#LoDeEvaluAES: Crónica del XII Taller

That #LoDeEvaluAES is serious, no one doubts it at this point, but the fact that we held the XII EvaluAES Workshop last May at the Kronikgune Institute In Euskadi it is evidence that is put on the table – not the EvaluAES table of the XLII AES Conference in Girona – but the wooden one, the one from the clear things and thick chocolate. This edition was joined by the Osakidetza health care director, Victor Bustamantewho had the great honor of welcoming the participants with a suggestive speech that few of us will forget, and was also accompanied by the director of Innovation and Health Research of the Basque Government, Marian Ibarrondo, who also did not want to miss the event. At this step we will make an edition viaipi of the Workshop like the programs on TV. No, no!, it is not what it seems!, that the presence of those responsible for health in Euskadi served to make a connection with those who decide, and that these things of evaluation that we do –#LoDeEvaluAES– do not stay in a pedefe from the explorer folder, but as the AES canons dictate (the canonAES!), are used to support health decision making. In it pintxo-pot from the day before in zazpikaleak We bring together authors, commentators, the scientific-organizing committee and members of the EvaluaES and AES family; Ah, yes, some people came viaipi of the AES Board, but those sneak in everywhere! The truth is that we spent a good time happily interacting to, unintentionally, weave threads and synergies between presentations, let’s say something like an apocryphal organization of the Workshop that should be institutionalized, if it is not already there. But let’s get to it, to the real mess, which was no small thing.

Attendees of the XII EvaluAES Workshop to the debate.

Demonstrating the EvaluAES policy of giving visibility and feedback to the youth who are joining research in the area of ​​health policies and services, the first presentation was made by Marina Barreda (PhD student at the University of Cantabria). with the title Age, technology, and digital divide. Directly related to mental health problems? The work addressed a hot topic, the impact of digitalization on the mental health of the older adult population in the countries of the European Union. Using the difference-in-differences method and data from Survey of Health, Aging and Retirement in Europe (COMPARTIR), the results corroborate the hypothesis that the development of digital life has had a negative effect on the mental health of this population group, especially among people with less skill in the use of ICTs. Ana Catalá Alcántara, a psychiatrist at the Basurto University Hospital who served as a commentator, highlighted the clarity of the presentation and the relevance of the topic discussed to be published. However, she offered some tips for successfully navigating the publishing process. Among them, she advised being less restrictive in conclusions when talking about causality, given the need to have panel data. Likewise, she offered some format and style recommendations in order to improve understanding of the text.

Marina Barreda (University of Cantabria) presenting her work at the XII EvaluAES Workshop.

After a short pause, it was Dr.’s turn. Victoria Serra-Sastre (City University of London) with the presentation titled Safety at work and intention to quit the NHS workforce. This work analyzed the influence that verbal and physical violence exerted on healthcare personnel by managers, colleagues and patients has on the probability of leaving the job. Preliminary results showed that physical violence increases the probability of leaving the job by nine percentage points, while verbal violence does so by 20 percentage points. Especially relevant is the influence of violence coming from managers, which has the greatest effect. These results were obtained from the database of the NHS Staff Survey and using techniques propensity score matching. The work commentator, Albert Dalmau, from the Health System Observatory Area (AQuAS), congratulated the author for addressing a very new topic, given that until now there was no powerful data to really know what role violence has on health professionals in leaving their position. of work. Even so, she made some reflections to be able to extend the research on the topic, such as knowing what influence the type of contract that the health professional has or the care burden has.

Victoria Serra-Sastre (City University of London) presenting his work at the XII EvaluAES Workshop.

After the necessary coffee break to regain energy and chat more informally among the attendees, we moved on to the presentation of the keynote speakerThe doctor. Michael More (Territorial Clinical Directorate of Chronicity of the Metropolitana Nord, Catalan Institute of Health), with the presentation titled Evaluating person-centred integrated care to people with complex chronic conditions: early implementation results of the ProPCC Program in Catalonia. Dr. Mas shared an experience carried out in Catalonia in which the integration of care for people with complex diseases has been promoted, both at a vertical level (primary and hospital care) and horizontally (between health and social services). They have carried it out through case management, including essential elements, such as in-person intervention, a multidisciplinary approach, identification of the population at risk, the involvement of information systems, and focusing on health education. . Two programs have been developed: Profrágil, for case management with preventive purposes, and the ProPCC for case management at the community and hospital level. As the main variable, they have evaluated resource consumption (doctor visits and hospital admissions). In conclusion, the benefit of this type of programs lies in the possibility of avoiding unnecessary admissions, promoting home care, reinforcing care at the end of life, as well as mobilizing primary care resources to offer alternatives to treatment. usual care circuit.

