Health problems also explain social services use in home care
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.
| Errataetall: |
CommentIn: Aten Primaria. 2010 Jun;42(6):344-5. - PMID 19833414 |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2009 |
|---|---|
| Erschienen: |
2009 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:41 |
|---|---|
| Enthalten in: |
Atencion primaria - 41(2009), 2 vom: 21. Feb., Seite 91-101 |
| Sprache: |
Spanisch |
|---|
| Weiterer Titel: |
Los problemas de salud también explican la utilización de servicios sociales en atención domiciliaria |
|---|
| Links: |
|---|
| Themen: |
English Abstract |
|---|
| Anmerkungen: |
Date Completed 28.10.2009 Date Revised 20.10.2021 published: Print-Electronic CommentIn: Aten Primaria. 2010 Jun;42(6):344-5. - PMID 19833414 Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.aprim.2008.06.001 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM186570740 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM186570740 | ||
| 003 | DE-627 | ||
| 005 | 20231223174424.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231223s2009 xx |||||o 00| ||spa c | ||
| 024 | 7 | |a 10.1016/j.aprim.2008.06.001 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0622.xml |
| 035 | |a (DE-627)NLM186570740 | ||
| 035 | |a (NLM)19231704 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a spa | ||
| 100 | 1 | |a Gené Badia, Joan |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Health problems also explain social services use in home care |
| 246 | 3 | 3 | |a Los problemas de salud también explican la utilización de servicios sociales en atención domiciliaria |
| 264 | 1 | |c 2009 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 28.10.2009 | ||
| 500 | |a Date Revised 20.10.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Aten Primaria. 2010 Jun;42(6):344-5. - PMID 19833414 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a 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 | ||
| 520 | |a DESIGN: Cross-sectional study | ||
| 520 | |a SETTING: 72 primary health care teams in Catalonia | ||
| 520 | |a PATIENTS: Patients over 64 years old with chronic diseases in home care programmes in Catalonia | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 700 | 1 | |a Contel Segura, Joan Carles |e verfasserin |4 aut | |
| 700 | 1 | |a Hidalgo García, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Borràs Santos, Alícia |e verfasserin |4 aut | |
| 700 | 1 | |a Porta Borges, Montserrat |e verfasserin |4 aut | |
| 700 | 1 | |a Oliver Olius, Anna |e verfasserin |4 aut | |
| 700 | 1 | |a Saus Arus, Montse |e verfasserin |4 aut | |
| 700 | 1 | |a Ascaso Terren, Carlos |e verfasserin |4 aut | |
| 700 | 1 | |a Piñeiro González, Martiño |e verfasserin |4 aut | |
| 700 | 1 | |a Cegri Lombardo, Francisco |e verfasserin |4 aut | |
| 700 | 1 | |a Limón Ramírez, Esther |e verfasserin |4 aut | |
| 700 | 1 | |a Aranzana Martínez, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Heras Tebar, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Noguera Rodríguez, Ramón |e verfasserin |4 aut | |
| 700 | 1 | |a Pedret Llaberia, Roser |e verfasserin |4 aut | |
| 700 | 1 | |a Borrell Muñoz, Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Camprubí Casellas, M Dolors |e verfasserin |4 aut | |
| 700 | 1 | |a Ortiz Molina, Jacinto |e verfasserin |4 aut | |
| 700 | 1 | |a Martín Royo, Jaume |e verfasserin |4 aut | |
| 700 | 1 | |a Gonzalez Martinez, Susana |e verfasserin |4 aut | |
