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BACKGROUND: In Spain, homeless individuals have lower perceived quality of health than the rest of the population and their life expectancy is 30 years lower than the national average. While the Spanish health system provides universal access and coverage, homeless individuals do not access or use public care enough to maintain their health. The objective of this study is to determine if homeless individuals can access public health services in conditions of equality with the rest of the population, as established in healthcare legislation, and to better understand the causes of observed inequalities or inequities of access. METHODS: A detailed qualitative study was carried out in the city of Barcelona (Spain) from October 2019 to February 2020. A total of nine open and in-depth interviews were done with homeless individuals along with seven semi-structured interviews with key informants and two focus groups. One group was composed of eight individuals who were living on the street at the time and the other consisted of eight individuals working in healthcare and social assistance. RESULTS: The participants indicated that homeless individuals tend to only access healthcare services when they are seriously ill or have suffered some kind of injury. Once there, they tend to encounter significant barriers that might be 1) administrative; 2) personal, based on belief that that will be poorly attended, discriminated against, or unable to afford treatment; or 3) medical-professional, when health professionals, who understand the lifestyle of this population and their low follow-through with treatments, tend towards minimalist interventions that lack the dedication they would apply to other groups of patients. CONCLUSIONS: The conclusions derived from this study convey the infrequent use of health services by homeless individuals for reasons attributable to the population itself, to healthcare workers and to the entire healthcare system. Accordingly, to reduce inequities of access to these services, recommendations to ...

In the last decades, the use of Information and Communication Technologies (ICTs) has progressively spread to society and public administration. Health is one of the areas in which the use of ICTs has more intensively developed through what is now known as eHealth. That area has recently included mHealth. Spanish health system has stood out as one of the benchmarks of this technological revolution. The development of ICTs applied to health, especially since the outbreak of the pandemic caused by SARS Cov-2, has increased the range of health services delivered through smartphones and the development of subsequent specialized apps. Based on the data of a Survey on Use and Attitudes regarding eHealth in Spain, the aim of this research was to conduct a comparative analysis of the different eHealth and mHealth user profiles. The results show that the user profile of eHealth an mHealth services in Spain is not in a majority. Weaknesses are detected both in the knowledge and use of eHealth services among the general population and in the usability or development of their mobile version. Smartphones can be a democratizing vector, as for now, access to eHealth services is only available to wealthy people, widening inequality.

In the last decades, the use of Information and Communication Technologies (ICTs) has progressively spread to society and public administration. Health is one of the areas in which the use of ICTs has more intensively developed through what is now known as eHealth. That area has recently included mHealth. Spanish health system has stood out as one of the benchmarks of this technological revolution. The development of ICTs applied to health, especially since the outbreak of the pandemic caused by SARS Cov-2, has increased the range of health services delivered through smartphones and the development of subsequent specialized apps. Based on the data of a Survey on Use and Attitudes regarding eHealth in Spain, the aim of this research was to conduct a comparative analysis of the different eHealth and mHealth user profiles. The results show that the user profile of eHealth an mHealth services in Spain is not in a majority. Weaknesses are detected both in the knowledge and use of eHealth services among the general population and in the usability or development of their mobile version. Smartphones can be a democratizing vector, as for now, access to eHealth services is only available to wealthy people, widening inequality. ; Ministerio de Economía y Competitividad | Ref. CSO2014-53014-R

In the last decades, the use of Information and Communication Technologies (ICTs) has progressively spread to society and public administration. Health is one of the areas in which the use of ICTs has more intensively developed through what is now known as eHealth. That area has recently included mHealth. Spanish health system has stood out as one of the benchmarks of this technological revolution. The development of ICTs applied to health, especially since the outbreak of the pandemic caused by SARS Cov-2, has increased the range of health services delivered through smartphones and the development of subsequent specialized apps. Based on the data of a Survey on Use and Attitudes regarding eHealth in Spain, the aim of this research was to conduct a comparative analysis of the different eHealth and mHealth user profiles. The results show that the user profile of eHealth an mHealth services in Spain is not in a majority. Weaknesses are detected both in the knowledge and use of eHealth services among the general population and in the usability or development of their mobile version. Smartphones can be a democratizing vector, as for now, access to eHealth services is only available to wealthy people, widening inequality. ; Ministerio de Economía y Competitividad | Ref. CSO2014-53014-R

Producción Científica ; En este volumen seis autores, desde diferentes ámbitos, analizan la sociedad actual y el impacto que determinados aspectos de ésta a nivel educativo. ; INDICE 1. REDES DE CONOCIMIENTO Y PUEBLOS INDÍGENAS DE LATINOAMÉRICA (Carlos García Palacios) 2. EXCLUSIÓN SOCIAL, DESIGUALDADES E INEQUIDADES EN SALUD Y EL ROL DE LAS NUEVAS TECNOLOGÍAS COMO INSTRUMENTO AL SERVICIO DE LA INCLUSIÓN SOCIAL (Andrés Cernadas y Luca Chao) 3. TRANSFORMACIONES Y MANTENIMIENTOS DE LA DEMOCRACIA REPRESENTATIVA BRASILEÑA ENTRE 2013 Y 2015: DE LAS NUEVAS MOVILIZACIONES DE LA CALLE A LOS VIEJOS FRENOS PARLAMENTARIOS (Emerson Urizzi Cervi). 4. EL LOGRO DE UNA DEMOCRACIA DE CALIDAD Y UNA REGENERACIÓN DEMOCRÁTICA COMO RESULTADO DE LA EDUCACIÓN CÍVICA. (José Manuel Canales Aliende y Adela Romero Tarín). 5. BIOTECNOLOGÍAS DEL CUERPO INTERSEXUAL. UNA HIPÓTESIS PARA CONSTRUIR GARANTÍAS JURÍDICAS (Daniel J. García López). 6. VIOLENCIA ENTRE NIÑOS Y ADOLESCENTES: ANÁLISIS Y PREVENCIÓN (Cristina Cuenca Piqueras) ; Grupo de Investigación: Ciencia, tecnología, democracia y educación (FLACSO - España), GIR Trans-REAL Lab (UVa - España) y Observatorio Lucentino de Administración y Políticas Públicas comparadas (España)