Autonomous Regions Of Spain Research Articles

[Translated article] Measurement Assessment of Minimal Disease Activity In Psoriasis in Spain: A National Cross-Sectional Study

IntroductionIn 2017, the Spanish Academy of Dermatology and Venereology Psoriasis Working Group (PWG) designed the Minimal Disease Activity (MDA) criteria to determine the level of disease activity. We hereby present the results of an observational, cross-sectional, multicenter study of the nationwide application of these criteria. Material and methodsWe conducted a non-randomized sampling, stratified to achieve autonomic and provincial representation of consecutive patients with psoriasis (Ps) vulgaris without active arthritis. A total of 830 patients were included: 493 men (59.5%), with a mean age of 51.4 years (SD, 14.2), from all autonomous regions of Spain (except for Ceuta and Melilla) and 44 (88%) out of the 50 provinces. A questionnaire was obtained with demographic data, DLQI, subjective assessment—on a scale from 0 to 10—of itching, erythema, desquamation, visibility, and the patients’ PASI and BSA. ResultsMore than 50% failed to meet the MDA criteria (491; 59.2%), with significant differences being reported by region, sex, and age. Additionally, significant differences were reported based on the therapy used (P<.001). The use of biological therapies was associated with higher MDA compliance compared to other therapies (59.4% vs 23.3%). No differences were reported among various biological therapies. ConclusionsThe overall rate of MDA compliance is low, with differences being based on geographic location, sex, age, and drug used, yet none of these factors separately justify them.

Minority Narratives: The Voices of Women Architects from the School of Madrid in Early Democratic Spain (1975-1982)

Since the mid-19th century and until the 1964 study programme, students at the Madrid School of Architecture had to undergo various entrance exams for university. Women architects in Francoist Spain represented a mere 5% of the profession, a gender gap only overcome many years after the democratic restoration. Yet most of them did not consider feminism as a matter major concern, since the lack of freedom in Spain held greater importance for women that gender issues, which were relegated to a secondary position in public discussions. Starting in 1985, with the development of the Autonomous Regions in Spain and its accession to the European Economic Community, the country underwent a propound transformation. Former generations of women architects would then play a relevant professional role. This paper aims to expose, through the chronological sequence of their graduation—initially in a testimonial and isolated manner and later forming small networks—how their professional careers developed. This chronological approach, as well as a study of their links from a series of conversations with several women architects that studied and/or set their practice during the years of the democratic transition allows us to conclude that they were not only pioneers but also role models and mentors to each other. Their status as a determined minority is reflected in the relationships they established, with friendships and student complicity that accompanied them throughout their lives, as confirmed by their professional collaborations, comments, and vivid memories of their belonging to a group or community.

Valoración de la medida de Actividad Mínima de Enfermedad en Psoriasis en España: estudio transversal nacional

IntroductionIn 2017, the Spanish Academy of Dermatology and Venereology Psoriasis Working Group (PWG) designed the Minimal Disease Activity (MDA) criteria to determine the level of disease activity. We hereby present the results of an observational, cross-sectional, multicenter study of the nationwide application of these criteria. Material and methodsWe conducted a non-randomized sampling, stratified to achieve autonomic and provincial representation of consecutive patients with psoriasis (Ps) vulgaris without active arthritis. A total of 830 patients were included: 493 men (59.5%), with a mean age of 51.4 years (SD, 14.2), from all autonomous regions of Spain (except for Ceuta and Melilla) and 44 (88%) out of the 50 provinces. A questionnaire was obtained with demographic data, DLQI, subjective assessment—on a scale from 0 to 10—of itching, erythema, desquamation, visibility, and the patients’ PASI and BSA. ResultsMore than 50% failed to meet the MDA criteria (491; 59.2%), with significant differences being reported by region, sex, and age. Additionally, significant differences were reported based on the therapy used (P<.001). The use of biological therapies was associated with higher MDA compliance compared to other therapies (59.4% vs 23.3%). No differences were reported among various biological therapies. ConclusionsThe overall rate of MDA compliance is low, with differences being based on geographic location, sex, age, and drug used, yet none of these factors separately justify them.