| 700 | 0 | |a Equipo de Investigadores HC>65 |e verfasserin |4 aut | |
| 700 | 1 | |a Noguera Rodriguez, Ramón |e investigator |4 oth | |
| 700 | 1 | |a Riera, Natalia |e investigator |4 oth | |
| 700 | 1 | |a Villares Polis, Sandra |e investigator |4 oth | |
| 700 | 1 | |a Dueñas Martin, Silvia |e investigator |4 oth | |
| 700 | 1 | |a Gené, Joan |e investigator |4 oth | |
| 700 | 1 | |a Borràs, Alicia |e investigator |4 oth | |
| 700 | 1 | |a Martin, Jaume |e investigator |4 oth | |
| 700 | 1 | |a Pérez de Haro, Santiago |e investigator |4 oth | |
| 700 | 1 | |a Sant Arderiu, Elisenda |e investigator |4 oth | |
| 700 | 1 | |a Moreno Ubiedo, M Angels |e investigator |4 oth | |
| 700 | 1 | |a Porcar León, Silvia |e investigator |4 oth | |
| 700 | 1 | |a Pereira Rosalen, Ana |e investigator |4 oth | |
| 700 | 1 | |a Navarro González, Marta |e investigator |4 oth | |
| 700 | 1 | |a Gimferrer Artigas, Núria |e investigator |4 oth | |
| 700 | 1 | |a Sánchez Ruano, Núria |e investigator |4 oth | |
| 700 | 1 | |a García Planas, Noemí |e investigator |4 oth | |
| 700 | 1 | |a Carretero Huertas, Isabel |e investigator |4 oth | |
| 700 | 1 | |a Segarra López, Rosa |e investigator |4 oth | |
| 700 | 1 | |a Amat, Gemma |e investigator |4 oth | |
| 700 | 1 | |a Valero Navarro, Blanca |e investigator |4 oth | |
| 700 | 1 | |a Mateu Hosta, Mercé |e investigator |4 oth | |
| 700 | 1 | |a Clos Soldevila, Joan |e investigator |4 oth | |
| 700 | 1 | |a Boix Soriano, Isabel |e investigator |4 oth | |
| 700 | 1 | |a Hervas Docon, Amparo |e investigator |4 oth | |
| 700 | 1 | |a Maria Vilaseca, Josep |e investigator |4 oth | |
| 700 | 1 | |a Ortiz Molina, Jacinto |e investigator |4 oth | |
| 700 | 1 | |a Gonzalez Martinez, Susana |e investigator |4 oth | |
| 700 | 1 | |a Miquel Sotoca, Joseph |e investigator |4 oth | |
| 700 | 1 | |a Sisó Almirall, Antonio |e investigator |4 oth | |
| 700 | 1 | |a Menacho Pascual, Ignacio |e investigator |4 oth | |
| 700 | 1 | |a Pacheco Navas, Gustavo |e investigator |4 oth | |
| 700 | 1 | |a José Giner Martos, M |e investigator |4 oth | |
| 700 | 1 | |a Arrabal Garcia, Pilar |e investigator |4 oth | |
| 700 | 1 | |a Molés Moliner, Eloisa |e investigator |4 oth | |
| 700 | 1 | |a Martinez de Sas, Salvador Sitjar |e investigator |4 oth | |
| 700 | 1 | |a Cararach Salami, Daniel |e investigator |4 oth | |
| 700 | 1 | |a Moro Esteban, M Luisa |e investigator |4 oth | |
| 700 | 1 | |a De Andres Beuter, Berta |e investigator |4 oth | |
| 700 | 1 | |a López Poyato, Mireia |e investigator |4 oth | |
| 700 | 1 | |a Serrat Asensio, M Lluïssa |e investigator |4 oth | |
| 700 | 1 | |a Bermúdez Chillida, Susanna |e investigator |4 oth | |
| 700 | 1 | |a Montroig Rodriguez, Angels |e investigator |4 oth | |
| 700 | 1 | |a Canivell Fusté, Silvia |e investigator |4 oth | |
| 700 | 1 | |a Perez del Molino Cucurny, Ana M |e investigator |4 oth | |
| 700 | 1 | |a Borrell Muñoz, Manuel |e investigator |4 oth | |
| 700 | 1 | |a Arevalillo García, Pilar |e investigator |4 oth | |
| 700 | 1 | |a Mayor Sánchez, Pilar |e investigator |4 oth | |
| 700 | 1 | |a Pérez-Moreno Pallarés, Mercedes |e investigator |4 oth | |
| 700 | 1 | |a Canals Baldrich, Maria |e investigator |4 oth | |
| 700 | 1 | |a Bosh Viñas, Rosa |e investigator |4 oth | |
| 700 | 1 | |a Albareda Ramírez, Blanca |e investigator |4 oth | |
| 700 | 1 | |a Roca Fusalba, Anna |e investigator |4 oth | |
| 700 | 1 | |a Arrufat Espinosa, Jordi |e investigator |4 oth | |
