Aspectos laborales de la Ley 39/2006, de 14 de diciembre, de Promoción de la Autonomia Personal y Atención a las Personas en Situación de Dependencia

Fernández, Francisca Fuentes; Villarino, Roberto Fernández

doi:10.33776/trabajo.v18i0.106

Cited by 15 publications

(5 citation statements)

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“…Nevertheless, informal professional or nonprofessional care (usually related to the family) is not included. In Spain, professional care of this type is financed through the so-called Dependency Law by means of personal benefits for each patient [59].…”

Section: Limitationsmentioning

confidence: 99%

A 14-Year Longitudinal Analysis of Healthcare Expenditure on Dementia and Related Factors (DEMENCOST Study)

Inoriza

Carreras

Coderch³

et al. 2023

JAD

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Background: The large number of dementia cases produces a great pressure on health and social care services, which requires efficient planning to meet the needs of patients through infrastructure, equipment, and financial, technical, and personal resources adjusted to their demands. Dementia analysis requires studies with a very precise patient characterization of both the disease and comorbidities present, and long-term follow-up of patients in clinical aspects and patterns of resource utilization and costs generated. Objective: To describe and quantify direct healthcare expenditure and its evolution from three years before and up to ten years after the diagnosis of dementia, compared to a matched group without dementia. Methods: Retrospective cohort design with follow-up from 6 to 14 years. We studied 996 people with dementia (PwD) and 2,998 controls matched for age, sex, and comorbidity. This paper adopts the provider’s perspective as the perspective of analysis and refers to the costs actually incurred in providing the services. Aggregate costs and components per patient per year were calculated and modelled. Results: Total health expenditure increases in PwD from the year of diagnosis and in each of the following 7 years, but not thereafter. Health status and mortality are factors explaining the evolution of direct costs. Dementia alone is not a statistically significant factor in explaining differences between groups. Conclusion: The incremental direct cost of dementia may not be as high or as long as studies with relatively short follow-up suggest. Dementia would have an impact on increasing disease burden and mortality.

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Section: Limitationsmentioning

confidence: 99%

A 14-Year Longitudinal Analysis of Healthcare Expenditure on Dementia and Related Factors (DEMENCOST Study)

Inoriza

Carreras

Coderch³

et al. 2023

JAD

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“…The adjustment allowed to estimate the results of the population not receiving HCS if they had the same age, sex, and income level of the social HCS-recipient population. Importantly, the o cial recognition of dependency is granted according to a structured system based on the Dependency Law criteria (Government 2006).…”

Section: Study Design and Populationmentioning

confidence: 99%

“…In 2007, the Spanish Government enforced Law 39/2006 (also known as Dependency Law), providing the Public Social Services System with the regulatory framework necessary to provide care and bene ts for individuals in a dependency situation (Government 2006). The recognition of the degree of dependency through a formal proof-assessment is common to all the Spanish territories, and the funding and delivery of services and care to dependent individuals relies on the regional and local governments, which may contract external private providers.…”

Section: Introductionmentioning

confidence: 99%

“…The recognition of the degree of dependency through a formal proof-assessment is common to all the Spanish territories, and the funding and delivery of services and care to dependent individuals relies on the regional and local governments, which may contract external private providers. Dependency was de ned as the need for help to perform the basic activities of daily living (ADL) that a person may have due to age, illness, and/or disability, and linked to lack or loss of physical, mental, intellectual, or sensory autonomy (Government 2006;Catalonia 2014).…”

Section: Introductionmentioning

confidence: 99%

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Characteristics and Services Utilization by Users of Home Care Services in Catalonia: A Retrospective Cohort-Based Study of a Social Program for Dependent Individuals

Contel

Vila

Vela

et al. 2023

Preprint

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Introduction: Home Care Services (HCS) for care-dependent individuals enable their independent lives at home. We aimed to characterize users and evaluate the impact of social HCS for dependent individuals. Methods: Retrospective study including all social HCS recipients for individuals with the official recognition of dependency from Catalonia using 2018–2019 data from the Autonomy and Dependency Care System and the Catalan Health Surveillance System. Variables were social and healthcare services utilization and expenditure. HCS recipients were compared to non-recipients. Changes in services utilization and expenditure before and after HCS were estimated. Results: The 48,885 individuals who received HCS in 2019 were mostly >84 years, women, and had moderate dependency. Recipients’ prevalence was higher among low-/very-low-income individuals. HCS users had a higher morbidity burden than non-recipients with increased healthcare service utilization and associated expenditures. After HCS initiation, Telecare, day center, and most healthcare services utilization increased. Social and healthcare service-associated expenditures increased from a mean of 535 to 867 €/individual/month after HCS initiation, mostly due to HCS. Conclusions: Social HCS dependency recipients were overall very old, with moderate dependency, low-income, high morbidity, and intensive use of healthcare services. HCS is associated with increased social service-associated expenditures and modestly decreased healthcare-associated expenditures.

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“…• Adult patients with at least with one health and/or one social condition, as specified: a) Health condition: Complex chronic patient, advanced chronic disease, patient in the home care program, dementia, neurodegenerative disease, stroke, other chronic disease. b) Social condition: Dependence, home assistance, teleassistance [22,23]. • Knowledge of Spanish or Catalan.…”

Section: Setting and Participantsmentioning

confidence: 99%

Innovative Health and Social Integrated Care Model Effectiveness to Improve Quality Care for Chronic Patients: A Single Group Assignment Clinical Trial

Gavaldà-Espelta,

del Mar Lleixà-Fortuño,

Baucells-Lluis

et al. 2023

International Journal of Integrated Care

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Background: Patients with chronic disease have become one of the major challenges for health and social protection systems in developed countries. Integrated care models (ICM) have demonstrably improved the quality of care of chronic patients. However, new models of integration need further evaluation of its effectiveness and outcomes. Methods:The ICM studied promoted coordination between the health and social sectors during a 6-month period, through an ad hoc developed application (app) that enabled a constant flow of communication between professionals from both sectors. Patients' quality of life, treatment adherence, chronic patient experience and caregiver overload were assessed by questionnaires at baseline, at the end of the intervention and 6 months post-intervention. Results:The implementation of the new health and social ICM permitted new case detection and medical and social services offered to chronic patients. Furthermore, the quality of life and treatment adherence of patients and caregiver overload were significantly improved. These positive effects lasted at least 6 months after the intervention.Conclusions: Integrated care may facilitate access to care services, increase perceived patient quality of life and treatment adherence. Enhanced access to medical and social services from complex chronic patients may have important implications for caregivers and the care systems who are struggling to adapt to an expanding demand.

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Aspectos laborales de la Ley 39/2006, de 14 de diciembre, de Promoción de la Autonomia Personal y Atención a las Personas en Situación de Dependencia

Cited by 15 publications

References 0 publications

A 14-Year Longitudinal Analysis of Healthcare Expenditure on Dementia and Related Factors (DEMENCOST Study)

A 14-Year Longitudinal Analysis of Healthcare Expenditure on Dementia and Related Factors (DEMENCOST Study)

Characteristics and Services Utilization by Users of Home Care Services in Catalonia: A Retrospective Cohort-Based Study of a Social Program for Dependent Individuals

Innovative Health and Social Integrated Care Model Effectiveness to Improve Quality Care for Chronic Patients: A Single Group Assignment Clinical Trial

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