La incorporación de la atención telefónica a la oferta de atención primaria y sus efectos sobre la salud y la satisfacción de los pacientes: propuesta / Incorporation of telephone care into the provision of primary care and its effects on patient health and satisfaction: Proposal

Se presenta una revisión, análisis y propuesta de implantación, desarrollo y evaluación de la atención telefónica en atención primaria, enfocada como una nueva modalidad de oferta que responda a exigencias normalizadas de seguridad, efectividad, eficiencia y equilibrio, no siempre fácil de alcanzar, entre los intereses de los usuarios y los profesionales (AU)

We present a review, analysis and proposal for the implantation, development and evaluation of telephone attention in primary care, focused as a new modality of offer that responds to standardized requirements of safety, efficacy, efficiency and balance not always easy to achieve, between the interests of users and professionals (AU)

[Incorporation of telephone care into the provision of primary care and its effects on patient health and satisfaction: Proposal]. / La incorporación de la atención telefónica a la oferta de atención primaria y sus efectos sobre la salud y la satisfacción de los pacientes: propuesta.

We present a review, analysis and proposal for the implantation, development and evaluation of telephone attention in primary care, focused as a new modality of offer that responds to standardized requirements of safety, efficacy, efficiency and balance not always easy to achieve, between the interests of users and professionals.

[Functional capacity in those over 60 and related social health factors (the ANCO Project for the Aged of Cordoba)]. / Capacidad funcional en mayores de 60 años y factores sociosanitarios asociados (proyecto ANCO).

OBJECTIVE: To evaluate the functional status (FS) of the over-60 population in our city, relating it to various social, demographic and health factors. DESIGN: A descriptive, crossover study. SETTING: City of Córdoba. PARTICIPANTS: A sample of 1,103 subjects was obtained by systematic sampling of the non-institutionalised population over 60 years old (N = 49,674), using the latest update of the 1991 census. MEASUREMENTS AND MAIN RESULTS: Application of the OARS-MFAQ-VE multidimensional questionnaire using a face-to-face home interview. We analysed 14 items from the part of the questionnaire assessing FS. Subjects were classified into three groups. 7.6% (25.0-30.3) needed help to perform at least one AS and 15.9% (13.8-18.2) were unable to perform at least one. CONCLUSIONS: This study provides a description of the functional status of the elderly, which for the most part is excellent. Various social and health factors linked to functional incapacity were identified.

[Functional evaluation of persons over 60 years of age living in an urban community. ANCO project]. / Valoración funcional de personas mayores de 60 años que viven en una comunidad urbana. Proyecto ANCO.

OBJECTIVE: To establish the grade of functional deterioration in older people and analyse associated factors. DESIGN: Cross sectional study. SETTING: City of Córdoba. PARTICIPANTS: The population over 60 years old on the Córdoba municipal roll (49,674) and living at home, from which a sample of 1,103 subjects was taken. INTERVENTIONS: The multidimensional OARS-MFAQ questionnaire was filled in. Calculation of the functional deterioration scores enabled five areas to be evaluated: physical health (PH), mental health (MH), economic resources (ER), social resources (SR) and capacity to perform daily activities (DA) autonomously. MEASUREMENTS AND MAIN RESULTS: Reply rate was 86.8%. The prevalence of serious/absolute deterioration in each of the areas was: 9.3% in SR, 8.5% in DA, 8.4% in ER, 6.9% in MH and 5.8% in PH. CONCLUSIONS: Both the prevalence of functional deterioration in the population group under study and the demand for institutional care are similar to other studies performed in our country, but higher than in Anglosaxon countries.

[Health status of the over 60 years of age population and its relationship with sociodemographic factors (ANCO Project)]. / Estado de salud de la población mayor de 60 años y su relación con factores sociodemográficos (proyecto ANCO).

OBJECTIVE: To describe the health status of a population over 60 years and to study their relationship with several socio-demographic variables. DESIGN: A cross-sectional study, population based. SETTINGS: A community. PARTICIPANTS: A randomized sample of 1,103 non institutionalized people over 60 years living in the city of Cordoba (Spain). MEASUREMENTS AND MAIN RESULTS: By mean of a personal interview at home we used the OARS-MFAQ-VE questionnaire. Low self-rated health was associated with the age, to be female sex, a low cultural background, and a low income. Only 5.2% of the study people do not suffered any illness and 56% state that their health problems are major problems for doing their current activities. 4.9% declared to have some degree of physical incapacity. 3.7% of elderly population has an important cognitive deficit. CONCLUSIONS: The majority of elderly people has good health. Age is related with a poor health. Women have more health problems than men.

[Factors associated with cognitive deterioration in an urban population. ANCO project]. / Factores asociados a la alteración cognitiva en una población urbana. Proyecto ANCO.

OBJECTIVE: To analyse the prevalence of cognitive deterioration (CD) in the over-60s of the city of Córdoba not in institutions and to evaluate its relationship with social, demographic and health variables. DESIGN: A crossover study of prevalence. SETTING: The city of Córdoba. PARTICIPANTS: Population over 60 years old living at home (N = 49,674), from which a sample of 1,103 people was extracted. INTERVENTIONS: The Spanish-language version of the multidimensional OARS-MFAQ questionnaire was filled in. This included the Pfeiffer cognitive evaluation test. RESULTS: Reply rate was 86.8%. 3.7% had possible moderate-severe CD. People with CD also used more services (basically to help with DA) and had a perception of needing more services which they were not receiving at present. CONCLUSIONS: The prevalence of possible cognitive deterioration in the population under analysis is similar to that found in other studies in our country. They confirm that age and lack of schooling are the factors most closely linked to this deterioration.