Medical hyperhealthresource in older and health.

Article Sidebar

PDF (Español (España))
Published: May 6, 2018
DOI: https://doi.org/10.17060/ijodaep.2018.n1.v4.1304
Keywords:
frequent attenders elderly quality of life health health expenditure

Main Article Content

José Manuel Aguilar-Parra
Universidad de Almería
Remedios López Liria
Universidad de Almería
David Padilla Góngora
Universidad de Almería
Patricia Rocamora Pérez
Universidad de Almería
Ana Morales Montoya
Universidad de Almería

Abstract

The demographic aging of the population, its intensification in the medium term and the increase in pharmacological, health and social services expenses of the elderly puts the economic sustainability of the public health budget at risk, which is why it is necessary to improve the effectiveness of this spending. The aim of this study is to conduct a review of the state of the question about the excessive use, by some elderly people, of health services. In a way that defines the profile of that elder and the habits that characterize it. A systematic review has been carried out in the Scopus, Pubmed and Web of Science databases using as descriptors: medical frequent attenders, health expenditure, elderly people and quality of life. According to the studies consulted, a person older than 65 years spends 3.2 times more in health than younger people, consuming 40.3 of the total health expenditure. From the subjective approach, it focuses on the personal perception of health, an aspect that is essential when it comes to predicting or seeking medical help. In fact, the perception of one’s health condition is more associated with the use of health services than the subject’s own clinical or pathological condition. Another of the most relevant problems in the investigation of the state of health is the importance of self-concept and self-esteem, together with the state of mind of the subject, in the evaluation made by the same of his health status. Both a low self-esteem and states and depressive processes tend to be associated with a negative evaluation of the same and all this, to require greater use of health services, without there being, in many cases, a real need for medical attention.

Downloads

Download data is not yet available.

Article Details

How to Cite
Aguilar-Parra, J. M., López Liria, R., Padilla Góngora, D., Rocamora Pérez, P., & Morales Montoya, A. (2018). Medical hyperhealthresource in older and health. International Journal of Developmental and Educational Psychology. Revista INFAD De Psicología., 4(1), 249–256. https://doi.org/10.17060/ijodaep.2018.n1.v4.1304
Issue
Vol. 4 No. 1 (2018): PSYCHOLOGY, AGE AND CURRENT CHANGES
Section
Articles
Authors who publish with this journal agree to the following terms:
 
a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to copy and redistribute the material in any medium or format under the following terms:

 

Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

NonCommercial — You may not use the material for commercial purposes.

NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.

 
b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
 
c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
 
The authors are responsible to obtain the appropriate permissions to reproduce material (text, images or graphics) from other publications and to quote their origin correctly.
 

References

Aguilar-Palacio, I., Carrera-Lasfuentes, P ., Solsona, P ., Sartolo, M. T. y Rabanaque, M. J. (2016). Utilización de servicios sanitarios en ancianos (España 2006-2012): influencia del nivel de salud y de la clase social. Atención Primaria, 48 (4), 235-243.

Alpern, E. R., Clark A. E., Alessandrini E. A., Gorelick M. H., Kittick M., Stanley R. M.,... Chamberlain, J. M. (2014). Recurrent and high-frequency use of the emergency department by pediatric patients. Academic Emergency Medicine, 21 (4), 365-73.

Arnal, J. M., Amorin, M. J., y Castanc, Y. (2001). Análisis cartográfico de la utilización de atención primaria en la Comunidad Autónoma de Aragón. Cuadernos de Gestión, 7, 73-84.

Baez, K., Aiarzaguena, J. M., Grandes, G., Pedrero, E., Aranguren, J., Retolaza, A. (1998). Understanding patient-initiated frequent attendance in primary care: a case-control study. British Journal of General Practice, 437, 1824-1827.

Bellón, J. A. (1995). Modelo explicativo de la hiper utilización en Atención Primaria [tesis doctoral]. Granada: Universidad de Granada.

Bellón, J., Rodríguez, A., Castillo, R., Gallardo, A., Caballero de las Olivas, M., y Moreno, I. (2004). Intervención sobre pacientes utilizadores de atención primaria: ensayo aleatorio controlado. Aten ción Primaria, 34 (e1), 154.

Brugos, A.,Guillen, M., Giménez, C., Fernández, F. (2003). Modelos explicativos y predictivos de la carga asistencial médica: aplicación para el cálculo del cupo máximo en medicina de familia que permita un mínimo de diez minutos por consulta. Atención Primaria, 32, 23-9.

Cotonat, M. C., Bertolet, P . M., Ocaña, M. P ., y Gatius, J. R. (2014). Análisis del perfil de los pacientes hiperfrecuentadores de Lleida (comparativa entre la Atención Primaria y la Atención Hospitalaria) y su relación con los factores sociales/psicosociales. Trabajo Social y Salud, 78, 512.

