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array:23 [ "pii" => "S0025775300715387" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71538-7" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71538" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;115:294-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2463 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 2346 "PDF" => 111 ] ] "itemSiguiente" => array:18 [ "pii" => "S0025775300715399" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71539-9" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71539" "copyright" => "Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Med Clin. 2000;115:297-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1280 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1141 "PDF" => 133 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Hepatitis por virus B. Bases moleculares de resistencia a los nuevos fármacos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "297" "paginaFinal" => "298" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Eugenia Quirós, María del Carmen Maroto" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Eugenia" "apellidos" => "Quirós" ] 1 => array:2 [ "nombre" => "María" "apellidos" => "del Carmen Maroto" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300715399?idApp=UINPBA00004N" "url" => "/00257753/0000011500000008/v1_201307291646/S0025775300715399/v1_201307291646/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0025775300715375" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71537-5" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71537" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;115:287-93" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3875 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 3783 "PDF" => 86 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Evolución de la producción científica española en revistas internacionales de sistema respiratorio de 1987 a 1998" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "287" "paginaFinal" => "293" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evolution of Spanish scientific production in international respiratory system journals from 1987 to 1998" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "Francisca García Río, Rodolfo Álvarez-Sala, Antonio Ruiz Peña, Soledad Serrano Peña, José María Pino García, José Villamor León" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Francisca" "apellidos" => "García Río" ] 1 => array:2 [ "nombre" => "Rodolfo" "apellidos" => "Álvarez-Sala" ] 2 => array:2 [ "nombre" => "Antonio" "apellidos" => "Ruiz Peña" ] 3 => array:2 [ "nombre" => "Soledad" "apellidos" => "Serrano Peña" ] 4 => array:2 [ "nombre" => "José" "apellidos" => "María Pino García" ] 5 => array:2 [ "nombre" => "José" "apellidos" => "Villamor León" ] ] ] 1 => array:2 [ "autoresLista" => "M. Antonia Gómez Mendieta, José Luis Álvarez-Sala" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M. Antonia" "apellidos" => "Gómez Mendieta" ] 1 => array:2 [ "nombre" => "José" "apellidos" => "Luis Álvarez-Sala" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300715375?idApp=UINPBA00004N" "url" => "/00257753/0000011500000008/v1_201307291646/S0025775300715375/v1_201307291646/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Estimación del efecto relativo que ejercen los determinantes externos e internos sobre la eficacia de un servicio de urgencias de medicina" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "294" "paginaFinal" => "296" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Óscar Miró, Miquel Sánchez, Blanca Coll-Vinent, José Millá" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Óscar" "apellidos" => "Miró" "email" => array:1 [ 0 => "omiro@clinic.ub.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Miquel" "apellidos" => "Sánchez" ] 2 => array:2 [ "nombre" => "Blanca" "apellidos" => "Coll-Vinent" ] 3 => array:2 [ "nombre" => "José" "apellidos" => "Millá" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urgencias. Hospital Clinic. Barcelona" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Servicio de Urgencias. Hospital Clínic. Villarroel, 170. 08036 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Relative effects of external and internal factors on emergency department efficiency" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-05-05" "fechaAceptado" => "2000-07-04" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec222501" "palabras" => array:3 [ 0 => "Urgencias" 1 => "Colapso asistencial" 2 => "Calidad asistencial" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar el efecto que tienen los determinantes externos e internos en la eficacia de un servicio de urgencias.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Durante tres semanas consecutivas se contabilizaron cada 3 h los pacientes que esperaban ser visitados el tiempo de espera (marcadores de eficacia), los pacientes que acudían a urgencias (marcador de presión externa) los que permanecían en urgencias una vez iniciada la visita (marcador de presión interna), hecho este último que podía deberse a factores propios de urgencias, del hospital, de la interrelación urgencias-hospital, o no tener relación ni con el hospital ni con urgencias.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Sólo los aumentos en la presión interna se asociaron con un descenso en la eficacia (p < 0,0001). Los factores dependientes del propio servicio de urgencias (p < 0,05) los dependientes del hospital (p < 0,01) fueron los que se asociaron significativamente con este declive.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La presión interna generada en el propio servicio de urgencias ejerce un papel destacado en su disfunción, por lo que deben articularse políticas encaminadas a reducirla.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To know the relative effect of external and internal factors on emergency department (ED) efficiency.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Along 3 consecutive weeks we compute at 3 hours-interval the number or patient waiting for visit and the mean waiting time for visit (efficiency markers), the number of patients arriving to ED (external pressure marker) and the number of patients remaining in ED after beginning the visit (internal pressure marker), which was divided in ED-related factors, hospital-related factors, ED-hospital interelation-related factors, or not caused by ED nor hospital-related factors.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Only the increase of internal pressure was associated with a decline in ED efficiency (p < 0.001). ED-related and hospital-related factors were those significantly associated with such a decline (p < 0.05 and p < 0.01, respectively).</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Internal pressure generated by the own ED exerts a prominent role in its dysfunction; therefore, policies addressed to reduce such internal pressure should be encouraged.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Determinantes socioeconómicos utilización de los servicios hospitalarios de urgencias" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "N. Marín" 1 => "A. Caba" 2 => "B. Ortiz" 3 => "E. 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Sánchez" 5 => "A. Borrás" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Emerg Med" "fecha" => "1999" "volumen" => "6" "paginaInicial" => "105" "paginaFinal" => "107" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10461551" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00257753/0000011500000008/v1_201307291646/S0025775300715387/v1_201307291646/es/main.assets" "Apartado" => array:4 [ "identificador" => "24087" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original breve" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000011500000008/v1_201307291646/S0025775300715387/v1_201307291646/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300715387?idApp=UINPBA00004N" ]
