[Health and social care in an urban nursing home providing healthcare services and primary care's role: A qualitative study with residents, relatives and professionals]. / Atención sociosanitaria en una residencia urbana sanitarizada y el papel de Atención Primaria. Estudio cualitativo con residentes, familiares y profesionales.

AIM: To identify the elements involved in adequate health and social care for old people living in nursing homes, determine their possible barriers and enablers and define primary care's role in it. DESIGN: Qualitative study with phenomenological approach. SETTING: State funded private nursing home and its corresponding primary care center in the southeastern urban area of Madrid. PARTICIPANTS: Elderly residents, their relatives, and professionals from the nursing home and the primary care center. METHOD: Five focus groups were conducted between November 2019 and January 2020, with semi-structured interviews based on the variables of analysis and themes related to the objectives. The sessions were recorded and transcribed. An open and axial coding was performed to identify categories after a triangulation of the data. RESULTS: The elements of adequate care identified are individualized care, promotion of autonomy, adequate information to residents and relatives, quality of services, coordination between professionals, and a continuous end of life care. The main barriers are the deficit of professionals, the differences in expectations between users and workers, and the organizational gap between the healthcare system and nursing homes providing healthcare services. The role identified for primary care is mostly bureaucratic. CONCLUSIONS: It is necessary to continue exploring these elements and to outline the role of primary care in nursing homes with different characteristics.

Atención sociosanitaria en una residencia urbana sanitarizada y el papel de Atención Primaria. Estudio cualitativo con residentes, familiares y profesionales / Health and social care in an urban nursing home providing healthcare services and primary care's role: A qualitative study with residents, relatives and professionals

Objetivo: Conocer los elementos que formarían parte de una adecuada asistencia sociosanitaria a personas mayores viviendo en centros residenciales, identificar barreras y facilitadores a dicha asistencia y el papel de la Atención Primaria. Diseño: Metodología cualitativa con un enfoque fenomenológico. Emplazamiento: Centro de salud urbano y centro residencial concertado adscrito en la zona sureste de la Comunidad de Madrid. Participantes: Personas mayores residentes, sus familiares y profesionales de la residencia y del Equipo de Atención Primaria. Método: Se realizaron 5 grupos focales entre noviembre de 2019 y enero de 2020, con entrevista semiestructurada a partir de las variables de análisis y dimensiones de interés para los objetivos. Las sesiones fueron grabadas y transcritas. Se realizó una codificación abierta y axial para identificar las categorías y una triangulación de los datos. Resultados: Los elementos de una adecuada asistencia son la atención a la persona, la promoción de la autonomía, la información adecuada a residentes y familiares, la calidad de los servicios, la coordinación entre profesionales y unos cuidados continuos en el final de la vida. Son barreras el déficit de profesionales, las diferencias de expectativas entre usuarios y trabajadores y la brecha organizativa entre el sistema sanitario y la asistencia propia en residencias sanitarizadas. El papel de la Atención Primaria queda definido por su función burocrática. Conclusiones: Es necesario continuar explorando estos elementos y perfilar el papel de la Atención Primaria en entornos residenciales de diferentes características.(AU)

Aim: To identify the elements involved in adequate health and social care for old people living in nursing homes, determine their possible barriers and enablers and define primary care's role in it. Design: Qualitative study with phenomenological approach. Setting: State funded private nursing home and its corresponding primary care center in the southeastern urban area of Madrid. Participants: Elderly residents, their relatives, and professionals from the nursing home and the primary care center. Method: Five focus groups were conducted between November 2019 and January 2020, with semi-structured interviews based on the variables of analysis and themes related to the objectives. The sessions were recorded and transcribed. An open and axial coding was performed to identify categories after a triangulation of the data. Results: The elements of adequate care identified are individualized care, promotion of autonomy, adequate information to residents and relatives, quality of services, coordination between professionals, and a continuous end of life care. The main barriers are the deficit of professionals, the differences in expectations between users and workers, and the organizational gap between the healthcare system and nursing homes providing healthcare services. The role identified for primary care is mostly bureaucratic. Conclusions: It is necessary to continue exploring these elements and to outline the role of primary care in nursing homes with different characteristics.(AU)