Dowrick, C. F., Bellón, J. A., y Gómez, M. J. (2000). Frequent attendance in Liverpool and Granada: the impact of depressive symptoms. British Journal of General Practice, 50, 361-365.

Fernández-Alonso, C., Aguilar-Mulet, J. M., Romero-Pareja, R., Rivas, A., Fuentes, M. E., GonzálezArmengol, J. G. (2018). Hiperfrecuentación en Atención Primaria e hiperfrecuentadores en Urgencias. Atención Primaria, 50, 222-227.

Fuertes, M. C., Álvarez, E., García, M. D., Fernández, M., Echarte, E., y Abad, J. (1994). Características del paciente hiperfrecuentador de las consultas de demanda de medicina general. Atención Primaria, 1(14), 809-14.

Guerra, J. A. y Anca, I. A. (2007). Motivos que condicionan el uso de los servicios sanitarios por parte de los pacientes hiperfrecuentadores: estudio con grupos focales. Atención Primaria, 39 (7), 349-354.

Gill, D., y Sharp, M. (1999). Frequent consulters in general practice:A systematic review of studies of prevalence, associations andoutcome. Journal of Psychosomatic Research, 47, 15-30.

Llorente, S., López, T., García, L. J., Alonso, M., Alonso, P ., Muñoz, P . (1996). Perfil del hiperfrecuentador en un centro de salud. Atención Primaria, 1(17), 100-106.

Luciano, J. V., Fernández, A., Pinto-Meza, A., Luján, L., Bellón, J. A.,García-Campayo, J. (2010). Frequent attendance in primary care: Com-parison and implications of different definitions. Brithis Journal of General Practice, 60, 49-55.

Luciano, J. V. y Serrano, A. (2008). Los hiperfrecuentadores en atención primaria: perfil sociodemográfico, características clínicas y propuesta de una nueva definición. Atención Primaria, 40 (12), 631-632.

Ortega, M. A., Roca, G., Iglesias, M., Jurado, J. M. (2004). Pacientes hiperfrecuentadores de un centro de atención primaria: características sociodemográficas, clínicas y de utilización de servicios. Atención Primaria, 33 (2), 78-85.

Riquelme-Heras, H., Gómez-Gómez, C., Gutiérrez-Herrera, R., Martínez-Lazcano, F., y Sierra-Ayala, I. (2016). Criterios para identificar pacientes vulnerables en Atención Primaria. Revista Cubana de Medicina General Integral, 32 (1), 18-27.

Rivera-Casares, F., Illana, A., Oltra, A., Narváez, M., Benlloch, C., Rovira, B. (2000). Características de los pacientes que no utilizan las consultas de atención primaria. Gaceta Sanitaria, 14, 117-121.

Rodríguez, C., Cebrià, J., Corbella, S., Segura, J., y Sobrequés, J. (2003). Rasgos de personalidad y malestar psíquico asociados a los pacientes hiperfrecuentadores de consultas de Atención Primaria. Revista de Medicina Familiar y Comunitaria, 13 (3), 23-30.

Rubio, M. L., Adalid, C., Cordón, F., Solanas, P., Masó, D., y Fernández, D. (1998). Hiperfrecuentación en atención primaria: estudio de los factores psicosociales. Atención Primaria, 1(22), 627-630.

Sandín, B. (1999). El estrés psicosocial: concepto y consecuencias clínicas. Madrid: Klinik.

Sandín-Vázquez, M., y Conde-Espejo, P . (2010). Hiperfrecuentación: percepción de los profesionales de atención primaria sobre su definición, motivos, situaciones y la relación con los pacientes hiperfrecuentadores. Revista de Calidad Asistencial, 25 (1), 21–27.

Sarría, A., Timoner, J., y Sandín, M. (2005). Frecuentación en Atención Primaria. Un replanteamiento conceptual. Atención Primaria, 36, 471–472. Sihvonen, M., y Kekki, P . (1990). Unnecessary visits to health centres as perceived by the staff. Scandinavian Journal of Primary Health Care, 8 ( 4), 233-9.

Vedsted, P ., y Christensen, M. B. (2005). Frequent attenders in generalpractice care: A literature review with special reference to methodological considerations. Public Health, 119, 118-137.

Vidal, R., Cebria, J., Palma, C., Planells, G., Espinassa, J., Estafanell, A. (2010). El apoyo social percibido en pacientes hiperfrecuentadores de Atención Primaria. Butlletí, 28(3). Article 3. Recuperado de http://pub.bsalut.net/butlleti/vol28/iss3/3