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2. [Impact of the program Home Care for the Chronically Ill for elderly: quality of life and hospital readmissions].

Author

Espinel-Bermúdez MC, Sánchez-García S, Juárez-Cedillo T, García-González JJ, Viveros-Pérez Á, and García-Peña C

Subjects
Abdominal Neoplasms epidemiology, Aged, Cerebrovascular Disorders epidemiology, Comorbidity, Female, Hospitalization statistics & numerical data, Hospitals, General statistics & numerical data, Hospitals, Urban statistics & numerical data, Humans, Kidney Failure, Chronic epidemiology, Male, Mexico epidemiology, Patient Admission statistics & numerical data, Program Evaluation, Prospective Studies, Quality of Life, Sickness Impact Profile, Social Security statistics & numerical data, Socioeconomic Factors, Chronic Disease, Health Services for the Aged organization & administration, Health Services for the Aged statistics & numerical data, Home Care Services, Hospital-Based organization & administration, Home Care Services, Hospital-Based statistics & numerical data, Social Security organization & administration
Abstract

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.

Published
2011
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