ANTECEDENTES Y OBJETIVOS : Resultados comunicados por el paciente (PROs) hace referencia al resultado evaluado por el paciente y basado en la percepción de su enfermedad y tratamiento. El objetivo es determinar la adherencia, calidad de vida (CV) y satisfacción con el tratamiento antipsoriásico. MATERIAL Y METODOS: Estudio observacional-transversal, prospectivo y unicéntrico en el que se realizaron encuestas PROs sobre adherencia (test de Morisky-Green (MG)), satisfacción con el tratamiento (Cuestionario Español de Satisfacción de Tratamiento en Psoriasis(CESTEP)) y CV (Skindex-29 y DLQI). Otras variables: PASI, BSA. Análisis estadístico: Jamovi®2.3.26. RESULTADOS Se realizaron 100 encuestas. Del cuestionario MG se obtuvo que el 75%(75/100) eran pacientes adherentes y del registro de dispensaciones el 94%(94/100), del CESTEP se obtuvo una media de 7,4±7,7 (resultado cercano a la máxima satisfacción 0), del DLQI de 2,6±4,6 (pequeño efecto en la CV) y de SKINDEX-29 14,6±15,4 (68% afectación leve (<5) o muy leve (6-17) según interpretación de Nijsten et al). De CESTEP se obtuvo un valor de p.Rho Spearman en relación con el PASI en el momento del estudio de 0,338(p=0,004), con el BSA del 0,255(p=0,050), con el resultado del DLQI de 0,508(p<0,001) y del Skindex-29 0,397(p<0,001). De la matriz de correlación entre el resultado del DLQI y el PASI en el momento del estudio de 0,365(p=0,002) y de BSA de 0,347(p=0,007). El resultado de Skindex-29 con PASI fue de 0,380(p=0,001) y con BSA de 0,295(p=0,022). CONCLUSIONES: Los pacientes tratados presentan una buena CV, una alta adherencia y satisfacción al tratamiento. Existe una correlación significativa entre satisfacción, CV y PASI-BSA en el momento del estudio. BACKGROUND AND OBJECTIVES : Patient-reported outcomes (PROs) are outcomes evaluated by patients based on their perception of their disease and treatment. The objective of PROs is to determine antipsoriatic treatment-related adherence, quality of life (QoL) and satisfaction. MATERIALS AND METHODS: We conducted an observational cross-sectional, prospective, and single-center study in which PROs surveys were conducted on adherence (Morisky-Green [MG] test), treatment satisfaction (Spanish Questionnaire of Treatment Satisfaction in Psoriasis [CESTEP]) and QoL (Skindex-29 and DLQI). Additional variables include: PASI, BSA. Statistical analysis: Jamovi®2.3.26. RESULTS: A total of 100 surveys were conducted. Based on the MG questionnaire, we found that 75% (75/100) of patients were adherent vs 94% (94/100) from the dispensation records. Regarding CESTEP, a mean score of 7.4 ± 7.7 (close to maximum satisfaction 0) was obtained, while DLQI yielded a score of 2.6 ± 4.6 (indicating a small effect on QoL), and SKINDEX-29 a score of 14.6 ± 15.4 (68% indicating mild (< 5) or very mild (6-17) impact according to Nijsten et al.). Based on CESTEP a p.Rho Spearman value of 0.338 (p = 0.004) was obtained in relation to PASI when the study was conducted with a BSA of 0.255 (p = 0.050), DLQI results of 0.508 (p < 0.001) and Skindex-29 results of 0.397(p < 0.001). At the time of the study, the correlation matrix between DLQI result and PASI was 0.365 (p = 0.002) with a BSA of 0.347 (p = 0.007). Skindex-29 results with PASI were 0.380 (p = 0.001) and with BSA, 0.295 (p = 0.022). CONCLUSIONS: Patients on therapy exhibit a good QoL, high adherence and satisfaction with their treatment. A significant correlation was seen among satisfaction, QoL, and PASI-BSA at the time of the study.
The kibbutz (pl. kibbutzim), deeply rooted in Israeli culture and history, plays an important role in the nation’s narrative as a symbol of communal living and collective values. As demographics shift, the Israeli kibbutz system, originally designed for younger society, is now becoming attractive also for the elderly people. The main aim of this paper is to examine the Israeli kibbutzim’s organisational culture in the context of challenges arising from ageing society. Drawing on Edgar Schein’s three-level model of organisational culture, the research sheds light on the shared services provided for the elderly, their participation in community life, decision-making processes, and the overall attitude of the kibbutz towards its older members. The study contributes to broader discussions on ageing, silver economy, community welfare, and sustainable development. First, a multi- modal approach in collecting and analysing data has been applied by using literature, documents, and statistics concerning all 266 Israeli kibbutzim identified at the end of 2023. In the second phase, the survey questionnaire with each question intentionally designed to reflect particular issues within Schein’s model was conducted in randomly selected settlements. Responses provide valuable insights into the dynamic interplay of traditional communal values and their modern adaptations. Schein’s model has proven practical in unravelling the complex tapestry of cultural elements that define kibbutzim, showcasing their unique blend of tradition and modernity.
The Kibbutz, an iconic element of Israeli culture with deep historical roots, plays a vital role in the nation's narrative. With the global shift towards an ageing population, the significance of the silver economy, emphasising the economic role and potential of the elderly, has risen to the forefront. The study's main aim is to explore and understand the dynamics of the silver economy within the unique collaborative setting of Israeli kibbutzim. This study applied the Cultural Web Framework to analyse the elements influencing these communities as of 2023 comprehensively. The Israeli kibbutzim, characterized by their unique communal lifestyle and social organization, offer an exceptional setting for exploring the integration of older adults and their influence on the community's economic and social dimensions. A multi-modal approach in collecting and analysing data has been applied using literature, documents and statistics concerning 266 kibbutzim inhabited by 193,5 thousand people. By randomly selecting a diverse range of 54 kibbutzim for the in-depth research framed by the Cultural Web concept, the study aimed to shed light on the shared services provided for the elderly, their participation in community life and decision-making processes, and the overall attitude of the kibbutz towards its older members. The analysis was enhanced through the use of MAXQDA software, which facilitated the efficient import and examination of standardised and open-ended responses. This allowed for a comprehensive application of various analysis methods, such as content analysis and mixed methods approaches, to extract meaningful insights from the data. This research is particularly significant, considering the ongoing transformation of kibbutzim within Israel from traditional collaborative forms to more individualised structures and how these adaptations affect their senior inhabitants. Comprehending these dynamics provides crucial insights for fostering inclusive and supportive communities that leverage the capabilities of their ageing members. This contributes to wider conversations surrounding ageing, community well-being, and sustainable social frameworks within the context of the silver economy.