Albarrán Lozano Irene, Alonso González Pablo, Bolancé Losillas Catalina
Departamento de Estadística, Universidad Carlos III de Madrid.
Rev Esp Salud Publica. 2009 May-Jun;83(3):379-92. doi: 10.1590/s1135-57272009000300004.
Even if there is a wide consensus on the concept of a dependent individual, in practice national valuation systems produce completely different results. The objective in this work is to compare the application of different valuation scales for dependency on the Spanish population and to identify the differences in the results on the right to obtain public support.
The evaluation definition and schemes that are applied in France, Germany and Spain are implemented to the Spanish population using data from the Survey on Disabilities, Dependency and Health Status. The Spanish system is compared to the other two using factorial correspondence analysis.
According to the survey the total number of dependent individuals in the population is 1.398.767. Under the Spanish scale, 776.475 would receive some type of public support, under the German scale 745.520 would qualify and when applying the French scale, those would be 315.514. Correspondence analysis results show that the Spanish scale is much more similar to the German scale than it is to the French scale. (Spearman's correlation coefficient and Kendall's are reduced by almost 40% when the Spanish scale is compared to the French scale, rather than the German scale).
With the same personal conditions, the system used influences both the degree of severity of dependence and the possibility to become eligible to public funds. The Spanish system is the most generous and the French system is the most restrictive one, the latter also imposes limitations on age.
尽管对于依赖个体的概念已达成广泛共识，但在实践中，各国的评估体系得出的结果却截然不同。本研究的目的是比较不同依赖评估量表在西班牙人群中的应用情况，并确定在获得公共支持权利方面结果的差异。
利用残疾、依赖和健康状况调查的数据，将法国、德国和西班牙所采用的评估定义和方案应用于西班牙人群。通过因子对应分析将西班牙的体系与其他两个国家的体系进行比较。
根据调查，该人群中依赖个体的总数为1398767人。按照西班牙的量表，776475人将获得某种类型的公共支持；按照德国的量表，745520人符合条件；而采用法国的量表时，符合条件的人数为315514人。对应分析结果表明，西班牙的量表与德国的量表比与法国的量表更为相似。（与德国量表相比，西班牙量表与法国量表比较时，斯皮尔曼相关系数和肯德尔相关系数降低了近40%）。
在个人条件相同的情况下，所采用的体系既影响依赖的严重程度，也影响获得公共资金的可能性。西班牙的体系最为宽松，法国的体系最为严格，后者还对年龄有所限制。
