Influencia de la edad y sexo sobre los distintos, tipos de utilización en atención primaria

Saameño, Juan Ángel Bellón; Sánchez, Ana Delgado; Castillo, Juan de Dios Luna del; Claret, Pablo Lardelli

doi:10.1016/s0213-9111(95)71259-6

Cited by 26 publications

(14 citation statements)

References 24 publications

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“…The low number of non-face-to-face contacts and home visits stood out; this is a potential area of care for chronic patients that should be strengthened, particularly in light of the COVID-19 pandemic. The average number of contacts with family doctors in our study was lower than the average number of physician consultations reported in comparable studies [ 33 , 34 ]. However, it was almost double number of contacts with nurses, unlike previous studies in which the average number of contacts with nurses was higher than with doctors [ 35 ].…”

Section: Discussioncontrasting

confidence: 91%

“…Among the possible explanations for this increased utilization are that women report a worse perceived state of health and have a higher prevalence of minor affective disorders that can generate the need for health consultations; additionally, women are also often caregivers or heads of the household, which could favor a need to consult health services on behalf of other family members [ 34 ]. In contrast, nurse consultations were more frequent among high-risk men, which could be due to less self-care capacity among men, especially those in older age ranges [ 34 ]. The results show that increased age was associated with a major number of contacts for most types and forms and with professionals other than pediatricians, midwives, physical therapists and dentists.…”

Section: Discussionmentioning

confidence: 99%

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Use of primary and hospital care health services by chronic patients according to risk level by adjusted morbidity groups

Cortés

Soria-Ruiz-Ogarrio

Martínez-Cuevas

et al. 2021

BMC Health Serv Res

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Background Patients with chronic diseases have increased needs for assistance and care. The objective of this study was to describe the characteristics and use of primary care (PC) and hospital care (HC) health services by chronic patients according to risk level based on adjusted morbidity groups (AMG) and to analyze the associated factors. Methods Cross-sectional descriptive observational study. Patients from a basic health area classified as chronically ill by the AMG classification system of the Madrid PC electronic medical record were included. Sociodemographic, clinical-care characteristics (classified as predisposing factors or need factors) and service utilization variables were collected. Univariate, bivariate and simple linear regression analyses were performed. Results The sample consisted of 9866 chronic patients and 8332 (84.4%) used health services. Of these service users, 63% were women, mean age was 55.7 (SD = 20.8), 439 (5.3%) were high risk, 1746 (21.2%) were medium risk, and 6041(73.4%) were low risk. A total of 8226 (98.7%) were PC users, and 4284 (51.4%) were HC users. The average number of annual contacts with PC was 13.9 (SD = 15); the average number of contacts with HC was 4.8 (SD = 6.2). Predisposing factors associated with services utilization at both care levels were: age (B coefficient [BC] = 0.03 and 0.018, 95% CI = 0.017–0.052 and 0.008–0.028, respectively, for PC and HC) and Spanish origin (BC = 0.962 and 3.396, 95% CI = 0.198–1.726 and 2.722–4.070); need factors included: palliative care (BC = 10,492 and 5047; 95% CI = 6457–14,526 and 3098-6995), high risk (BC = 4631 and 2730, 95% CI = 3022–6241 and 1.949–3.512), number of chronic diseases (BC = 1.291 and 0.222, 95% CI = 1.068–1.51 and 0.103–0.341) and neoplasms (BC = 2.989 and 4.309, 95% CI = 1.659–4.319 and 3.629–4.989). Conclusions The characteristics and PC and HC service utilization of chronic patients were different and varied according to their AMG risk level. There was greater use of PC services than HC services, although utilization of both levels of care was high. Service use was related to predisposing factors such as age and country of origin and, above all, to need factors such as immobility, high risk, and number and type of chronic diseases that require follow-up and palliative care.

