Idival

El objetivo del presente trabajo radica en poner de manifi esto la tensión dialéctica existente entre el reconocimiento de los derechos reproductivos como derechos humanos y, por tanto, presididos por el principio de universalidad, y el progresivo y creciente ensanchamiento por parte del Tribunal Europeo de Derechos Humanos del margen de apreciación que tienen los Estados a la hora de permitir el acceso a las técnicas de reproducción asistida. La tendencia jurisprudencial de ampliación del margen de maniobra nacional parece consolidarse tras la adopción en 2013 del Protocolo nº 15 al Convenio Europeo de Derechos Humanos que, por vez primera, positiviza la doctrina jurisprudencial del margen, intensifi cándose tras la reciente STEDH de 24 enero de 2017 dictada en el caso Paradiso y Campanelli contra Italia. Frente a esta posición, abogamos por reconducir la actual deriva de la jurisprudencia del TEDH, estrechando el margen de apreciación nacional para evitar efectos indeseables como la ambigüedad e impredecibilidad jurisprudencial y el elitismo reproductivo. Desde esta perspectiva, apostamos por la armonización a través de
estándares comunes mínimos en materia de acceso a las técnicas de reproducción asistida.
The goal of this paper is to highlight the dialectical tension between the recognition of reproductive rights as human rights and, therefore, underpinned by the principle of universality, and the progressive and growing widening of the margin of appreciation that European Court of Human Rights is recognizing to the Member States in order to allow the access to the assisted reproductive technologies. This case-law tendency to expand the space for national manoeuver seems to be consolidated after the adoption in 2013 of Protocol No. 15 to the European Convention on Human Rights, which for the fi rst time states the jurisprudential doctrine of the margin, and after
the recent ECtHR judgment of 24 January 2017 concerning the case Paradiso and Campanelli versus Italy. Contrary to this position, we advocate for the redressing of the current derivation of ECtHR jurisprudence, narrowing the national margin of appreciation in order to avoid undesirable eff ects such as the ambiguity and unpredictability of ECtHR case-law and reproductive elitism. From this perspective, we clearly defend a harmonization of minimum common standards for access to assisted reproduction techniques.

At least 100,000 retired UK citizens currently live in Spain. Under EU law, they are entitled to access the Spanish National Health Service (NHS) with minimum administrative difficulty. What will their legal position be under a ‘no-deal Brexit’? This is a question of Spanish law. The worst case scenario is that they will have to reapply for their residence permits under the Spanish legislation applicable to non-EU/European Economic Area citizens, with all the administrative inconvenience and cost entailed. If they successfully reapply, their personal health care costs will be considerably higher than at present, should they choose to remain in Spain. Very obvious questions of capacity planning arise. The Spanish system will potentially need to gear up for a significant administrative effort. Given the distinct possibility of a ‘no-deal Brexit’, the UK NHS should prepare to welcome significant numbers of pensioners home.

At least 100,000 retired UK citizens currently live in Spain. Under EU law, they are entitled to access the Spanish NHS with minimum administrative difficulty. What will their legal-B T " The worst case scenario is that they will have to reapply for their residence permits under the Spanish legislation applicable to non EU/EEA citizens, with all the administrative inconvenience and cost entailed. If they successfully reapply, their personal healthcare costs will be considerably higher than at present, should they choose to remain in Spain. Very obvious questions of capacity planning arise. The Spanish system will potentially need to gear up for a significant administrative effort. Given the distinct possibility-B UK NHS should prepare to welcome significant numbers of pensioners home.

Background Delayed discharge for non-clinical reasons also affects patients in need of palliative care. Moreover, the number of people dying in hospitals has been increasing in recent years. Our aim was to describe characteristics of patients who died during prolonged stay, in comparison with the rest of patients with delayed discharge, in terms of length of hospital stay, patient characteristics and the context of care. Methods A descriptive cross-sectional study at a high complexity public hospital in Northern Spain (2007–2015) was conducted. To compare the differential characteristics of the groups of patients died during delayed discharge with the rest, Student’s T test and Pearson’s chi-square test (χ2) were used. Results A total of 198 patients died (6.57% of the total), with a mean total stay of 27.45 days and a prolonged stay of 10.69 days. Mean age 77.27 years. These were highly complex cases, 77.79% resided in the urban area, were admitted urgently (95.45%), to internal me...

En todo caso, puede comprobarse cómo la inclusión de la perspectiva del paciente como consumidor en los estudios citados constituye una operación sectorial al contemplarse únicamente en relación con instituciones concretas como la información o la responsabilidad civil. Una perspectiva más homogénea la encontramos en el monumental tratado de BUSTO LAGO,

RESUMEN: El presente trabajo persigue como objetivo principal discutir el concepto, los límites y las posibilidades de formulación de un concepto de democracia sanitaria, desde una doble perspectiva constitucional: sociológica y jurídica. Para ello, el texto se descansa en dos pilares nucleares. Comenzaremos presentando algunas reflexiones sobre la Sociología de las Constituciones, concebida como la plataforma epistemológica que nos servirá para analizar la conexidad constitucional. En segundo término se analizará esta técnica de vinculación del derecho a la protección de la salud con otros derechos fundamentales y otros textos internacionales, que permita explicar finalmente determinadas implicaciones interdisciplinares, inherentes al concepto de "democracia sanitaria".

Deseados pero abandonados: el incierto destino de los embriones criopreservados Desired but abandoned: the uncertain fate of cryopreserved embryos Desitjats però abandonats: la incerta destinació dels embrions criopreservats MARTA REGUERA CABEZAS, JOAQUÍN CAYÓN-DE LAS CUEVAS *

BioDat: «Datos de salud: claves éticojurídicas para la transformación digital en el ámbito sanitario» (Fundación Séneca. 20939/PI/18). BIG-BIODATACAN: «Diseño de buenas prácticas en materia de protección de datos clínicos y de medidas para el desarrollo de Big Data sanitarios» (INNVAL 19/04). «Datos abiertos y reutilización de la información del sector público en el contexto de su transformación digital: la adaptación al nuevo marco normativo de la Unión Europea», Ministerio de Ciencia e Innovación (ref. PID2019-105736GB-I00).

Current studies on bed-blocking or delayed discharge for non-medical reasons report important variations depending on the country or setting under study. Research on this subject is clearly important as the current system reveals major inefficiencies. Although there is some agreement on the patient-related factors that contribute to the phenomenon, such as older age or a lack of functional ability, there is greater variability regarding environmental or organizational factors. This study sought to quantify the number of cases and days inappropriately spent in hospital and identify patient characteristics and healthcare service use associated with the total length of stay. All cases of delayed discharge were studied at the hospitalization units of a general university hospital in Northern Spain between 2007 and 2015. According to regression estimates, the following characteristics were related to a longer stay: higher complexity through (Diagnosis-Related Group) DRG weight, a diagnosis that implied a lack of functional ability, surgical treatment, having to wait for a destination upon final discharge or return home. After an initial increase, a reduction in delayed discharge was observed, which was maintained for the duration of the study period. Multi-component interventions related with discharge planning can favor a reduced inefficiency with fewer unnecessary stays.