COVID-19: Uses and Perceptions of Music during Lockdown from a Gender Perspective

Starting in the middle of March 2020, various lockdown measures and degrees of confinement were put in place in most European countries as a result of the COVID-19 pandemic. Although this situation meant that more people were likely to experience poorer mental health, largely due to the imposition of social distancing measures, many individuals incorporated music into their coping routines to help improve their psychological well-being. Using a gender perspective, this study analyzes how individuals used music during lockdown and explores the differences between men’s and women’s views on the impact that listening to and making music has on their perceived level of well-being. A questionnaire, MUSIVID19, was administered to a sample of 1868 participants from all the autonomous regions in Spain. The results reveal that in the uses and perceptions of music, the stereotypes underlying the patriarchal system were also reproduced during confinement.

Do Spanish regions converge? A time-series approach using fractional cointegration

ABSTRACT This article investigates economic convergence in terms of real income per capita between the autonomous regions of Spain over the period 1955–2020. In order to converge, the series should be cointegrated. This necessary condition is checked using two testing strategies recently proposed for fractional cointegration, finding no evidence of cointegration, which rules out the possibility of convergence between all or some of the Spanish regions. As an additional contribution, an extension of the critical values of Nielsen’s (2010) test of fractional cointegration is provided for a different number of variables and sample sizes from those originally provided by the author, fitting those considered in this article.

Survey on the situation of telepharmacy as applied to the outpatient care in hospital pharmacy departments in Spain during the COVID-19 pandemic

ObjectiveTo analyze the status of the implementation and development of telepharmacy as applied to the pharmaceutical care of outpatients treated at hospital pharmacy services in Spain during the COVID-19 pandemic. MethodSix weeks after the beginning of the confinement period, an online 10-question survey was sent to all members of the Spanish Society of Hospital Pharmacists. A single response per hospital was requested. The survey included questions on the provision of remote pharmaceutical care prior to the onset of the health crisis, patient selection criteria, procedures for home delivery of medications and the means used to deliver them, the number of patients who benefited from telepharmacy, and the number of referrals made. Finally, respondents were asked whether a teleconsultation was carried out before sending patients their medication and whether these deliveries were recorded. ResultsA total of 39.3% (n = 185) of all the hospitals in the National Health System (covering all of Spain's autonomous regions) responded to the survey. Before the beginning of the crisis, 83.2% (n = 154) of hospital pharmacy services did not carry out remote pharmaceutical care activities that included telepharmacy with remote delivery of medication. During the study period, 119,972 patients were treated, with 134,142 deliveries of medication being completed. Most hospitals did not use patient selection criteria. A total of 30.2% of hospitals selected patients based on their personal circumstances. Home delivery and informed delivery (87%; 116,129 deliveries) was the option used in most cases. The means used to deliver the medication mainly included the use of external courier services (470%; 87 hospitals) or the hospital's own transport services (38.4%; 71 hospitals). As many as 87.6% of hospitals carried out teleconsultations prior to sending out medications and 59.6% recorded their telepharmacy activities in the hospital pharmacy appointments record. ConclusionsThe rate of implementation of telepharmacy in outpatient care in Spain during the study period in the pandemic was high. This made it possible to guarantee the continuity of care for a large number of patients.

DO RENIN-ANGIOTENSIN SYSTEM INHIBITORS HAVE ANY EFFECT ON THE SEVERITY OF COVID-19 IN HYPERTENSIVE SUBJECTS?

