García-González, J.M. (Juan Manuel)

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    Burden of infectious disease studies in Europe and the United Kingdom: a review of methodological design choices
    (2023) Levi, M. (Miriam); Charalampous, P. (Periklis); Yigit, V. (Vahit); Nena, E. (Evangelia); Stevanovic, A. (Aleksandar); Haagsma, J.A. (Juanita A.); Fantke, P. (Peter); Pires, S.M. (Sara M.); Padrón-Monedero, A. (Alicia); Plass, D. (Dietrich); Reina-Ortiz, M. (Miguel); Thygesen, L.C. (Lau Caspar); Gunes, S. (Sezgin); Steiropoulos, P. (Paschalis); Chen-Xu, J. (José); von-der-Lippe, E. (Elena); Unim, B. (Brigid); Sarmiento, R. (Rodrigo); Isola, G. (Gaetano); Santoso, C.M.A. (Cornelia Melinda Adi); AlKerw, A. (Ala’a); Mondello, S. (Stefania); Lauriola, P. (Paolo); Gazzelloni, F. (Federica); Fischer, F. (Florian); Noguer, I. (Isabel); Obradovic, M. (Marija); O'Caoimh, R. (Rónán); Gorasso, V. (Vanessa); Brus, I. (Iris); Pinheiro, V. (Vera); Economou, M. (Mary); Cuschieri, S. (Sarah); Konar, N.M. (Naime Meriç); Kolkhir, P. (Pavel); Milicevic, M.S. (Milena Santric); Arabloo, J. (Jalal); Santos, J.V. (Joao Vasco); Vasic, M. (Milena); Hynds, P. (Paul); Kostoulas, P. (Polychronis); Idavain, J. (Jane); Devleesschauwer, B. (Brecht); Peyroteo, M. (Mariana); Mechili, E.A. (Enkeleint A.); Uysal, H.B. (Hilal Bektas); Chaintoutis, S.C. (Serafeim C.); Chkhaberidze, N. (Nino); Tozija, F. (Fimka); Jakobsen, L.S. (Lea S.); Gissler, M. (Mika); García-González, J.M. (Juan Manuel); Hincapie, C.A. (Cesar A.); Gulmez, H. (Hakan); Niranjan, V. (Vikram); Cilovic-Lagarija, S. (Seila); Corso, B. (Barbara); Bikbov, B. (Boris); Speybroeck, N. (Niko); Muñoz-Laguna, J. (Javier); Ng, E.S.W. (Edmond S. W.); Ilic, I. (Irena); Burazeri, G. (Genc); Freitas, A. (Alberto); Kulimbet, M. (Mukhtar); Majer, M. (Marjeta); Monasta, L. (Lorenzo); Di-Bari, C. (Carlotta); Kabir, Z. (Zubair); Pallari, E. (Elena); Baltazar, A.L. (Ana Lúcia); McDonald, S.A. (Scott A.); Varga, O. (Orsolya); Riva, S. (Silvia); Borrell-Pages, M. (Maria); Nguewa, P.A. (Paul Alain); La-Vecchia, C. (Carlo); Dopelt, K. (Keren); Kamusheva, M. (Maria); Haller, S. (Sebastian); Wyper, G.M.A. (Grant M. A.); Haneef, R. (Romana); Sprügel, M. (Maximilian); Pranjic, N. (Nurka); Schmitt, T. (Tugce); Gkitakou, A. (Artemis); Nola, I.A. (Iskra Alexandra); Assunçao, R. (Ricardo); Ilic, M. (Milena); Emeto, T.I. (Theophilus I.); Vieira, R.J. (Rafael José); Ádám, B. (Balázs)
    This systematic literature review aimed to provide an overview of the characteristics and methods used in studies applying the disability-adjusted life years (DALY) concept for infectious diseases within European Union (EU)/European Economic Area (EEA)/European Free Trade Association (EFTA) countries and the United Kingdom. Electronic databases and grey literature were searched for articles reporting the assessment of DALY and its components. We considered studies in which researchers performed DALY calculations using primary epidemiological data input sources. We screened 3053 studies of which 2948 were excluded and 105 studies met our inclusion criteria. Of these studies, 22 were multi-country and 83 were single-country studies, of which 46 were from the Netherlands. Food- and water-borne diseases were the most frequently studied infectious diseases. Between 2015 and 2022, the number of burden of infectious disease studies was 1.6 times higher compared to that published between 2000 and 2014. Almost all studies (97%) estimated DALYs based on the incidence- and pathogen-based approach and without social weighting functions; however, there was less methodological consensus with regards to the disability weights and life tables that were applied. The number of burden of infectious disease studies undertaken across Europe has increased over time. Development and use of guidelines will promote performing burden of infectious disease studies and facilitate comparability of the results.
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    Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study
    (Springer Science and Business Media LLC, 2019) Moreno-Racionero, F. (Francisca); Adams, D.P. (David P.); Fernández-Lázaro, D. (Diego); Mielgo-Ayuso, J. (Juan); Caballero-García, A. (Alberto); Miron-Canelo, J.A. (Jose A.); García-González, J.M. (Juan Manuel); Fernández-Lázaro, C.I. (César I.); Córdova, A. (Alfredo)
    Background: Adherence to treatment, a public health issue, is of particular importance in chronic disease therapies. Primary care practices offer ideal venues for the effective care and management of these conditions. The aim of this study is to assess adherence to treatment and related-factors among patients with chronic conditions in primary care settings. Methods: A cross-sectional study was conducted among 299 adult patients with ≥1 chronic condition(s) and prescribed medication in primary healthcare centers of Spain. The Morisky-Green-Levine questionnaire was used to assess medication adherence via face-to-face interviews. Crude and adjusted multivariable logistic regression models were used to analyze factors associated with adherence using the Multidimensional Model proposed by the World Health Organization — social and economic, healthcare team and system-related, condition-related, therapy-related, and patient-related factors. Results: The proportion of adherent patients to treatment was 55.5%. Older age (adjusted odds ratio 1.31 per 10- year increment, 95% CI 1.01–1.70), lower number of pharmacies used for medication refills (0.65, 95% CI 0.47– 0.90), having received complete treatment information (3.89, 95% CI 2.09–7.21), having adequate knowledge about medication regimen (4.17, 95% CI 2.23–7.80), and self-perception of a good quality of life (2.17, 95% CI 1.18–4.02) were independent factors associated with adherence. Conclusions: Adherence to treatment for chronic conditions remained low in primary care. Optimal achievement of appropriate levels of adherence through tailored multifaceted interventions will require attention to the multidimensional factors found in this study, particularly those related to patients’ education and their information needs.