Study of a Quasi-Experimental Trial to Compare Two Models of Home Care for the Elderly in an Urban Primary Care Setting in Spain: Results of Intermediate Analysis

Carolina Burgos Díez, Rosa Maria Sequera Requero, Jose Ferrer Costa, Francisco José Tarazona-Santabalbina, Marià Monzó Planella, Cristina Cunha-Pérez, Sebastià Josep Santaeugènia González and Grupo Atdom
Additional contact information
Carolina Burgos Díez: Primary Health Care Centre Passeig Maragall, Institut Català de la Salut, 08041 Barcelona, Spain
Rosa Maria Sequera Requero: Primary Health Care Centre Gran Sol., Institut Català de la Salut, 08914 Badalona, Spain
Jose Ferrer Costa: Primary Health Care Centre Apenins, Badalona Serveis Assistencials, 08917 Badalona, Spain
Francisco José Tarazona-Santabalbina: Geriatric Medicine Department, Hospital Universitario de la Ribera, 46600 Alzira, Spain
Marià Monzó Planella: Department of Surgery and Medical-Surgical Specialties, Faculty of Medicine, University of Barcelona, 08036 Barcelona, Spain
Cristina Cunha-Pérez: Faculty of Nursing, Catholic University of Valencia San Vicente Mártir, 46001 Valencia, Spain
Sebastià Josep Santaeugènia González: Central Catalonia Chronicity Research Group (C3RG), University of Vic, Central University of Catalonia, 08500 Vic, Spain
Grupo Atdom: Membership of the Group Name is provided in the Acknowledgments.

IJERPH, 2022, vol. 19, issue 4, 1-14

Abstract: Functional dependence is associated with an increase in need for resources, mortality, and institutionalization. Different models of home care have been developed to improve these results, but very few studies contain relevant information. This quasi-experimental study was conducted to evaluate two models of home care (HC) in a Primary Care setting: an Integrated Model (IM) (control model) and a Functional Model (FM) (study model). Material and Methods: Two years follow-up of patients 65 years old and older from two Primary Health Care Centres (58 IM, 68 FM) was carried out, recruited between June-October 2018 in Badalona (Barcelona, Spain). Results of the mid-term evaluation are presented in this article. Health status, quality of care, and resource utilization have been evaluated through comprehensive geriatric assessment, quality of life and perception of health care scales, consumption of resources and complementary tests. Results: A significant difference was detected in the number of hospital admissions (FM/IM 0.71 (1.24)/1.35 (1.90), p : 0.031) in the Accident and Emergency department (FM/IM 2.01 (2.12)/3.53 (3.59), p : 0.006) and cumulative days of admission per year (FM/IM 5.43 (10.92)/14.69 (20.90), p : 0.003). Conclusions: FM offers greater continuity of care at home for the patient and reduces hospital admissions, as well as admission time, thereby saving on costs.

Keywords: home care models; preventive home visits; primary care; geriatric assessment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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