| 700 | 1 | |a Persa Schmab, Alan |e investigator |4 oth | |
| 700 | 1 | |a Montanuy Baró, Teresa |e investigator |4 oth | |
| 700 | 1 | |a Escur Pujol, Lidia |e investigator |4 oth | |
| 700 | 1 | |a Nogues Santandreu, Conxita |e investigator |4 oth | |
| 700 | 1 | |a Monferrer Monfort, Gabriel |e investigator |4 oth | |
| 700 | 1 | |a Oliver Olius, Anna |e investigator |4 oth | |
| 700 | 1 | |a Porta Borges, Montserrat |e investigator |4 oth | |
| 700 | 1 | |a Rivas Zuazo, Sonia |e investigator |4 oth | |
| 700 | 1 | |a Arcos Alonso, Carlos |e investigator |4 oth | |
| 700 | 1 | |a Cardoner Bastardes, Claudia |e investigator |4 oth | |
| 700 | 1 | |a Herrera Solsona, Irene |e investigator |4 oth | |
| 700 | 1 | |a Martinez Gaitero, Carlos |e investigator |4 oth | |
| 700 | 1 | |a Roig del Valle, Silvia |e investigator |4 oth | |
| 700 | 1 | |a Villuendas Santiveri, Antoni |e investigator |4 oth | |
| 700 | 1 | |a Saus Arus, Montserrat |e investigator |4 oth | |
| 700 | 1 | |a Vega López, Carolina |e investigator |4 oth | |
| 700 | 1 | |a Zamora López, Cristina |e investigator |4 oth | |
| 700 | 1 | |a Badia Casas, Roger |e investigator |4 oth | |
| 700 | 1 | |a Pomares Marco, Gemma |e investigator |4 oth | |
| 700 | 1 | |a Serrate Casado, Marta |e investigator |4 oth | |
| 700 | 1 | |a González Santamaría, Montse |e investigator |4 oth | |
| 700 | 1 | |a Gallardo González, M Carmen |e investigator |4 oth | |
| 700 | 1 | |a Campamà Tutusaus, Imma |e investigator |4 oth | |
| 700 | 1 | |a Diaz Juliano, Fernando |e investigator |4 oth | |
| 700 | 1 | |a Balasch, Jesusa |e investigator |4 oth | |
| 700 | 1 | |a Aranzana Martinez, Rosa M |e investigator |4 oth | |
| 700 | 1 | |a Altuna Elizondo, Elvira |e investigator |4 oth | |
| 700 | 1 | |a Arizaga Ciordia, Beatriz |e investigator |4 oth | |
| 700 | 1 | |a Caballé Godia, José Luis |e investigator |4 oth | |
| 700 | 1 | |a Cañizares Rivero, Jesús |e investigator |4 oth | |
| 700 | 1 | |a De Miguel Ibáñez, Blanca |e investigator |4 oth | |
| 700 | 1 | |a Gómez Ruiz, F Javier |e investigator |4 oth | |
| 700 | 1 | |a Sáenz González, Elena |e investigator |4 oth | |
| 700 | 1 | |a Gonzalo Miguel, Lucila |e investigator |4 oth | |
| 700 | 1 | |a Núñez Manrique, Pilar |e investigator |4 oth | |
| 700 | 1 | |a Martínez Saiz, Gemma |e investigator |4 oth | |
| 700 | 1 | |a Fernández Vergel, Rita |e investigator |4 oth | |
| 700 | 1 | |a Penarrubia Maña, Maite |e investigator |4 oth | |
| 700 | 1 | |a Carretero Sánchez, Carmen |e investigator |4 oth | |
| 700 | 1 | |a Cadena Andreu, Leonor |e investigator |4 oth | |
| 700 | 1 | |a Domínguez Mendoza, Rosario |e investigator |4 oth | |
| 700 | 1 | |a Cabrera Robledo, Sonia |e investigator |4 oth | |
| 700 | 1 | |a Gosalbez García, David |e investigator |4 oth | |
| 700 | 1 | |a Soler i Castillo, Africa |e investigator |4 oth | |
| 700 | 1 | |a Fernández Sesma, Francesc |e investigator |4 oth | |
| 700 | 1 | |a Quesada Suárez, Esther |e investigator |4 oth | |
| 700 | 1 | |a Palacín Piquero, Herminia |e investigator |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t Atencion primaria |d 1991 |g 41(2009), 2 vom: 21. Feb., Seite 91-101 |w (DE-627)NLM012612324 |x 1578-1275 |7 nnns |
| 773 | 1 | 8 | |g volume:41 |g year:2009 |g number:2 |g day:21 |g month:02 |g pages:91-101 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.aprim.2008.06.001 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 41 |j 2009 |e 2 |b 21 |c 02 |h 91-101 | ||