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[Analysis of the demand for a home care support team (HCST)]
A Requena López1, R Moreno Mateo, P Torrubia Atienza
1Médico de familia, Zaragoza, Spain. arequenal@papps.org
Objectives:
To describe the clinical activity of the home care support team (HCST) over the first year of implementation in a health area.
Design:
A descriptive, cross-sectional study.
Setting:
Health Area 2 and 5 of Zaragoza (urban environment).
Participants:
All the patients (n = 151) included in the home care programme over the year 2000.
Measurements And Main Results:
The mean age of attended patients was 77 years; sixty-three percent were woman. The most frequent medical disorders of the patients were neurologic (37.3%) and oncologic disorders (35%). The majority (88%) were referred from the primary care team (PCT). Subjects admitted from primary care of health (family physician or nurse) were 88%. The follow-up of these patients was carried out by the PCT (47.7%), mainly disabled patients, and 14% by HCST (significantly more frequent terminal ill patients). In 38.3% of the patients, follow-up was performed by both teams. Forty two percent of the patients attended died over the year 2000, 53% of them at home.
Conclusions:
Home care is an assistance model in progress. HCST are a resource that can become usefull in the development of the PCT work with all the hard to treat complex patients