Objective: An increase in angiotensin-converting enzyme (ACE) type 2 levels would stimulate the infection by SARS-Cov-2. On the other hand, the inhibition of the effect of angiotensin II could decrease the inflammatory and oxidative response related to the severity of the disease. Our purpose is to assess the effect of renin-angiotensin inhibitors (RASi) on the severity of COVID-19 in a primary care population of hypertensives. Design and method: Multicenter, observational, cross-sectional, retrospective and analytical study. The subjects were enrolled by a random sampling from 10 autonomous regions in Spain, among patients over 18 years-old with treated hypertension and COVID-19 (PCR positive), within the framework of primary health care (119 physicians). Patients were treated 6 months prior data collection (May 2021–February 2022) in the third wave. Multivariate logistic regression analysis adjusted by age, sex, smoking, and obesity was performed to assess the relationship of COVID-19 severity with anti-hypertensive therapy. Results: 1372 patients were enrolled, mean age 67.1±13.6 years, women 50.8%, smoking 12.5%, obesity 43.9%, diabetes 27.5%, controlled arterial hypertension 55.9% (office BP &lt;140 /90). The severity of COVID-19 was: mild-asymptomatic 971 (70.8%), hospital admission 401 (29.2%), ICU admission 74 (5.4%) and death 48 (Fatality rate, 4%). 64.3% of patients were treated with RASi alone or as add-on therapy during COVID-19. Comparing the progression of COVID-19 between those patients who required hospitalisation versus mild-asymptomatic, we found statistically significant differences (Figure 1): RASi vs Diuretics(D)+Calcium channel blockers(CCB)+RASi (OR = 0.36; 95%CI: 0.22-0.57; p&lt;0.001) and D+RASi vs D (OR = 0.49; 95%CI: 0.28-0.93; p&lt;0.05). RASi alone or in combination vs other anti-hypertensives only showed a non-significant trend for fewer hospitalizations (OR = 0.87; 95%CI: 0.68-1.12; p = 0.274). There were no differences between survivors vs non-survivors treated with RASi: 63.2% vs 58.3% (p = 0.496). Conclusions: RASi do not worsen the severity of COVID-19 among hypertensive patients. Regarding its possible protective effect on the progression of the disease, the results are not conclusive, although there could be a trend in this sense, especially when RASi are compared with some antihypertensive combinations.

A qualitative investigation of healthcare professionals’ viewpoints of the healthcare process of persons with a serious mental illness in prisons with a traditional model for mental health care provision in Spain

IntroductionHealthcare delivery in prisons depends on the national Ministry of Interior in 14 of 17 autonomous regions in Spain. A traditional model for health and mental health care provision prevails.ObjectivesTo increase understanding of the mental health care process of imprisoned persons with a serious mental illness (SMI) in Spanish prisons with a traditional model of health care provision.Methods10 healthcare professionals (6 physicians, 3 nurses, 1 pharmacist) working in small (&lt;450 imprisoners), middle size (450-1,000) and big (&gt;1,000) prisons took part in 3 online focus groups between 31st May and 2nd June 2022. The moderator used open-ended questions to research into the healthcare process (diagnosis, treatment, follow up, prevention) of imprisoners with SMI. Focus groups lasted 2 hours, and were audiotape recorded and transcribed. Transcripts were analysed applying constant comparative method and theoretical saturation.ResultsMental healthcare provision varies across prisons, but commonalities exist. Healthcare professionals reported that about 60% of SMI are diagnosed by the correctional general practice physician (GP) at incarceration. Severe cases are assessed by an external psychiatrist. Once a week (average) the psychiatrist visits the prison to either confirm diagnoses or adjust treatments. One third of imprisoners who would benefit from a psychiatric assessment has it. Follow up occurs in the prison infirmary for close supervision. If addiction concurs, referral to therapeutic modules happen. Polypharmacy and overmedication are common. Simplification of therapies and slow-release injectable formulations of antipsychotics are desirable. Everyday mental health care and rehabilitation take place throughout a specific, little equipped, psycho-social support programme implemented in most prisons but restricted to the most disabled SMI persons. Acute psychiatric episodes occur due to treatment interruptions or deviations and are managed by the correctional GP. Hospital referrals are problematic without protocols. Prevention of relapses relies on imprisoners supervision and staff observation. Healthcare records are only available to healthcare professionals working in prisons. Outside prisons, continued care needs of mental health and social support in the community. Due to healthcare services modest readiness to respond to needs and poor social networks, SMI persons are prone to relapse and recidivism.ConclusionsFocus groups found that working in isolation from the public healthcare system, shortage of psychiatrists, poorly implemented therapeutic and rehabilitation programmes, and lack of mental health and social care services in the community negatively affect the care of imprisoners with SMI in Spain.Disclosure of InterestNone Declared

