countries. It also examines the implementation of this type of ATMP within the health care system, describing the organizational elements of CAR-T therapy delivery and t…
Enabling policy action using scenario simulation in procedures with guarantees of maximum time to surgery
Facilitate policy action using scenario simulation of waiting list situations for each of the surgical procedures in order to establish guarantees of maximum waiting times for surgery. Using the conceptual framework of queuing theory, management indicators can be defined based on a finite set of parameters, among which are the maximum waiting time guarantee until surgery and the probability of non-fulfillment of the guarantee. These scenarios can…
Estacionalidad diferencial en las salidas de las listas de espera quirúrgica en España
OBJECTIVE: To analyse the seasonal variability of surgical procedures with guaranteed maximum waiting times with a view to figure out whether there are differences between urgent admissions and need-sensitive procedures, and those supply-sensitive. METHOD: Retrospective longitudinal observational study with administrative data on hospital episodes of the National Health System for 14 autonomous communities, years 2003 to 2022, aggregated monthly.…
Allocating socioeconomic census data to primary care areas
Provide a method for reusing National Institute of Statistics (INE) socioeconomic data and reconstructing the Spanish National Health System primary care areas (PCA) from INE census tracts. The reconstruction of PCA boundaries entailed aligning, assigning, and integrating census tracts within the limits of the PCA using 2022 INE and 2018 Atlas VPM digital maps. 36,282 census tracts were assigned to 2,405 PCA. The alignment of digital maps showed …
Health care coverage and access for displaced persons from Ukraine
Lessons for better integrated care in the Spanish National Health System. Sespas Report 2026
Integrated care combines primary health care with hospital support through coordinated clinical, organizational, and policy changes. This approach reduces fragmentation and improves service efficiency, patient experience, and health outcomes. • A conceptual map organized into dimensions was developed to categorize the reviewed literature on integrated care policy instruments from a primary care perspective. • Evidence on the potential impact of i…
Medicine (7 obras) · Economics (5 obras) · Health care (5 obras) · Business (4 obras) · Global Health Care Issues (4 obras) · Healthcare Policy and Management (4 obras) · Economic growth (3 obras) · Environmental health (3 obras) · Family medicine (3 obras) · Finance (3 obras)