Over ******* healthcare professionals worked in the Spanish National Health System in 2022. Around ** percent of the total worked in hospitals, with Catalonia and Madrid accounting for the largest number. That year, the amount of healthcare professionals who were part of primary care teams reached close to ******, including family doctors and pediatricians. In 2020, around 84 percent of collegiate doctors in Spain were registered as active.

Purpose: This study aims to analyze from a gender perspective the psychological distress experienced by the medical workforce during the peak of the pandemic in Spain.Methods: This is a single-center, observational analytic study. The study population comprised all associated health workers of the Cruces University Hospital, invited by email to participate in the survey. It consisted of a form covering demographic data, the general health questionnaire-28 (GHQ-28), and the perceived stress scale (PSS-14). We used multivariant regression analysis to check the effect of gender on the scores. We used gender analysis in both design and interpretation of data following SAGER guidelines.Results: Females made 74.6% of our sample, but their proportion was higher in lower-paid positions such as nursery (89.9%) than in higher-paid ones. The percentage of women categorized as cases with the GHQ-28 was 78.4%, a proportion significantly higher than in the male population (61.3%, p < 0.001). The multivariant regression analysis showed that being women, working as orderly hospital porters, and having a past psychiatric history were risk factors for higher scores in both the GHQ-28 and PSS-14.Conclusion: Women and those with lower-paid positions were at risk of higher psychological distress and worse quality of life within the medical workforce during the first wave of the pandemic. Gender analysis must be incorporated to analyze this fact better.

In 2023, there were an estimated seven people per 10,000 population employed in the medical technology industry in Spain, an increase in comparison to previous years. This is ****** people directly working in the medtech industry of the European country.

This statistic illustrates the share of population that agree that the Spanish Healthcare System should be improved after the coronavirus pandemic as of May 2020. Approximately 97 percent of those surveyed considered it necessary to dedicate more financial resources to improve the system in general. Also, 94.2 percent stated the Spanish Healthcare System is in need of a stronger workforce.

In 2023, there were an estimated ****** people directly employed in the medical technology industry in Spain. This is equivalent to seven people per 10,000 inhabitants. In comparison, ****** people were employed within the industry in 2015.

This study examined the validity and applicability of the Spanish version of the Stress and Anxiety to Viral Epidemics-6 items (SAVE-6) scale, which can be usually applied to the general population, to healthcare workers to briefly measure their anxiety responses to the viral epidemic. A total of 135 healthcare workers participated in this online survey from January to July 2021. Participants' sociodemographic characteristics were gathered, and their psychiatric symptoms were rated using SAVE-6, Goldberg Anxiety and Depression Scale (GDAS), and the Pittsburgh Sleep Quality Index (PSQI). The confirmatory factor analysis was conducted to examine the validity of the scales. The single-structure model of the SAVE-6 scale was adopted based on the results of the parallel analysis. We decided on the SAVE-6 scale, as it proved to be a good fit to measure healthcare workers' anxiety response to the viral epidemic. SAVE-6 showed good internal consistency (Cronbach's alpha = 0.827 and McDonald's omega = 0.834) and good convergent validity with Goldberg anxiety (r = 0.434, p < 0.001) and depression (r = 0.193, p = 0.043) scores, and PSQI score (r = 0.262, p = 0.002). The Spanish version of SAVE-6 is a reliable and valid rating scale to assess the anxiety response of healthcare workers specifically to the viral epidemic as a brief measure during the COVID-19 pandemic.

Description of hospital workers included in the study vs. overall population.

Evidence-informed strategic planning is a top priority in Mental Health (MH) due to the burden associated with this group of disorders and its societal costs. However, MH systems are highly complex, and decision support tools should follow a systems thinking approach that incorporates expert knowledge. The aim of this paper is to introduce a new Decision Support System (DSS) to improve knowledge on the health ecosystem, resource allocation and management in regional MH planning. The Efficient Decision Support-Mental Health (EDeS-MH) is a DSS that integrates an operational model to assess the Relative Technical Efficiency (RTE) of small health areas, a Monte-Carlo simulation engine (that carries out the Monte-Carlo simulation technique), a fuzzy inference engine prototype and basic statistics as well as system stability and entropy indicators. The stability indicator assesses the sensitivity of the model results due to data variations (derived from structural changes). The entropy indicator assesses the inner uncertainty of the results. RTE is multidimensional, that is, it was evaluated by using 15 variable combinations called scenarios. Each scenario, designed by experts in MH planning, has its own meaning based on different types of care. Three management interventions on the MH system in Bizkaia were analysed using key performance indicators of the service availability, placement capacity in day care, health care workforce capacity, and resource utilisation data of hospital and community care. The potential impact of these interventions has been assessed at both local and system levels. The system reacts positively to the proposals by a slight increase in its efficiency and stability (and its corresponding decrease in the entropy). However, depending on the analysed scenario, RTE, stability and entropy statistics can have a positive, neutral or negative behaviour. Using this information, decision makers can design new specific interventions/policies. EDeS-MH has been tested and face-validated in a real management situation in the Bizkaia MH system.

Number of outbreaks declared to RENAVE, cases and average cases by outbreak place of occurrence, from 2001 until 2019 in Spain.

Spearman´s Rho correlation test between all scabies databases combinations by AA.CC, from 2011 to 2017 in Spain.

Since the state of alarm was declared in Spain due to COVID-19 in March 2020, healthcare workers have been on the front line to assist thousands of infected patients and try to save as many lives as possible. It comes as no surprise then that more than 98 percent of the population considers that this professional group has responded well or very well to the pandemic caused by SARS-CoV-2. In contrast, only about 40 percent of respondents thought the Church reacted satisfactorily to the outbreak.

IntroductionWe carried out a scoping review to examine what previous literature can teach us about practices and possibilities for support services for migrant agricultural workers.MethodsFollowing guidelines for scoping reviews as outlined by Arksey and O’Malley (2005) and further refined by Levac et. al (2010) we conducted searches of several databases and two additional searches to capture regions of focus and more current literature. We used a thematic analysis to generate our themes.ResultsOur analysis yielded four key themes: (1) political, economic and legal factors; (2) living and working conditions; (3) facilitators/barriers to navigating services and supports and; (4) potential and existing strategies for social support for migrant agricultural workers. The first two themes pointed more to structural and material conditions that both posed barriers for this population to access supports, but also illustrated vulnerabilities that pointed to the need for a variety of services and protections. Under the third, we highlighted the ways that the design of services and supports, or their degree of accessibility, could shape the level of help available to this population. Lastly, potential and existing strategies for social support discussed in the literature included an emphasis on mental health and wellbeing, occupational health and safety training and documentation, and policy reforms to secure the status and address the precarity of this workforce.DiscussionWhile research on social support and service provision for migrant agricultural workers is still in its infancy, a strength of this body of work is its attention to macro-level issues that advocate for strategies that address root factors that shape this group’s health. Further research is required to expand our understanding of social support roles and possibilities across other domains and sectors for this population.

Crude and adjusted prevalence for Metabolic Syndrome in Balearic working population with ATPIII and IDF criteria. (DOC)

General description of CMBD, RENAVE, BDCAP and CEPROSS databases.