Unraveling the COVID-19 hospitalization dynamics in Spain using Bayesian inference

BackgroundOne of the main challenges of the COVID-19 pandemic is to make sense of available, but often heterogeneous and noisy data. This contribution presents a data-driven methodology that allows exploring the hospitalization dynamics of COVID-19, exemplified with a study of 17 autonomous regions in Spain from summer 2020 to summer 2021.MethodsWe use data on new daily cases and hospitalizations reported by the Spanish Ministry of Health to implement a Bayesian inference method that allows making short-term predictions of bed occupancy of COVID-19 patients in each of the autonomous regions of the country.ResultsWe show how to use the temporal series for the number of daily admissions and discharges from hospital to reproduce the hospitalization dynamics of COVID-19 patients. For the case-study of the region of Aragon, we estimate that the probability of being admitted to hospital care upon infection is 0.090 [0.086-0.094], (95% C.I.), with the distribution governing hospital admission yielding a median interval of 3.5 days and an IQR of 7 days. Likewise, the distribution on the length of stay produces estimates of 12 days for the median and 10 days for the IQR. A comparison between model parameters for the regions analyzed allows to detect differences and changes in policies of the health authorities.ConclusionsWe observe important regional differences, signaling that to properly compare very different populations, it is paramount to acknowledge all the diversity in terms of culture, socio-economic status, and resource availability. To better understand the impact of this pandemic, much more data, disaggregated and properly annotated, should be made available.

Analysis of the impact of social determinants and primary care morbidity on population health outcomes by combining big data: A research protocol.

In recent years, different tools have been developed to facilitate analysis of social determinants of health (SDH) and apply this to health policy. The possibility of generating predictive models of health outcomes which combine a wide range of socioeconomic indicators with health problems is an approach that is receiving increasing attention. Our objectives are twofold: (1) to predict population health outcomes measured as hospital morbidity, taking primary care (PC) morbidity adjusted for SDH as predictors; and (2) to analyze the geographic variability of the impact of SDH-adjusted PC morbidity on hospital morbidity, by combining data sourced from electronic health records and selected operations of the National Statistics Institute (Instituto Nacional de Estadística/INE). The following will be conducted: a qualitative study to select socio-health indicators using RAND methodology in accordance with SDH frameworks, based on indicators published by the INE in selected operations; and a quantitative study combining two large databases drawn from different Spain's Autonomous Regions (ARs) to enable hospital morbidity to be ascertained, i.e., PC electronic health records and the minimum basic data set (MBDS) for hospital discharges. These will be linked to socioeconomic indicators, previously selected by geographic unit. The outcome variable will be hospital morbidity, and the independent variables will be age, sex, PC morbidity, geographic unit, and socioeconomic indicators. To achieve the first objective, predictive models will be used, with a test-and-training technique, fitting multiple logistic regression models. In the analysis of geographic variability, penalized mixed models will be used, with geographic units considered as random effects and independent predictors as fixed effects. This study seeks to show the relationship between SDH and population health, and the geographic differences determined by such determinants. The main limitations are posed by the collection of data for healthcare as opposed to research purposes, and the time lag between collection and publication of data, sampling errors and missing data in registries and surveys. The main strength lies in the project's multidisciplinary nature (family medicine, pediatrics, public health, nursing, psychology, engineering, geography).

