Background: The concept of health-related quality of life and education integrates the bio-psychosocial perspective of health and the multidimensional potentialities of education for wellbeing. This present work is especially relevant to young people because understanding the interaction between health and education can facilitate the design of preventive policies. The research examines the way in which the educational level of young people from an urban district in the city of Zaragoza (Casablanca) has an influence on their health-related quality of life (HRQOL). Methods: A cross sectional survey was undertaken in the Casablanca district of Zaragoza (Spain). Participants were not randomly selected; their numbers reflected the areas where they lived with respect to age and sex distribution. It comprised 122 boys and 122 girls, aged between16 and 29, living in the neighbourhood are: Viñedo Viejo, Las Nieves and Fuentes Claras. These three residence zones are markedly different in terms of socioeconomic composition. The questionnaire included the following information: socioeconomic characteristics (sex, age, educational level, employment status, residence zone), an assessment of health (health problems, diagnosis and medication in the last 2 weeks) and HRQOL (WHOQOL-BREF dimensions: mental health; physical health; social relations; and environment). ANOVA and four regression models were used to assess the role, direction and intensity of educational level on HRQOL. Results: The results show that the higher the level of education, the better the level of HRQOL. The biggest impact of education was on the mental health dimension, but this influence was modulated by sex and residence zone. The value of the interaction of education and residence zone was more significant than educational level alone. HRQOL of girls is more sensitive to education, being a student and residence zone than the HRQOL of boys. Conclusions: The dimensions of HRQOL are influenced by educational level. The influence is greatest among girls and the youngest members of the poorest area of the district. Public authorities should contemplate the development of an equitable education system from the beginning of the life cycle as a public health strategy.

As one of the training methodologies employed in the health care context, ‘Learning by Doing’ prioritizes the transference of competence, control, and workplace motivation. However, there are few published works that consider the opinions of health care professionals in relation to the effects of this kind of training on their workplace competence. The goal of this research was to evaluate the level of satisfaction and impact on quality of care, as perceived by the health care professionals that participated in this training program (Formative Focus). The evaluation utilized an online questionnaire that assessed professional satisfaction through five dimensions: The training methodology; the training program; its economic impact; perceived improvement in professional competence; and, perceived improvement in quality of care. A total of 364 health professionals took part in the training course and were asked to complete an online questionnaire. The variables that contemplated satisfaction were related to quality of care and preferences regarding the training methodology. Participants preferred interactive methods for learning with emphasis on practical contents. In terms of application of learning to their jobs, health care professionals found Learning by Doing skills more useful to transfer to their workplace. This experience of Learning by Doing training indicates an interesting potential for impact on improvement: Quality of health care, health care competence of professionals, and organizational development.

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RESUMEN:Los profesionales sanitarios requieren de un proceso formativo constante que les permita hacer frente a retos actuales como: la innovación tecnológica, los nuevos modelos organizacionales, la medicina basada en la evidencia, los cambios epidemiológicos, la participación del usuario, etc. A pesar de los recursos y esfuerzos invertidos, no se ha prestado suficiente atención a la evaluación de la formación de dichos profesionales. Este artículo analiza la evaluación de impacto formativo en base a un programa learning by doing llevado a cabo en el Servicio Aragonés de Salud. En este programa las actividades formativas son propuestas, implementadas y valoradas por los profesionales del servicio en el lugar de trabajo tras un proceso gerencial de selección. Se ha trabajado con una encuesta diseñada de elaboración propia y remitida a los profesionales participantes como alumnos. 182 médicos y enfermeras respondieron on line. Mediante análisis bivariante y regresiones se ha analizado la interacción entre el aprendizaje de conocimientos y habilidades, su trasferencia al lugar del trabajo y la calidad asistencial. En un 94,4% de los encuestados se constata la relación entre la mejora de la competencia profesional (adquisición de conocimientos y habilidades, utilidad para la profesión, aplicación de los conocimientos nuevos y habilidades en el centro de trabajo, formación en cascada y mejora de los conocimientos y las habilidades) y mejora de la calidad asistencial (medida mediante los indicadores del European Foundation for Quality Management). El diseño de la evaluación del impacto formativo debería estar vinculado a las evaluaciones previas y, sus resultados miden los efectos mediatos en la organización. Esta información se convierte en una herramienta clave para valorar la efectividad del programa ejecutado y para la programación de actuaciones futuras, que garanticen la formación continua de los profesionales sanitarios y permitan mejorar la calidad de sus actuaciones.PALABRAS CLAVE: Evaluación del impacto formativo, aprender haciendo, formación sanitaria, competencias sanitarias, calidad asistencial sanitaria.

Health care continuing education is an organizational strategy that aims to improve the professional skills of personnel and the assistance quality. However, the impact assessment is not a widespread organizational practice. The absence of study of the formative impact on the organization results in the loss of essential information for the evaluation of the training strategy and future decision-making. In order to analyze the methodological possibilities of the impact assessment, this paper presents the design process and implementation of a model evaluability in a health training program. The proposed evaluability index provides accurate information about the effects of the training intervention to the organization and improves the design of training programs. Keywords ResumenLa formación continua sanitaria es una estrategia organizativa que pretende la mejora de las competencias profesionales y la calidad asistencial. Sin embargo, la evaluación del impacto formativo es una práctica poco extendida que dificulta la futura toma de decisiones. Con el fin de analizar las posibilidades metodológicas que tiene la evaluación del impacto, este artículo expone el proceso de diseño y aplicación de un modelo de evaluabilidad en un programa formativo sanitario. El índice de evaluabilidad propuesto proporciona a la organización la información precisa sobre los efectos de la intervención formativa y permite mejorar el diseño de programas formativos.Palabras clave: evaluación de proyectos, implementación de proyectos, programas de capacitación, sistema sanitario público, servicios de salud, profesionales sanitarios