Miquel Mas, keynote speaker of the XII EvaluAES Workshop, presenting his work.

Pigeon Spear and Javier Isaac Lera (University of Cantabria), led the following presentation, titled Evaluation of the inclusion of the continuous glucose monitoring system in the Cantabrian Health Service. In this work, a new flash interstitial glucose monitoring system was evaluated. The hypothesis was that this system would improve glycemic control and the quality of life of patients, in addition to reducing costs and reducing the use of health services. The level of patient satisfaction was high and high adherence to the device was observed. However, the results showed that there is no improvement in resource use indicators, only in the use of glucose strips and lancets. As limitations, the authors themselves mentioned the low sample size and lack of patient follow-up. The commentator of this work, Arantzazu Arrospide (Department of Health of the Basque Government) considered that the topic is relevant and timely. He also highlighted the interest of information on willingness to pay, especially if this data changes according to the profile of the patients; This type of data helps evaluate the sustainability of the health system. He also gave them some suggestions, such as: making it clear what the comparator is in the design of the study and in subsequent analyses; comparisons to be made between different variables, such as admissions, emergencies or consultations; and include economic data that could be relevant to evaluate the effectiveness of the monitoring system.

Paloma Lanza and Javier Lera (University of Cantabria) presenting their work at the XII EvaluAES Workshop.

After regaining energy with the brunch that they had prepared for us, Camila Regueiro (University of Las Palmas de Gran Canaria) presented us with the work entitled What Will mommy and daddy do now? Introduction of father-exclusive parental leave periods and parents health, which studies the impact of calls daddy-quotas on the physical and mental health of the mother through a difference-in-differences strategy. To do this, they use the introduction of the daddy-quota in Spain of two weeks for the father in 2007 and the data from the Spanish Family Budget Survey and the National Health Survey. Ana Magdalena Vargas (University of Castilla-la Mancha) emphasized arguing the proposed hypothesis, given the short time of paternal leave, and the evidence data on the time required for an impact to occur in changing lifestyle habits and consequently in the health. Furthermore, he raised the possibility of expanding the analyzes with more recent data following subsequent expansions of this daddy-quota.

Camila Regueiro (University of Las Palmas de Gran Canaria) presenting her work at the XII EvaluAES Workshop.

Finally, the last presentation came from our EvaluAES host, Borja García-Lorenzo (Kronikgune Institute), which presented the work Disentangling the Value Equation: A Step Forward in Value-Based Health Care framed in the VOICE community, which aims to advance Value Based Medicine, known by its acronym VBHC in English (Value-Based Heath Care). The VBHC proposes to manage health systems based on the Patient-Centered Outcomes (PCOs), combining health and economic outcomes to determine the value of healthcare. Borja, after discussing the common and different places of VBHC and health economic evaluation, revealed that his study aims to propose a methodology to combine the Patient-Centered Outcomes (PCO) in the context of breast cancer, and provide a single figure for the numerator of the value equation introduced by Porter et al. to determine HCVV. Mikel Berdud (Office of Health Economics) pointed out to focus on the second part of the title, of a more methodological nature, focusing on the technical part and as a solution or useful tool that can be adapted to be applied in other areas beyond the example of breast cancer. Likewise, he invited reflection on different points in time in other clinical conditions, as well as in the determination of weights and their possible evolution. After his intervention we were able to enjoy a debate in the room with the participation of Itxaso Alayo, Ania Gorostiza and Arantzazu Arrospide, co-authors of this work.

Borja García-Lorenzo (Kronikgune Institute) presenting her work at the XII EvaluAES Workshop.

Even if you start reading at the bottom, the truth is that we couldn’t be happier. Because we don’t have, we don’t even have a group photo, we don’t stop!: welcome, presentation-commentator, idem again, keynote speaker (to the ducted Miquel Mas must be signed for AES!), the coordinators doing the promoted of EvaluAES like professional publicists, plus presenters with their commentators, and the audience in a non-stop even getting the coordinators to intervene to be able to continue with the program. No! We are not going to do some EvaluAES conferences! There is no budget! What we have is an EvaluAES table at the AES Conferences in Girona to continue with the noise of #LoDeEvaluAES; Well, that, presenter-commentator-audience, there is no other triad that we like more!; in 2024, more and better!

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