Impact of the program home care for the chronically ill for elderly: Quality of life and hospital readmissions [Impacto de un programa de atención domiciliaria al enfermo crónico en ancianos: Calidad de vida y reingresos hospitalarios]
Por:
Espinel-Bermúdez M.C., Sánchez-García S., Juárez-Cedillo T., García-González J.J., Viveros-Pérez Á., García-Peña C.
Publicada:
1 ene 2011
Categoría:
Public Health, Environmental and Occupational Health
Resumen:
Objective: To evaluate the impact of the ADEC program (acronym in Spanish) as compared with the typical care provided to disabled elderly affiliated with the Mexican Institute of Social Security (IMSS). Material and Methods: Prospective cohort at three months after discharge from two general hospitals in Mexico City. A total of 130 patients with functional dependency were studied, 70 in the ADEC program and 60 with typical care. Impact was measured using hospital readmissions and quality of life based on the Sickness Impact Profile (SIP). Results: Average age was 74 (61/103) years and 60% were women. The main diagnosis was cerebrovascular disease (30.77%). The quality of life in the psychosocial dimension improved for the ADEC group (from 46.26 (±13.85) to 29.45(±16.48) as compared with 47.03 (±16.47) to 42.36 (±16.35) for those receiving typical care (p<0.05). No differences were found regarding hospital readmissions. (p>0.05). Conclusions: HC program improved the psychosocial dimension of quality of life.
Filiaciones:
Espinel-Bermúdez M.C.:
Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Instituto Mexicano del Seguro Social, México DF, Mexico
Sánchez-García S.:
Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Instituto Mexicano del Seguro Social, México DF, Mexico
Juárez-Cedillo T.:
Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Instituto Mexicano del Seguro Social, México DF, Mexico
García-González J.J.:
Hospital General Regional No 1, Instituto Mexicano del Seguro Social, Querétaro, Querétaro, Mexico
Viveros-Pérez Á.:
Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Instituto Mexicano del Seguro Social, México DF, Mexico
García-Peña C.:
Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Instituto Mexicano del Seguro Social, México DF, Mexico
Gold
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