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Section: Discussioncontrasting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Use of primary and hospital care health services by chronic patients according to risk level by adjusted morbidity groups

Cortés

Soria-Ruiz-Ogarrio

Martínez-Cuevas

et al. 2021

BMC Health Serv Res

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“…• Social support was measured by DUKE-UNC-11 [50], an 11-item questionnaire that measured functional elements of social support (including confidant and affective support) and validated for the Spanish population (Cronbach's Alpha = 0.90) [51,52]. Each item is valued in a 5-points scale ranging from 1 ("much less than I would like") to 5 points ("as much as I would like").…”

Section: Plos Onementioning

confidence: 99%

“…Each item is valued in a 5-points scale ranging from 1 ("much less than I would like") to 5 points ("as much as I would like"). A final score ranging from 5 to 55 is obtained; 32 points or below correspond to a low social support and more than 32 points correspond to a normal social support [52].…”

Section: Plos Onementioning

confidence: 99%

Work-family conflict among hotel housekeepers in the Balearic Islands (Spain)

et al. 2023

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The massive incorporation of women to the labour market has increased academic and applied interest on work-life issues throughout the years. This article aims to describe the domestic burden and difficulties in work-life balance (WLB) and to understand the intersection of work and family spheres among hotel housekeepers (HHs). A cross-sectional study was conducted through Primary Health Care in the Balearic Islands (Spain); 1,043 HHs were enrolled. 56.7% reported difficulties in WLB. Risk factors for perceiving difficulties in WLB were: living with someone else (regardless of the number of co-habitants), having difficulties making ends meet, being the main person in charge of domestic tasks, having a dependant, having an external locus of control, presenting higher levels of stress at work, working more hours a week and being younger. Protective factors from experiencing work-family conflict (WFC) were job and wage satisfaction. WFC is strongly influenced by individual, economic, labour and domestic factors: these relationships show that labour and domestic spheres are non-separate worlds.

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“…-Social context of the patient: environment in which the patient lived, number of individuals living with the patient, presence of a family member caregiver, characteristics of the family caregiver (age, sex, relationship, level of education, housing), social support received, through the DUKE questionnaire, (Bellón Saameño et al, 1996) an instrument with an adequate reliability, as shown by its Cronbach's alpha of 0.90, and appropriate construct and criterion validity; loneliness through the UCLA scale (Velarde-Mayol et al, 2016), this scale has an adequate reliability, with a Cronbach's alpha value of 0.95, and with satisfactory results in its construct and discriminant validity; and lastly, the effort of the caregiver was measured with the Caregiver Strain Index (CSI) (López Alonso & Moral Serrano, 2005), which obtained a Cronbach's alpha of 0.80, and an adequate criterion validity for its use in the screening of strain experienced by the caregiver.…”

Section: Variables and Instrumentsmentioning

confidence: 99%

Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study

Ruzafa‐Martínez

García-González

Morales-Asencio

et al. 2022

J of Nursing Scholarship

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Background:The restrictions imposed during the management of the pandemic led to lack of care of other health problems.Purpose: To assess changes in the health status of complex multimorbidity elderly, functional and cognitive capacities, perception of the social surroundings, care provided by the nurses, including nursing diagnosis and interventions, use of health services, adverse events, and use of devices and technical help during the first 6 months of the Covid-19 pandemic.Design: A 1-year longitudinal cohort study was conducted. Methods: Ninety-seven complex multimorbid elderly attended in primary care were evaluated every 3 months in a health area of the Spanish National Health System (SNHS). The research was called "SAMAC3 study".Results: Significant negative changes were observed in the functional and cognitive capacity of the elderly, and in several nursing diagnoses. A decrease was observed in the frequency of visit to the nurses, hospital admittance, length of hospital stays, and falls. Conclusions:The functional and cognitive capacities of the cohort became worse.However, a significant decrease in the frequency of use of health services was observed. The nurses detected significant changes in activity-exercise, cognitiveperception, and roles-relationships, but their interventions were mostly centered on resolving clinical matters that required immediate attention.

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Influencia de la edad y sexo sobre los distintos, tipos de utilización en atención primaria

Cited by 26 publications

References 24 publications

Use of primary and hospital care health services by chronic patients according to risk level by adjusted morbidity groups

Use of primary and hospital care health services by chronic patients according to risk level by adjusted morbidity groups

Work-family conflict among hotel housekeepers in the Balearic Islands (Spain)

Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study

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