Coping strategies patterns to buffer the psychological impact of the State of Emergency in Spain during the COVID-19 pandemic\u2019s early months

Coping style represents the cognitive and behavioral patterns to manage particular demands appraised as taxing the resources of individuals. Studies report associations between certain coping styles and levels of adjustment of anxious symptomatology and emotional distress. The main objective of this study was to analyze behavioral co-occurrent patterns and relationships in the coping strategies used to deal with psychological distress displayed by the Spanish adult population during the first State of Emergency and lockdown of the COVID-19 pandemic. This is a cross-sectional study that uses selective methodology complemented with an indirect observational methodology, with a nomothetic/punctual/unidimensional design. We collected 996 surveys from 19 out of the 22 autonomous regions in Spain. We focused the analysis on sociodemographic variables, cumulative incidence of the COVID-19 disease and psychological distress variables. We performed two different inferential analyses: Lag sequential analysis to define the participant coping patterns, and polar coordinate analysis to study the interrelationship of the focal behavior with conditioned behaviors. We found behavioral co-occurrent patterns of coping strategies with problem avoidance being found as the coping strategy most frequently engaged by participants. Interestingly, the problem avoidance strategy was not associated with lower anxious symptomatology. By contrast, emotion-focused strategies such as express emotions and social support were associated with higher anxious symptomatology. Our findings underscore the importance of furthering our understanding of coping as a way to aid psychological distress during global public health emergencies.

Influencia de los factores socioeconómicos en el acceso a las técnicas de reproducción asistida

BackgroundInfertility is a condition that affects around 15% of couples worldwide. Despite the growing demand for Assisted Reproductive Techniques (ART), there are still differences in access to them among countries due to several socioeconomic factors. Because of legal and cultural differences comparison still complex. ObjectivesAnalyze the relationship between certain socioeconomic variables and access to ART in the autonomous region of Spain. Material and methodsWe used the National Registry of Activity-Registry of the Spanish Fertility Society (RNA-RSEF) data from the year 2017 from which the TRA variables were obtained by autonomous region. We also accessed statistics National Institute (INE) date-base to extract a number of women aged between 20–49 years old and 17 socioeconomic variables sorted by autonomous region. A univariate correlation analysis was carried out by autonomous region between socioeconomic variables and those of TRA, both globally and by private and public centers. ResultsA direct correlation of GDP per capita and the number of total IVF cycles with own oocytes per million women was observed by autonomous region. There is also an inverse correlation of this variable with the percentage of adults who didn't achieve higher education, as well as the population with a lack of space at home and the number of IAC carried out in public centers. On the other hand, the percentage of multiple birth in private centers is directly correlated with job satisfaction and free time. The total percentage of women over 40 who undergo this therapy is inversely correlated with the difficulties of the population to make ends meet. ConclusionAccess to ART in Spain could increase if the population socioeconomic status improved as well as the information available of them.

Hospital preparedness during epidemics using simulation: the case of COVID-19

This paper presents a discrete event simulation model to support decision-making for the short-term planning of hospital resource needs, especially Intensive Care Unit (ICU) beds, to cope with outbreaks, such as the COVID-19 pandemic. Given its purpose as a short-term forecasting tool, the simulation model requires an accurate representation of the current system state and high fidelity in mimicking the system dynamics from that state. The two main components of the simulation model are the stochastic modeling of patient admission and patient flow processes. The patient arrival process is modelled using a Gompertz growth model, which enables the representation of the exponential growth caused by the initial spread of the virus, followed by a period of maximum arrival rate and then a decreasing phase until the wave subsides. We conducted an empirical study concluding that the Gompertz model provides a better fit to pandemic-related data (positive cases and hospitalization numbers) and has superior prediction capacity than other sigmoid models based on Richards, Logistic, and Stannard functions. Patient flow modelling considers different pathways and dynamic length of stay estimation in several healthcare stages using patient-level data. We report on the application of the simulation model in two Autonomous Regions of Spain (Navarre and La Rioja) during the two COVID-19 waves experienced in 2020. The simulation model was employed on a daily basis to inform the regional logistic health care planning team, who programmed the ward and ICU beds based on the resulting predictions.

