Gené Badia Joan, Hidalgo García Antonio, Contel Segura Joan Carles, Borràs Santos Alicia, Ortiz Molina Jacinto, Martín Royo Jaume, García Planas Noemí, Heras Tebar Antonio, Noguera Rodríguez Ramon, Borrell Muñoz Manuel, Farràs Salles Cristina, Porta Borges Montserrat, Oliver Olius Anna, Rivas Zuazo Sonia, Aranzana Martínez Antonio, Cegri Lombardo Francisco, Limón Ramírez Esther, Adell Aguiló Núria, Camprubí Casellas Maria Dolors
CAPSE Consorci d'Atenció Primària de Salut de l'Eixample, Barcelona, España.
Aten Primaria. 2006 Jun 15;38(1):47-50. doi: 10.1157/13090015.
To evaluate home care by primary care teams for people over 65 years old with chronic conditions, in order to identify improvement opportunities. To identify patient and care variables associated with cognitive and functional impairment, nursing home admission, attendance at casualty units, hospital admission and death.
Analytic study of the follow-up of a cohort for 3 years.
Primary health care teams in Catalonia, Spain.
One thousand three hundred patients over 65 with chronic pathologies and cared for by home care programmes in Catalonia.
The following will be recorded annually: health status (Charlson, Barthel, Pfeiffer, Braden, and Gijón), data on the carer (Zarit), care received (social and health), self-perception of health (SF-12), Casualty attendance, short-term admissions and the final results, i.e. death or definitive admission to a nursing home or hospital. The statistical analyses will be based on logistic regression and a survival analysis.
The study should reveal patient characteristics with prognostic value, as well as identify the social and health factors related to better survival and lower consumption of health and social resources.
评估初级保健团队为65岁以上慢性病患者提供的居家护理，以确定改进机会。确定与认知和功能障碍、入住养老院、前往急诊科就诊、住院及死亡相关的患者和护理变量。
对一个队列进行3年随访的分析性研究。
西班牙加泰罗尼亚的初级卫生保健团队。
1300名65岁以上患有慢性病且由加泰罗尼亚居家护理项目提供护理的患者。
每年记录以下内容：健康状况（查尔森指数、巴氏指数、 Pfeiffer量表、Braden量表和希洪量表）、护理人员数据（Zarit量表）、接受的护理（社会和医疗护理）、健康自我认知（SF - 12量表）、前往急诊科就诊情况、短期住院情况以及最终结果，即死亡、确定入住养老院或医院。统计分析将基于逻辑回归和生存分析。
该研究应揭示具有预后价值的患者特征，以及确定与更好的生存率和更低的医疗及社会资源消耗相关的社会和健康因素。
