Francesc Cots

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BACKGROUND The impact of immigration on health services utilisation has been analysed by several studies performed in countries with lower levels of immigration than Spain. These studies indicate that health services utilisation is lower among the immigrant population than among the host population and that immigrants tend to use hospital emergency services(More)
BACKGROUND The recent increase in the number of immigrants of Barcelona represents a challenge for the public healthcare system, the emergency department being the most used healthcare service by this group. However, utilisation rates in our environment have not yet been studied. We aimed to compare emergency department utilisation rates between(More)
BACKGROUND We aimed to assess the hospital economic costs of nosocomial multi-drug resistant Pseudomonas aeruginosa acquisition. METHODS A retrospective study of all hospital admissions between January 1, 2005, and December 31, 2006 was carried out in a 420-bed, urban, tertiary-care teaching hospital in Barcelona (Spain). All patients with a first(More)
BACKGROUND The aim of this study was to estimate healthcare resource utilization, work absenteeism and cost per patient with pandemic influenza (H1N1)2009, from its beginning to March 2010, in Spain. We also estimated the economic impact on healthcare services. METHODS AND FINDINGS Longitudinal, descriptive, multicenter study of in- and outpatients with(More)
OBJECTIVE To assess the budgetary impact of switching from screen-film mammography to full-field digital mammography in a population-based breast cancer screening program. METHODS A discrete-event simulation model was built to reproduce the breast cancer screening process (biennial mammographic screening of women aged 50 to 69 years) combined with the(More)
OBJECTIVES To outline the methods used to build a discrete-event simulation model for use in decision-making in the context of waiting list management strategies for cataract surgery by comparing a waiting list prioritization system with the routinely used first-in, first-out (FIFO) discipline. METHODS The setting was the Spanish health system. The model(More)
Resultados: La estancia media disminuyó en 9 días (po0,001). Aumentaron los pacientes que requirieron convalecencia despué s de la intervenció n en un 9,5% (po0,001). Se produjo un descenso del 16% en el coste global del proceso: de 9031,34 a 7591,54 h (po0,001), ligado a la disminució n de la estancia (2946,0 frente a 1616,8 h), de la intervenció n quirú(More)
BACKGROUND The aim of this study was to estimate the cost of childbirth in a teaching hospital in Barcelona, Spain, including the costs of prenatal care, delivery and postnatal care (3 months). Costs were assessed by taking into account maternal origin and delivery type. METHODS We performed a cross-sectional study of all deliveries in a teaching hospital(More)
Most hospitals have already implemented information systems and Electronic Health Records (EHRs), but the reuse of such data for research is still infrequent. We present a pilot project on the exploitation of clinical information from a Spanish hospital database in the context of the European Medical Information Framework project (EMIF). Specific use cases(More)
Palabras clave: Influenza humana. Investigación sobre Servi-cios Sanitarios. Economía de la salud. Influenza epidemics cause not only both morbidity and mortality but also have a great socioeconomic impact. Occasionally, influenza infections become pandemics, such as the case of the last influenza (H1N1) 2009 virus outbreak. Taking into account the current(More)