Assessment of the sub-program of community cares for the elderly in Pinar del Río municipality
Keywords:
HEALTH SERVICES RESEARCH, PROGRAMS, AGED, ATTENTION, SOCIAL PLANNING, HEALTH SERVICES FOR THE AGED, HOMES FOR THE AGED, PRIMARY HEALTH CARE.Abstract
Introduction: the assessment of the impact of health care programs is an interdisciplinary field with a high level of cost, specialization and complexity.
Objective: to evaluate the sub-program of community care for the Elderly AT Hermanos Cruz and Pedro Borrás Astorga university polyclinics in Pinar del Río municipality during 2014 and 2015.
Method: a research was carried out in the health systems and services in 100 doctors’ offices in the chosen polyclinics and the target group was comprised by the elderly distributed in 70 doctors’ offices belonging to Hermanos Cruz and 30 from Pedro Borrás Astorga polyclinics. The sample was chosen through a two-stage stratified sampling with proportional allocation to the number of doctors’ offices, where 20 of them were selected, among them 10 clinical records in each one (n=200). Observation and documentary review were conducted; questionnaires were applied to users of the subprogram.
Results: the tactical assessment of the components, structure, process and results, was evaluated as not satisfactory. The design and application of the assessment showed that there were difficulties in complying with the sub-program of the Elderly Health Care in the health areas studied.
Conclusions: it was possible to evaluate the subprogram of community care for the elderly in the selected polyclinics, evidencing the non-compliance in most of the evaluated indicators.
Downloads
References
1. 1. Bravo Pardo F. Presidente de la Asamblea Nacional del Poder Popular de la República de Cuba. Ley 41; Ley de la Salud Pública; 2014. Disponible en: http://www.sld.cu/galerias/pdf/sitios/desastres/ley_41_de_la_salud_publica.pdf
2. Alfonso de Armas M, Rodríguez Gomez G. La evolución demográfica cubana: una mirada desde las teorías transicionales. ¿Dónde estamos? Rev Nov Pob [Internet]. 2016 [citado 28 feb 2018]; 12(24): [aprox. 14 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-40782016000200001
3. Brito Sosa G, Iraizoz Barrios A M. Valoración biopsicosocial del adulto mayor desde un enfoque bioético en una población cubana. Rev Cuban Med Gen Integr [Internet]. 2012 Dic [citado 2016 May 10]; 28(4): [aprox. 19 p.]. Disponibleen: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252012000400007&lng=es
4. Villafuerte Reinante J, Alonso Abatt Y, Alonso Vila Y, Alcaide Guardado Y, Leyva Betancourt I, Arteaga Cuéllar Y. El bienestar y calidad de vida del adulto mayor, un reto para la acción intersectorial. Medisur [Internet]. 2017 Feb [citado 2018 Feb 26] ; 15( 1 ): 85-92. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2017000100012&lng=es.
5. Rodríguez Bello HI, Cañizares Obregón Y, Echemendia Carpio Y, Macías Estrada L, Rodríguez Betancourt Md. Urgencias estomatológicas en adultos mayores. Área Norte de Sancti Spíritus. 2011. Gac méd espirit [Internet]. 2013 [citado 2018 Jun 5];15(3):[aprox. 9 p.]. Disponible en: http://revgmespirituana.sld.cu/index.php/gme/article/view/228
6. Sims Rodríguez M, Ramírez Leyva D, Pérez Castro K, Gómez García K. Intervención sicológica en adultos mayores con depresión. Rev Hum Med [Internet]. 2017 Ago [citado 2018 Jun 05] ; 17( 2 ): 306-322. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-81202017000200005
7. García Otero A, Prades de la R E, Fernández Quintana M, Legrà Legrà Y, Zayas Medina C. Evaluación de los estados funcional y afectivo en la población geriátrica del área de salud "28 de Septiembre". MEDISAN [Internet]. 2013 Feb [citado 2018 Feb 26] ; 17( 2 ): 205-212. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192013000200006&lng=es.
8. Morfi Samper R, Pérez Morfi D, Álvarez Pérez E. “Gestión de la ciencia y la técnica para la prolongación de la vida. Algunas reflexiones ̈. Rev Geroinfo.[Internet]. 2013 Feb [citado 2018 Feb 26] ; 8( 2 ): 1-16. Disponible en: http://www.medigraphic.com/pdfs/geroinfo/ger-2013/ger132b.pdf
9. Anuario estadístico de salud 2017. Pinar del Río: Dirección Provincial de Registros Médicos y Estadísticas de Salud; 2017. [citado 2018 Feb 26]. Disponible en: http://files.sld.cu/dne/files/2018/04/Anuario-Electronico-Espa%C3%B1ol-2017-ed-2018.pdf
10. Álvarez Lucas C H, Lara Esqueda A, Torres Lepe C, Covarrubias Ortíz E L del C, Guillermo Espinoza E, Toscano Reyes M. Modelo de evaluación de programas de salud. [Internet]. Colima. 2014 [citado 2018 Feb 26]. Disponible en: http://www.saludcolima.gob.mx/images/documentos/ModeloDeEvaluacionDeProgramasDeSalud.pdf
11. Programa de Atención al Adulto Mayor. Programa Integral de Atención al Adulto mayor. PAAMC. 2018[citado 2018 Feb 26]. Disponible en: http://www.sld.cu/instituciones/gericuba/paamc/
12. Casanova Moreno M de la C, Bayarre Vea H D, Navarro Despaigne D A, Sanabria Ramos G, Trasancos Delgado M. Evaluación del programa de educación en diabetes en el adulto mayor. Rev Cubana Med Gen Integr [Internet]. 2015 Dic [citado 2018 Mar 17] ; 31( 4 ): . Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252015000400002&lng=es.
13. Socarrás Sánchez S, Díaz Flores M, Sáez Palmero A. Talleres metodológicos interactivos para la preparación de los profesores guías de la carrera de Medicina. Rev Hum Med [Internet]. 2013 Abr [citado 2018 Mar 17] ; 13( 1 ): 193-223. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-81202013000100012&lng=es.
14. López Calleja Hiort Lorenzen C, Morejón Seijas B. Envejecimiento demográfico y migración interna de personas con 60 años y más de edad en Cuba y países de América Latina. PSM [Internet]. 2015 Jan-Jul [citado 2018 Jun 05];12(2):[aprox. 27 p.]. Disponible en: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1659-02012015000100001&lng=pt
15. Bethancourt Santana Y de la C , Bethancourt Enríquez J , Moreno Rodríguez Y , Saavedra Díaz A. Determinación de los factores psicosociales potenciadores de conductas suicidas en los adultos mayores. MEDICIEGO [Internet]. 2015 [citado 2018 Feb 26] ; 21( 1 ): 1-7. Disponible en: http://www.medigraphic.com/pdfs/mediciego/mdc-2015/mdc151b.pdf

Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/