https://sms.carm.es/ricsmur/handle/123456789/17188 2026-09-21T05:59:36Z 2026-09-21T05:59:36Z Vargas-Martínez, Ana-Magdalena Duarte-Climents, Gonzalo García-Mochón, Leticia López-Santiago, Asensio https://sms.carm.es/ricsmur/handle/123456789/28036 2026-09-18T05:51:02Z 2027-01-01T00:00:00Z

Impact of coordination on care quality and health outcomes. SESPAS Report 2026 Vargas-Martínez, Ana-Magdalena; Duarte-Climents, Gonzalo; García-Mochón, Leticia; López-Santiago, Asensio Care coordination constitutes a fundamental pillar for improving the efficiency of healthcare systems and ensuring the sustainable use of resources. The aim of this chapter is to demonstrate the impact of various coordination strategies on clinical practice variability, continuity of care, patient safety, user satisfaction and experience, as well as on the efficiency and sustainability of health systems. Effective healthcare coordination does not rely on a single intervention, but rather on the synergy between clinical, organizational, technological, and financial components. Reducing unwarranted variations requires a multifaceted approach, including the promotion of evidence-based practice, ongoing professional education, the implementation of clinical audits, and the reinforcement of shared decision-making. At the organizational level, the successful implementation of integrated care models requires a systemic approach tailored to the local context, with a long-term vision that prioritizes patient health outcomes, quality of care, efficiency, and system sustainability.

2027-01-01T00:00:00Z Satue-de-Velasco, Eduardo Moreno-Valentin, Gustavo Gallego-Royo, Alba Sánchez-Gómez, María-Begoña https://sms.carm.es/ricsmur/handle/123456789/28035 2026-09-18T05:51:03Z 2027-01-01T00:00:00Z

[New models of collaboration within the primary care team: transversality and coordination. SESPAS Report 2026]. Satue-de-Velasco, Eduardo; Moreno-Valentin, Gustavo; Gallego-Royo, Alba; Sánchez-Gómez, María-Begoña To advance towards a more responsive, equitable and sustainable model of primary care, it is necessary, among other actions, to move beyond the traditional structure centred on the roles of nurses and physicians. The existence of the primary care team is grounded in the principles established in the Declaration of Alma-Ata (1978). This article analyses the factors that currently hinder its effectiveness, based on the needs it is expected to address, and proposes criteria that may contribute to its improvement and further development, focusing efforts on providing comprehensive care to individuals from an individual, family and community perspective. Such development is possible by giving greater prominence to collaborative clinical management processes, as well as to training, communication and intra-team coordination, together with the assumption by all team members of new professional profiles and competencies, so that each activity is carried out by the professional most competent to do so. This transformation redefines professional roles, resulting in an interdisciplinary and multiprofessional team that brings together nurses, physicians and administrative staff with other professional roles -established roles that are not yet fully integrated into primary care teams-, such as physiotherapists, pharmacists, dentists, psychologists and nursing assistants. The aim is to jointly address diagnoses, treatments and care, as well as complex care processes, thereby enhancing problem-solving capacity and expanding care delivery beyond the physical structure of the health centre.

2027-01-01T00:00:00Z Justich-Zabala, Pablo-R Giniger-Vidal, Rodolfo-P Rubio-Pérez, María-J Guirao-Pérez, José Salcedo-Cánovas, César https://sms.carm.es/ricsmur/handle/123456789/26485 2026-05-13T11:04:52Z 2020-02-01T00:00:00Z

¿Cuándo pensar en pseudoartrosis congénita de clavícula en pediatría? Presentación de 2 casos Justich-Zabala, Pablo-R; Giniger-Vidal, Rodolfo-P; Rubio-Pérez, María-J; Guirao-Pérez, José; Salcedo-Cánovas, César The congenital pseudoarthrosis of the clavicle is a rare and benign malformation, characterized by the absence of the middle third of the clavicle. It is usually unilateral and the majority on the right side. The etiology is unknown, postulating diverse etiopathogenic theories (vascular, embryological and genetic). It can be detected in the neonatal period or, more frequently, during childhood. Occasionally it can be symptomatic. It may require treatment by surgical reconstruction by bone graft. Two cases are presented, one of neonatal diagnosis and another one of 3 years of age performed with 24 hours of difference. We emphasize on its consideration as a differential diagnosis of obstetric or post-traumatic fracture, cleidocranial dysplasia and neurofibromatosis type I.

2020-02-01T00:00:00Z Pérez-Navarro, Víctor-Manuel Cánovas-Iniesta, María Palazón-Cabanes, Begoña Navarro-Lozano, Marta https://sms.carm.es/ricsmur/handle/123456789/26462 2026-05-13T11:04:51Z 2023-01-01T00:00:00Z

Epilepsia y desigualdad: descripción demográfica y análisis de la dificultad para el acceso a recursos avanzados en una población de un área de salud pequeña Pérez-Navarro, Víctor-Manuel; Cánovas-Iniesta, María; Palazón-Cabanes, Begoña; Navarro-Lozano, Marta INTRODUCTION: Epilepsy is a very common neurological disease with high morbidity and mortality. Drug-resistant epilepsy (DRE) poses a major therapeutic challenge, even for experts in the field. Despite this, access to advanced resources for this type of patient remains difficult and unequal. The aim of this study is to analyse inequality in a population belonging to a first level hospital. PATIENTS AND METHODS: An analytical observational cross-sectional study was conducted on epileptic patients attending neurology consultations in Area IX of the Murcian Health Service. Demographic, clinical, therapeutic, prognostic and equity variables are described, and significant differences between different subgroups are analysed. RESULTS: The study included 68 patients with a mean age of 42.93 years. Focal epilepsy was the main type (64.7%), and the most commonly used drugs were levetiracetam (33.8%), valproic acid (27.9%) and lamotrigine (22.1%). DRE occurred in 18 patients (26.5% of the total) and only four were under active follow-up in an epilepsy unit, meaning that 71% did not have access to a necessary resource (advanced therapeutic gap). CONCLUSIONS: This study demonstrates that epilepsy inequality continues to be a problem, especially in certain geographical areas, with a lack of access to advanced care for patients who need it most. The solution can be achieved by increasing human and material resources to improve overall patient care, thus strengthening both referral hospitals and epilepsy units.

2023-01-01T00:00:00Z