Departamento de Economía, Facultad de CC Económicas, Empresariales y Turismo, Universidad de Alcalá. Pza de la Victoria 3, Alcalá de Henares. 28802 Madrid Espanha.
Red Europea de Política Social, Comisión Europea. Madrid España.
Cien Saude Colet. 2021 Jan;26(1):159-168. doi: 10.1590/1413-81232020261.33872020. Epub 2020 Sep 24.
The objective of this study is to analyze the residential care crisis in Spain in the context of the COVID-19 pandemic and its impact on high mortality and abandonment of the user population. The direct, indirect and structural causes are analyzed. Specifically, precarious employment in residences over the past decade was analyzed as one of the main explanatory causes of the structural crisis of nursing homes. The theoretical focus of analysis is the comprehensive and person-centered care (CPCC) model based on the autonomy of people and the centrality of their rights. The methodology combines a quantitative analysis of employment and a qualitative analysis of documents and debates. The study concludes by proposing a comprehensive reform of long-term care that includes both a change in residential care in the form of small cohabitation units and reinforcement of care in the home and the community as a growing preference for the elderly population. An optimal combination of residential and home care is the basic proposal of this work.
本研究旨在分析 COVID-19 大流行背景下西班牙的养老院危机及其对高死亡率和用户群体被遗弃的影响。分析了直接、间接和结构性原因。具体来说，过去十年中养老院不稳定的就业被分析为养老院结构性危机的主要解释原因之一。分析的理论重点是基于人的自主性和权利中心性的综合和以人为中心的护理（CPCC）模式。该研究最后提出了一项全面的长期护理改革建议，包括以小型共同居住单位形式改变养老院护理，并加强家庭和社区护理，以满足老年人群体日益增长的需求。这种工作的基本建议是优化组合居住和家庭护理。
