RESUMO
No disponible
Assuntos
Humanos , Serviço Social/organização & administração , /organização & administração , Colaboração Intersetorial , Modelos OrganizacionaisRESUMO
OBJETIVO: Identificar las preferencias acerca del recurso asistencial y los factores de riesgo de institucionalización de personas mayores en situación de dependencia en Andalucía. MÉTODO: Se analizaron datos de 200.039 personas registradas en el Sistema para la Autonomía y Atención a la Dependencia, en el período 2007-2012. Se describió en la población: la edad, situación de dependencia, preferencias, red de apoyo y factores clínicos a la entrada en el estudio. El análisis se realizó por separado para hombres y mujeres. Se diseñó un modelo de regresión logística para determinar los factores de riesgo de institucionalización para cada sexo. RESULTADOS: El 87,4% de las mujeres y el 85,9% de los hombres manifestaron su deseo de recibir los cuidados en su domicilio particular. Los hombres tienen 3 veces más riesgo de institucionalización que las mujeres. En mujeres los factores de riesgo de institucionalización son: el nivel de dependencia, desear vivir en residencia, una consistencia y una fragilidad medias de la red de apoyo y tener un diagnóstico de demencia. En hombres: desear vivir en una residencia y una consistencia baja o media de la red de apoyo. CONCLUSIONES: El cuidado en el domicilio es la alternativa de preferencia para las personas mayores en situación de dependencia. El riesgo de institucionalización está condicionado por las preferencias de la persona y su familia y las características de la red de apoyo, más que por las condiciones clínicas del individuo
OBJECTIVE: Identifying preferences regarding type of care and risk factors for institutionalization of elderly persons in dependency situations in Andalusia. METHODS: The data on 200,039 persons registered in the System for Autonomy and Dependency Care over the period 2007-2012 were analysed. The study population was described in terms of: age, dependency situation, preferences, support network and clinical factors at the time of inclusion in the study. Separate analysis was made for men and women. A logistic regression model was designed to determine the risk factors for institutionalization for each sex. RESULTS: 87,4% of women and 85,9% of men expressed their wish to receive care in their own home. The risk of institutionalization is three times higher among men than among women. Among women, the risks of institutionalization are: level of dependency, wishing to move into a residential care home, medium consistency and fragility of support network and being diagnosed with dementia. Among men, the risks are: wishing to move into a residential care home and low or medium consistency of support network. CONCLUSIONS: Care in the home is the preferred alternative for elderly persons in dependency situations. The risk of institutionalization is conditioned more by the preferences of the person and their family and the characteristics of the support network than by individual's clinical condition
Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Institucionalização/tendências , Idoso Fragilizado/estatística & dados numéricos , Risco Ajustado , Fatores de Risco , /organização & administração , Saúde do Idoso InstitucionalizadoRESUMO
OBJECTIVE: Identifying preferences regarding type of care and risk factors for institutionalization of elderly persons in dependency situations in Andalusia. METHODS: The data on 200,039 persons registered in the System for Autonomy and Dependency Care over the period 2007-2012 were analysed. The study population was described in terms of: age, dependency situation, preferences, support network and clinical factors at the time of inclusion in the study. Separate analysis was made for men and women. A logistic regression model was designed to determine the risk factors for institutionalization for each sex. RESULTS: 87,4% of women and 85,9% of men expressed their wish to receive care in their own home. The risk of institutionalization is three times higher among men than among women. Among women, the risks of institutionalization are: level of dependency, wishing to move into a residential care home, medium consistency and fragility of support network and being diagnosed with dementia. Among men, the risks are: wishing to move into a residential care home and low or medium consistency of support network. CONCLUSIONS: Care in the home is the preferred alternative for elderly persons in dependency situations. The risk of institutionalization is conditioned more by the preferences of the person and their family and the characteristics of the support network than by individual's clinical condition.
