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Aten Primaria. 2009 Feb;41(2):91-101. doi: 10.1016/j.aprim.2008.06.001. Epub 2009 Feb 6.

[Health problems also explain social services use in home care].

[Article in Spanish]

Collaborators (384)

Noguera Rodriguez R, Riera N, Villares Polis S, Dueñas Martin S, Gené J, Borràs A, Martin J, Pérez de Haro S, Sant Arderiu E, Moreno Ubiedo MA, Porcar León S, Pereira Rosalen A, Navarro González M, Gimferrer Artigas N, Sánchez Ruano N, García Planas N, Carretero Huertas I, Segarra López R, Amat G, Valero Navarro B, Mateu Hosta M, Clos Soldevila J, Boix Soriano I, Hervas Docon A, Maria Vilaseca J, Ortiz Molina J, Gonzalez Martinez S, Miquel Sotoca J, Sisó Almirall A, Menacho Pascual I, Pacheco Navas G, José Giner Martos M, Arrabal Garcia P, Molés Moliner E, Martinez de Sas SS, Cararach Salami D, Moro Esteban ML, De Andres Beuter B, López Poyato M, Serrat Asensio ML, Bermúdez Chillida S, Montroig Rodriguez A, Canivell Fusté S, Perez del Molino Cucurny AM, Borrell Muñoz M, Arevalillo García P, Mayor Sánchez P, Pérez-Moreno Pallarés M, Canals Baldrich M, Bosh Viñas R, Albareda Ramírez B, Roca Fusalba A, Arrufat Espinosa J, Persa Schmab A, Montanuy Baró T, Escur Pujol L, Nogues Santandreu C, Monferrer Monfort G, Oliver Olius A, Porta Borges M, Rivas Zuazo S, Arcos Alonso C, Cardoner Bastardes C, Herrera Solsona I, Martinez Gaitero C, Roig del Valle S, Villuendas Santiveri A, Saus Arus M, Vega López C, Zamora López C, Badia Casas R, Pomares Marco G, Serrate Casado M, González Santamaría M, Gallardo González MC, Campamà Tutusaus I, Diaz Juliano F, Balasch J, Aranzana Martinez RM, Altuna Elizondo E, Arizaga Ciordia B, Caballé Godia JL, Cañizares Rivero J, De Miguel Ibáñez B, Gómez Ruiz FJ, Sáenz González E, Gonzalo Miguel L, Núñez Manrique P, Martínez Saiz G, Fernández Vergel R, Penarrubia Maña M, Carretero Sánchez C, Cadena Andreu L, Domínguez Mendoza R, Cabrera Robledo S, Gosalbez García D, Soler i Castillo A, Fernández Sesma F, Quesada Suárez E, Palacín Piquero H, Pont García C, Sna-Sabaté López J, Paños Marsal A, Jimíenez Snachez I, Betancor Fernández E, Alavarez Líopez S, Esteban Antón I, Casamada N, Maria Llauradó R, Mata J, Colominas J, Gómez A, Bargalló G, Vegara Mora E, Arrabal González I, Mazeres Ferrer O, González Carrión F, González Carrión B, Matilla Font M, Pi Juan M, Gallego Cuxart J, Diaz Castro E, Nosas Canovas A, García Ferrer JL, González Perea S, Vázquez González I, Arnau Pujolras T, Giner Nogueras R, Vaquera Morillo E, Fernández Lorenzo P, Torras Gelabert J, Alario Mifsud A, del Camino García Gutiérrez M, Lasheras M, Ares Fernandez E, Roura L, Fernández Yánez R, Vivas Brau C, Giner Soria C, Sánchez Sánchez G, Fernández Salafranca RM, Pacheco Ortiz MI, Escudero Recio P, Cantó A, Clotet Rebullida M, Sillero L, Esteve M, Rodrigo F, Lasaosa L, Cegri Lombardo F, Aranzana Martínez A, Arteaga Pinadell N, Oliver Schornstein MD, Marsà Carretero M, Poch Enguidanos J, Montoro Gómez A, Boix Miralles C, Badell Osuna G, Pallàs Ellacuria M, García Villena I, Cesena Santiago Y, Tapia Mayor I, Martín González P, Arnaus Pujol J, Borràs Gallart E, Tierno Ortega MT, Urdiain Agorritz R, Rosell Reig N, Duch Dausa ML, Barriocanal García AJ, Duesca Jiménez A, Cano García R, Laso Aponte T, Vilaseca Reig C, Isidro Barbero T, Minguell Soriano L, Ubierna Gomez C, Riba Bellera L, Camon Pañella S, Arévalo A, Garcia Palies AR, Guarch Rocarias M, Luis López Bueno J, Domínguez Olivera L, Llauger Rosselló MA, Pou Jiménez MA, Ferrús Alborch J, Font Canal MT, Hernández Pérez MP, Gomez Priego D, Quintela Salvans MC, Fuertes Villanueva C, Moral Martín ML, de Escalona Radial MA, Cusí Ibáñez M, Villarreal Moreno P, Palatsi Cortes T, Barra-china Beltrán M, Monteagudo Caba P, Bustamante Exposito A, Duran Bellido E, Bracero Alonso E, Melé Baena M, Casajuana Andres E, Balaguer i Cerdà N, Masagué Aguade M, Busquets AR, Sales Piñeiro MC, Nisó Salla E, Pausas Gual R, Jorba Ricart A, Roura Pujol N, Ferré Vidal E, Sánchez Rodríguez MB, Aznar Vilella R, Martí Delcor C, Soria García MD, Bartroli MR, García Arcos E, López Larroy E, Mascort Matas R, García Martinez P, Mill án Novella R, Vila Freixanet C, Mezquita Pipió C, Albí N, Nogués J, Rodríguez Martinez MJ, Navarro Heras J, Talavera Pérez ML, Comas Clotet E, Martí Chuscas G, Riera Galbana M, Bardolet López N, Cayuelas OnievaI F, Santillana Garrido JM, Martín Morales E, Vizuete Pérez M, Butjosa Navarro A, Gómez Alvarez C, García González Y, Cerrillo Cabañero C, Aguilar Martínez LC, Santana Macias D, Ribot Ballabriga M, Limon Ramirez E, Barrero Ramos J, Gallach Serrabasa E, Barceló Torras A, Gil Torné C, Casanovas Viladrich G, Figuera Martinez MJ, Alvarez Abella M, Gascon Segundo D, Pérez Cortes A, Muñoz Herrero M, Viladrich Segués N, Casasayas Albert A, Palau Continente M, Ortiz Alvarez E, López Gomez MJ, Vidal Boadella F, Muñoz Jimeno K, Jarque Valls N, Martinez García A, Adell Aguiló N, Martí E, Huguet Jacob M, Munté M, Nolla M, Cort I, Peralta L, Sanz Tost J, Feliu Jornet R, González Pérez R, Sole Gavalda M, Roig Corbella R, Pardo Andujar J, Castellvi Tudo G, Parera Perol F, Anguera Perpiñà C, Ferrer C, Garriga D, Piñol C, Caro R, Pedret Llaberia R, Reina A, Josepa Ferrater M, Duran JM, Jovani Puig D, Pelleja Pellicer ML, Lluis Burgeño M, Castro Palies R, Sabater Margalef M, Bonfill Coll R, Lara Pedrosa T, Lara Pedrosa A, Diego Ferrer A, Morató Cortinas T, López Pavón I, López Mompó C, Guinart Aloy M, Tramuns Mas M, Fuentes Parrón M, Vidal Vilalta A, Gil Sarra JR, San Celestino PP, Vilanova Casagran A, Sala Soler T, Olmo Pagès D, Moreno Granada R, Díez Borregan M, Pascual Cortés O, Heras Tebar A, Gallart Iglesias A, Moreno Gomez V, Garriga Becardi R, Ruiz Tejero J, García Montañés C, Fuertes Laborda A, Company Fontane J, Guillen Molina MC, Herrero Talavera R, Cisneros Antó A, Milozzi J, Guerrero Hernández L, Pineda herrando L, López Pérez A, Aguilera Velásquez C, Martín Sánchez MB, Ferré Lorente R, Martín Silvero I, Miras Jodar R, Cortada Cabrera A, Ollé Borque M, Garrido Benito A, Serra Burillo R, Ferreiro Broz ML, Santaeulalia Potrony L, Prochazka Aguiló I, Barrio Rubio JI, Medina Hernández M, García Navó D, Sáezi Morón M, Camprubí Casellas MD, Arza Peral M, Burgos Fernández A, Cajal Milagro P, Mascaró Crusat G, Serra Prat F, Suades Sabaté E, Siles Porras I, Solanas Bacardit N, Padilla Hidalgo I, Vancell Varonil RM, Guitart Marcé D, Soler Morera F, Escat Artiga D, Casellas Planas MA, Llordes Llordes M, Pérez Domíguez ME, Villaró Gabarrós M, Vázquez Muñoz I, Roca Vilata M, Carbonell Torrens J, Correas Torrens A, López M, Romero González E, Maymó Pijuán N, Gallego González A, Fandos Olona JM, Copetti Fanlo S, Monforte Rodríuez V, Solé López J, Ribas Batllori A, Juncadella García E, Lorite Gomez J, Murcia Belando M, Lavirgen Iglesias S, Zahonero Bellmunt V, Pérez Serna D, Mestre Boleda L, Boada Baqués M, Milian Cepriá S.

