Building Long-Term Care Policies in Latin America: New Programs in Chile

Matus-López, Mauricio; Cid, Camilo

doi:10.1016/j.jamda.2015.07.018

Cited by 10 publications

(10 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The region is in the process of discussing and implementing such services and requires evidence-based information on these issues, and the first step in the process consists of calculating the number of people who need help in performing ADLs [3,10]. Uruguay established its LTC system in 2015 [8,28], Costa Rica approved the development of its own system only in 2021 [9], and other countries are advancing in their national plans [26,27]. If the percentage of older adults needing help to perform ADLs is known and can be compared with other countries, the approximate size of the demand for care services can be calculated.…”

Section: Complementary Analyses Also Show Consistency Of Results In Terms Of Associations (Correlation) Representativeness Of the Activitmentioning

confidence: 99%

“…There are also studies based on less representative samples, such as in cities or administrative regions [19][20][21][22][23]. These estimates provide a wide range of results that vary in terms of the age threshold used for older adults (60 or 65 years old) and the estimation methodology [24][25][26][27][28]. With only one exception, these studies are not comparable between countries [29], and there are no nationally representative multi-country studies, so it is not possible to know the situation in one country with respect to the others.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Population with Long-Term Care Needs in Six Latin American Countries: Estimation of Older Adults Who Need Help Performing ADLs

Matus-López

Chaverri-Carvajal

2021

IJERPH

Self Cite

View full text Add to dashboard Cite

The population in Latin America is ageing, and there is an inevitable demand for long-term care services. However, there are no comparative analyses between Latin American countries of the dependency situation of older adults. This study aims to calculate and compare percentages of older adults who need help performing the activities of daily living in six Latin American nations. The study is observational, transversal, and cross-national and uses microdata drawn from national surveys conducted in Argentina (n = 3291), Brazil (n = 3903), Chile (n = 31,667), Colombia (n = 17,134), Mexico (n = 7909), and Uruguay (n = 4042). Comparable indicators of the need for help in performing the basic and instrumental activities of daily living were calculated. The percentages of older adults in need of help for basic activities of daily living ranged from 5.8% in Argentina to 11% in Brazil; for instrumental activities of daily living, from 13.8% in Mexico to 35.7% in Brazil; and combined, from 18.1% in Argentina to 37.1% in Brazil. Brazil thus has the highest indicators, followed by Colombia. The results warn of the frail physical condition of older people and the high potential demand for long-term care services. The information provided could be useful for further research on and planning for long-term care needs in Latin American and middle-income countries.

show abstract

Section: Complementary Analyses Also Show Consistency Of Results In Terms Of Associations (Correlation) Representativeness Of the Activitmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Population with Long-Term Care Needs in Six Latin American Countries: Estimation of Older Adults Who Need Help Performing ADLs

Matus-López

Chaverri-Carvajal

2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…Chile ha implementado programas de cuidados de largo plazo, desarrollando Establecimientos de Larga Estadía para el Adulto Mayor (ELEAM) y asegurado la garantía de acceso, oportunidad y protección financiera para servicios de cuidados paliativos. Sin embargo, se ha sugerido que el financiamiento para los ELEAM es insuficiente y la cobertura de cuidados paliativos garantizados por GES excluye a pacientes que presentan patologías no oncológicas 21,22 .…”

Section: Discussionunclassified

Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014

2019

View full text Add to dashboard Cite

Background: With the aim to inform end of life public policies, the place of death in Chile, its trends and associated factors were analysed. Materials and Methods: A cross sectional using publically available death database from 1990 to 2014 was conducted. The proportion of hospital deaths was selected as the main outcome. A logistic regression was used to assess the association between place of death, age, and main diagnosis at death. Also, a Prais-Winsten regression and a Chi 2 test were used to assess a time series and regional analysis, respectively. Results: 2,063,615 deaths were analysed. Overall, deaths 898,871 (43.6%) occurred at hospital. Those who died over 85 years (OR 2,52 IC95% 2.49-2.55) and those who died from cancer (OR 2.43 IC95% 2.42-2.45) had higher risk for dying outside de hospital. For the general population and those who die form cancer, there is no evidence for an increase or decrease trend in the proportion of hospital deaths over time (p = 0,75 and p = 0.68, respectively). However, there is an increase of the proportion of hospital deaths in those who died over 85 years (p < 0.001, 27% in 1990 to 32% in 2014). Also, there are geographic differences between country regions (p < 0.001) (Eg. Magallanes 52.9%). Conclusions: The proportion of hospital deaths has been stable over time in the general population and has increased in those over 85 years.

show abstract

“…A third limitation of the study is that estimates of depressive symptoms among older adults in these cities may be biased because we did not include respondents living in nursing homes, and depressive symptoms may be higher among this segment of the population. However, this population in Latin America and the Caribbean is small (Camarano and Kanso, 2010; Matus-Lopez and Pedraza, 2015, 2016). Additionally, we could not account for older adults who were biologically childless.…”

Section: Discussionmentioning

confidence: 99%

Family status and later-life depression among older adults in urban Latin America and the Caribbean

Quashie

Andrade

2018

Ageing and Society

View full text Add to dashboard Cite

Rapid fertility declines in Latin American and Caribbean countries since the 1960s have contributed to smaller family sizes among the current cohorts of older adults. This may have mental health implications in these societies as the family unit is highly valued as a source of social support. Utilising data from the 2000 Survey of Health, Well-being and Aging in Latin America and the Caribbean (SABE), this study examines the association between parental status, marital status and the likelihood of experiencing depressive symptoms among adults 60 years and older in seven cities within Latin America and the Caribbean (N = 9,756): Buenos Aires, Bridgetown, São Paulo, Santiago, Havana, Mexico City and Montevideo. Results from multivariate logistic regressions indicate that parental status is not significantly associated with depressive symptoms. Nonetheless, unmarried older adults, both those living alone and those living with others, are more vulnerable to experiencing depressive symptoms than their married counterparts. Marriage is especially protective for older adults in Havana and Montevideo. Older adults’ perceived income adequacy significantly moderates the relationship between marital status and depressive symptoms. Other significant covariates, such as experiencing disability and comorbidity, showed positive associations with depressive symptoms. While families may still represent a critical component for the mental health of older adults, broader investments in health across the lifespan are needed to improve individual psychological wellbeing.

show abstract

Building Long-Term Care Policies in Latin America: New Programs in Chile

Cited by 10 publications

References 15 publications

Population with Long-Term Care Needs in Six Latin American Countries: Estimation of Older Adults Who Need Help Performing ADLs

Population with Long-Term Care Needs in Six Latin American Countries: Estimation of Older Adults Who Need Help Performing ADLs

Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014

Family status and later-life depression among older adults in urban Latin America and the Caribbean

Contact Info

Product

Resources

About