Amb motiu del tancament d'estiu, la validació de documents es reprendrà a partir del 28 d'agost de 2026. Disculpeu les molèsties.
Con motivo del cierre de verano, la validación de documentos se reanudará a partir del 28 de agosto de 2026. Disculpad las molestias
Due to the summer closure, document validation will resume starting August 28, 2026. We apologize for any inconvenience.

Fitxers

1-s2.0-S0212656725000629-main.pdf (600.16 KB)

Tipus de document

Article

Versió

Versió publicada

Data de publicació

2025-06-21

Llicència de publicació

cc by-nc (c) Medina Peralta, Manuel et al, 2025
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/222388

Morbilidad y uso de recursos de las personas incluidas en el programa de atención domiciliaria de la atención primaria

Títol de la revista

Autors

Director/Tutor

ISSN de la revista

Títol del volum

Recurs relacionat

https://doi.org/10.1016/j.aprim.2025.103276

Resum

Objective: To describe health status and health care services of the people included in home care program (HC) through secondary use of data from the public system. Design: Observational population-based study. Location: Primary health care in Catalonia (2022). Participants: All people over 65 years of age included in HC matched 1:1 with people not attended in HC by age, sex, socioeconomic level and primary care team (45,578 persons per group, 70.5% women and mean age 86.8 years). Interventions: People receiving HC. Main measurements: Morbidity, healthcare use and events (hospital admissions, mortality) Results: 53.6% of people in HC had a diagnosis of complex chronic patient and 5.7% of advanced chronic disease, compared to 1.1% and 0.05% in the non-HC population. There were more people in HC with heart failure, dementia, stroke, auricular fibrillation and COPD, with higher drug use and pharmaceutical expenditure ( 1,446 vs. 732, ratio 1.98, 95%CI 1.95-2.00). Mortality was 20% in HC and 6% in the non-HC population (ratio 3.3, 95%CI 3.17-3.44). A stratified analysis by age showed a higher complexity, morbidity and events in people between 65 and 80 years of age with respect to those over 80 years of age in HC. Conclusions: The results, which show increased morbidity and complexity in HC, especially in people under 80 years of age, may be useful to better identify care needs of these people and program planning. (c) 2025 The Authors. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

Matèries

Comorbiditat, Atenció domiciliària, Persones grans

Matèries (anglès)

Comorbidity, Home care services, Older people

Citació

Col·leccions

Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

MEDINA PERALTA, Manuel, et al. Morbilidad y uso de recursos de las personas incluidas en el programa de atención domiciliaria de la atención primaria. Atención Primaria. 2025. Vol. 57, num. 11. ISSN 1578-1275. [consulted: 21 of August of 2026]. Available at: https://hdl.handle.net/2445/222388

Exportar metadades

JSON - METS

Compartir registre