Bölgelerin ve Ayrılıkçılığın Avrupası

This study focuses on regions and approaches to regionalism in Europe, which has a long history and heritage. It was anticipated that the regions would be represented more strongly at the European level when the European Common Market was completed. Indeed, after joining the European Union, many European countries have guaranteed to govern their regions in accordance with the principles of subsidiarity and subordination. But some autonomous regions, such as Catalonia, emerged with "radical" demands such as independence rather than broad autonomy. The study tackled the issue from a current and historical point of view by carrying out some debates on the major regions of Europe. In the first part, regions that have evolved into separatism in Europe from time to time were discussed by focusing on the autonomous regions in Spain and the United Kingdom. In the second part, the regions in Italy were discussed, and the issues of identity, ethno-linguistic belonging, internal colonization and economic backwardness were elaborated. Finally, the establishment of the Committee of the Regions, a European Union institution, for the institutional solution of regional problems within the European Union and the criticisms faced by the Committee were evaluated. Thus, the way of ensuring the regional governance of the European Union institutions and their perspectives on regional differences were also revealed.

Trust in Spain?

Abstract Spain has no trust regulations at the national level. However, there are inheritance legal schemes with similar effects. Furthermore, certain autonomous regions of Spain could enact their own inheritance law regulations and provide legal institutions that are analogous to trusts. In this article, we review these institutions from both an academic and practical point of view.

Clinical Challenges in Managing Cervical Intraepithelial Neoplasia 2: A Report From a Cross-sectional Survey.

The aims of the study were to determine the management strategies offered to women with cervical intraepithelial neoplasia 2 (CIN 2) and the attitude of colposcopists toward its histological diagnosis and to identify the criteria used to select women for conservative management. Colposcopists working in Spain were invited to participate in an online questionnaire via the Spanish Gynecology and Colposcopy Societies. The survey included 42 questions covering the 3 objectives of the study. One hundred eighty-two colposcopists representing all autonomous regions in Spain responded. The response rate was 26.2%, considering the total number of members. Most colposcopists offer conservative management in selected cases (153/182). The preferred follow-up interval is 6 months (65%), followed by 3-4 months (30%). Observation was considered no longer appropriate after 24 months (29.5%) and 12 months (26.3%), and 24.3% expressed that it depended on women's plan to conceive. During conservative management, 93.9% always perform a cytology, 62.7% human papillomavirus testing, 96.8% colposcopy, 47.9% cervical biopsy, and 28.1% endocervical curettage. Forty-five percent consider that CIN 2 merely represents a misclassified CIN 1 or CIN 3, whereas 46.2% think that CIN 2 lesions are unlikely to regress. Most respondents considered that age older than 40 years (81.3%), human papillomavirus 16 infection (62.1%), HIV infection (76.8%), positive p16 immunostaining (60.2%), a large lesion occupying more than 50% of the cervix (87%), endocervical involvement (91.6%), and previous treatment for CIN 2-3 (77%) are contraindications for conservative management. Management of CIN 2 remains challenging for colposcopists, and a lack of consensus still exists in clinical practice. A better understanding of the natural history of CIN 2 and its clinical outcomes is still necessary to guide clinicians in its management.

Evidence-Based Review and Discussion Points.

Evidence-Based Review and Discussion Points.

Social inequities in cardiovascular risk factors in women and men by autonomous regions in Spain

ObjectiveTo describe social inequities in cardiovascular risk factors in women and men by autonomous regions in Spain. MethodWe used data from 20,406 individuals aged 18 or older from the 2017 Spanish National Health Survey. We measured socioeconomic position using occupational social class and used data on self-reported cardiovascular risk factors: high cholesterol, diabetes, hypertension, obesity, and smoking. We estimated the relative risk of inequality using Poisson regression models. Analyses were stratified by men and women and by region (autonomous communities). ResultsOverall, the relative risk of inequality was 1.02, 1.13, 1.06, 1.17 and 1.09 for high cholesterol, diabetes, hypertension, obesity, and current smoking, respectively. Ocuupational social class inequities in diabetes, hypertension, and obesity was stronger for women. Results showed a large regional heterogeneity in these inequities; some regions (e.g. Asturias and Balearic Islands) presented wider social inequities in cardiovascular risk factors than others (e.g. Galicia, Navarra or Murcia). ConclusionIn Spain, we found marked social inequities in the prevalence of cardiovascular risk factors, with wide regional and women/men heterogeneity in these inequities. Education, social, economic and health policies at the regional level could reduce health inequities in cardiovascular risk factors and, thus, prevent cardiovascular disease.

