Los problemas de salud también explican la utilización de servicios sociales en atención domiciliaria

Badía, Joan Gené; Segura, Joan Carles Contel; García, Antonio Hidalgo; Santos, Alícia Borràs; Borges, Montserrat Porta; Olius, Anna Oliver; Arus, Montse Saus; Terrén, Carlos Ascaso; González, Meritxell; Lombardo, Francisco Cegri; Ramírez, Esther Limón; Martínez, Antonio Aranzana; Tebar, Antonio Heras; Rodríguez, Ramón Noguera; Llaberia, Roser Pedret; Muñoz, Manuel Borrell; Casellas, Maria Dolors Camprubí; Molina, Jacinto Ortiz; Martín-Royo, Jaume; Martínez, Susana González

doi:10.1016/j.aprim.2008.06.001

Cited by 10 publications

(3 citation statements)

References 14 publications

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“…Other studies report improvement in survival as a consequence of providing housekeeping and personal assistance services [35,36], or as a result of these frail patients visiting a day centre [37]. Nursing and medical home care services seem to have little effect if not accompanied by the provision of community social services [38]. …”

Section: Discussionmentioning

confidence: 99%

Predictors of mortality among elderly dependent home care patients

Badía

Santos

Segura

et al. 2013

BMC Health Serv Res

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BackgroundThe purpose of this study is to identify which variables –among those commonly available and used in the primary care setting– best predict mortality in a cohort of elderly dependent patients living at home (EDPLH) that were included in a home care program provided by Primary Care Teams (PCT). Additionally, we explored the risk of death among a sub-group of these patients that were admitted to hospital the year before they entered the home care program.MethodsA one-year longitudinal cohort study of a sample of EDPLH patients included in a home care programme provided by 72 PCTs. Variables collected from each individual patient included health and social status, carer’s characteristics, carer’s burden of care, health and social services received.Results1,001 patients completed the study (91.5%), 226 were admitted to hospital the year before inclusion. 290 (28.9%) died during the one-year follow-up period. In the logistic regression analysis women show a lower risk of death [OR= 0.67 (0.50-0.91)]. The risk of death increases with comorbidity [Charlson index OR= 1.14 (1,06-1.23)], the number of previous hospital admissions [OR= 1,16 (1.03-1.33)], and with the degree of pressure ulcers [ulcers degree 1–2 OR = 2.94 (1.92-4.52); ulcers degree 3–4 OR = 4.45 (1.90-10.92)]. The logistic predictive model of mortality for patients previously admitted to hospital identified male sex, comorbidity, degree of pressure ulcers, and having received home care rehabilitation as independent variables that predict death.ConclusionsComorbidity, hospital admissions and pressure ulcers predict mortality in the following year in EDPLH patients. The subgroup of patients that entered home care programs with a previous record of hospital admission and a high score in our predictive model might be considered as candidates for palliative care.

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Section: Discussionmentioning

confidence: 99%

Predictors of mortality among elderly dependent home care patients

Badía

Santos

Segura

et al. 2013

BMC Health Serv Res

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“…Regarding the use of home services, 6% had been visited by a nurse in home in 2017, which is somewhat less than that reported in another studies (Dios-Guerra et al, 2015;Gené-Badia et al, 2009). The use of other social resources is unreliable compared with other studies because, when commenting on these data, most studies argue that bias exists in collecting data from medical records and not all patients are registered; hence, great variability is generally found in home help, ranging between 0.7% and 37.5% (Coderch et al, 2014;Gené-Badia et al, 2009). The use of these home care resources decreased slightly over the time period analysed.…”

Section: Discussionmentioning

confidence: 66%

Evolution in the use of health services by older people in Spain (2009–2017)

Dios-Guerra

Carmona‐Torres

Morales‐Cané

et al. 2020

Health Soc Care Community

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In Spain, public health services are managed by the National Health Service and are based on the right of every person to be in good health, regardless of their economic or work situations.As people age, they tend to increase their use of health services and thus meet the professionals who assist them (Nie et al., 2008).The ageing process is evident in Spain; the latest census (Real Decreto 1039, 2017) indicated that 8,700,000 people are already over 65 years old, comprising approximately 18.7% of the total population (Instituto Nacional de Estadística, 2017).

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“…These conceptual aspects, the need for a major involvement of the health sector, and the actual adaptation to the ICF model have been suggested by other authors [51,54,55]. …”

Section: Methodsmentioning

confidence: 85%

The WHO construct of health-related functioning (HrF) and its implications for health policy

Salvador‐Carulla¹,

Garcia-Gutierrez

2011

BMC Public Health

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BackgroundThe International Classification of Functioning (ICF) has acquired a central role in the WHO Family of International Classifications and it has been extensively adopted as the reference framework for health-related functioning (HrF). This review aims to provide a description of the ICF/HrF to contextualise ICF/HrF in relation to other approaches to health functioning and to describe its application in policy and legislation with a special focus on Spain.MethodsNarrative review based on the scientific literature and prior expert knowledge.ResultsICF is both a coding system and a conceptual framework of HrF, which is framed as a unidimensional, bipolar and asymmetric construct with a negative pole (disability) and a positive pole (good functioning) with higher complexity. Other models of HrF include health promotion, quality of life and activities of daily living (ADL). The curtailed taxonomy of ICF and its unclear distinction from other approaches have had significant implications for research, policy and legislation, as illustrated by the case of the legislation and services for functional dependency in Spain and other examples.ConclusionsThe ICF model of functioning is more comprehensive and usable than previous alternatives, but a full taxonomy of the HrF construct is needed to avoid further confusions in this field. This should also comprise harmonisation with other classifications of the WHO Family of International Classifications and other models of health functioning.

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Los problemas de salud también explican la utilización de servicios sociales en atención domiciliaria

Cited by 10 publications

References 14 publications

Predictors of mortality among elderly dependent home care patients

Predictors of mortality among elderly dependent home care patients

Evolution in the use of health services by older people in Spain (2009–2017)

The WHO construct of health-related functioning (HrF) and its implications for health policy

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