Browsing by Subject "Causa de muerte"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Publication
    Open Access
    Evaluación de los cursos de certificación de las causas de la defunción para médicos en formación de la especialidad
    (Ministerio de Sanidad y Consumo, 2026-03-10) Cirera Suárez, Lluís; Maeso Martínez, Sergio; Fernández Somoano, Ana; Salmerón Martínez, Diego; Ciencias Sociosanitarias; Facultades de la UMU::Facultad de Medicina
    BACKGROUND // The causes of death are the pathologies that physicians fill on death certificates. The causes of death quality is a mandatory requirement for useful mortality statistics. To train physicians is essential for the correct fulfillment of death causes. The objective of this paper was to evaluate the efficacy of courses on causes of death certification to all physicians in specialty training. METHODS // A descriptive observational epidemiological study was conducted to evaluate the efficacy of medical death certification in eighteen in-person courses using a quasi-experimental pre- and posttest design aimed to all physicians during their specialty training in Spain. We assessed: legible handwriting; logical sequence; absence of abbreviations and acronyms; causal sequence, no added causes, no omitted causes; immediate, intermediate, fundamental causes, other conditions, and underlying cause. Correct toll was the achievement of 2/3 of the maximum score; and Suitable, the achievement of the correct score in logical and causal sequences, without added or omitted causes, and the three underlying causes of initial and final paired cases. We applied bivariate statistics to paired/unpaired indicators between individual/grouped pre-posttests, and multivariate statistics adjusting for evaluator and course. RESULTS // 96% of cases were included, and the 85% paired pre-posttests. The individual indicators grouped into Form, Concept, Result, and Total, improved significantly from the pretest. The matched and adjusted analysis showed a 26% to 80% increase of Suitable physicians in specialty training. CONCLUSIONS // The efficacy of the courses on medical certification is assessed. Systematic courses on certification of causes of death for all physicians in specialty training should be implemented.
  • Thumbnail Image
    Publication
    Open Access
    Heterogeneidad en el perfil profesional y las actividades de los registros de mortalidad en España
    (Elsevier, 2022-05-28) Cirera, Lluís; Ballesta Ruiz, Mónica; Arana, Bárbara María; Chirlaque López, María Dolores; Grupo de Trabajo de Mortalidad de la Sociedad Española de Epidemiología; Ciencias Sociosanitarias; Facultades de la UMU::Facultad de Enfermería
    Objective: The mortality registries (MR) code death causes for the elaboration of the mortality statistics of the Spanish National Institute of Statistics (INE). Documentary research and medical training can improve this activity. Our objective was to analyse the professional profile and activities of the MR. Method: A survey was designed and distributed in February 2021. Professional profile, quality activities, medical training, and regular publications were the major topics. 16/18 MR participated. A cluster analysis was performed. Results: Eleven registries belong to Public Health. Five have an INE agreement, 39% provided training, and 56% made regular publications. Ten improved the causes of death, and 17% reviewed the automatic coding. The cluster analysis started from 5/16 groups of registries. Conclusions: The MR were heterogeneous in professionals, quality and publications. Homogeneity implies documentary search, a sole INE agreement, and providing systemic medical training.