Author information

  • 1CAPSE Consorci d'Atenció Primària de Salut de l'Eixample, Barcelona, España. jgene@clinic.ub.es

Abstract

OBJECTIVE:

To identify which social and health variables are associated with receiving social services in patients included in home care programmes with the implementation of the Dependence Law.

DESIGN:

Cross-sectional study.

SETTING:

72 primary health care teams in Catalonia.

PATIENTS:

Patients over 64 years old with chronic diseases in home care programmes in Catalonia.

MEASUREMENTS:

Health status variables: Charlson, Barthel, Pfeiffer, Braden and Gijon, data from their carer (Zarit), self perception of health (SF-12), health professional visits, as well as: emergency visits, temporary admissions, and final results such as death or definitive admission in a nursing home or a hospital.

RESULTS:

A total of 1068 patients were included, 46.8% of the patients received some kind of social service, public or private. We observed that the variables related to receive some kind of social services are: high dependence (Barthel test), pressure sores and home care rehabilitation. Barthel test is highly associated with having social problems (Gijon test), living without an informal carer, more than 2 GP visits and having additional private health care.

CONCLUSIONS:

To be more fair, the evaluation of the provisions of the Dependence Law should also consider the health status of the patient. With the implementation of this law we can observe difficulties in access to social services for middle class patients. These patients do not have access to public social assistance and cannot pay for a private one. Social services are still an alternative to family care.

Comment in

PMID:
19231704
[PubMed - indexed for MEDLINE]
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