Can we measure musically active people’s music skills and achievement self-concept? Structure and invariance of CAMU, a Spanish questionnaire

ABSTRACT Music self-concept measurement tools are essential at all music educational levels in all contexts. Until now, the lack of a validated music self-concept questionnaire in Spanish-speaking countries has been noticeable. The aim of this study is to validate the Musical Self-Concept Questionnaire (CAMU) (Zubeldia, M. 2015. El autoconcepto musical, motivación y bienestar psicológico del alumnado de conservatorio [Musical self-concept, motivation and psychological well-being of conservatory students]. Doctoral thesis. Leioa: UPV-EHU), which is an abbreviated and culturally adapted Spanish language version of the Music Self-Perception Inventory (MUSPI), developed by Vispoel (1993a. The Music Self-Perception Inventory (Adolescent Form). Iowa: Author, 1993b. The Music Self-Perception Inventory (Adult/College Form). Iowa: Author). Participants comprised 407 students from mid-level music studies from conservatories located in different autonomous regions of Spain. The confirmatory factor analysis supports the hierarchical view of the music self-concept. Furthermore, the study also tests the scalar invariance across gender-differentiated subgroups, which is a prerequisite to compare factor mean differences between groups. This is the final step in the validation of the CAMU, which enables cross-cultural research into this construct. The educational implications for music students are discussed.

Algunas valoraciones del profesorado respecto a su función tutorial

La función tutorial se considera en la literatura como un componente básico de la práctica docente y factor de calidad de la enseñanza. Nuestro objetivo en este trabajo es analizar distintos aspectos de la tutoría de los centros de Educación Infantil, Educación Primaria, Educación Secundaria Obligatoria, Bachillerato y FP. Para ello hemos elaborado una prueba que ha sido enviada por correo electrónico a una muestra de tutores y tutoras de todas las comunidades de España y que ha sido cumplimentada por 1350 de ellos. Ante los constantes cambios de la realidad socioeducativa hemos realizado un trabajo exploratorio para obtener información sobre la actual situación de la función tutorial. El análisis de sus respuestas nos indican que, tal como aparece en distintas investigaciones, se sienten satisfechos en su tarea a la vez que consideran que la misma es bastante importante para la educación del alumnado y el funcionamiento del centro. Se sienten razonablemente reconocidos en su función tutorial por parte del profesorado del centro y de las familias, no opinando lo mismo respecto al reconocimiento que les otorgan las administraciones educativas. Entienden que su tarea tutorial debe ser tenida en cuenta en su carrera profesional. Consideran que reciben una adecuada colaboración en sus funciones por parte del profesorado del equipo docente, familias y equipo directivo del centro. Entendemos que las administraciones educativas deberían prestar más apoyo a tutores y tutoras y mejorar su situación profesional y que procede analizar el desarrollo de la acción tutorial en función de los constantes cambios socioeducativos y normativos que se producen. In existing literature the tutorial function is considered as a basic component of the teaching practice and a factor of teaching quality. The goal of our work is to analyze the different aspects of mentoring in Infant, Primary and Secondary Education, Baccalaureate and Vocational Training. In order to achieve this goal, we emailed a test to a sample of mentors in all the autonomous regions of Spain. The test was filled in by 1,350 mentors. Given the constant changes in Spain’s socio educational reality, an exploratory work was carried out to obtain information about the current situation of the mentoring function. The analysis of their answers indicates that, as stated in existing research, they feel satisfied with their task, while they consider the aforementioned function is quite important for the education of pupils and the well-functioning of educational institutions. They feel reasonably recognized in their mentoring function both by teachers and by families. Nevertheless, they do not think the same about the recognition shown by the educational authorities. They understand that their mentoring task should count more towards their professional career. They consider that they receive adequate collaboration from the teaching staff, families and management boards in education centres. We understand that the educational authorities should further support mentors and improve their professional situation. Finally, it seems necessary to analyze the development of tutorial action according to the constant socioeducational and normative changes that occur.