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      Atención sociosanitaria de los adultos mayores en el Perú Translated title: Social health care for older adults in Peru

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          Abstract

          RESUMEN Los cambios demográficos y epidemiológicos han conllevado a la reestructuración de los sistemas de salud a nivel mundial y local, cambios que incluyen un enfoque de cobertura más amplio, en el que se da importancia no solo a la parte del bienestar físico de las personas, sino también a temas como el bienestar social, todo ello encaminado a asegurar un envejecimiento saludable. En esta revisión se analiza el enfoque sociosanitario actual desde las diferentes instituciones a cargo de población adulta mayor y los cambios que han generado en el abordaje y atención de dichas personas.

          Translated abstract

          ABSTRACT Demographic and epidemiological changes have led to restructuring of the local and global health systems, changes that focus on broader coverage in which importance is given to an individual's physical well-being as well as social welfare in an effort to ensure healthy aging. In this review, the current social health care approach is analyzed from the different institutions that care for older populations and the changes that have resulted from boarding and caring for older adults.

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          Most cited references34

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          A systematic review of different models of home and community care services for older persons

          Background Costs and consumer preference have led to a shift from the long-term institutional care of aged older people to home and community based care. The aim of this review is to evaluate the outcomes of case managed, integrated or consumer directed home and community care services for older persons, including those with dementia. Methods A systematic review was conducted of non-medical home and community care services for frail older persons. MEDLINE, PsycINFO, CINAHL, AgeLine, Scopus and PubMed were searched from 1994 to May 2009. Two researchers independently reviewed search results. Results Thirty five papers were included in this review. Evidence from randomized controlled trials showed that case management improves function and appropriate use of medications, increases use of community services and reduces nursing home admission. Evidence, mostly from non-randomized trials, showed that integrated care increases service use; randomized trials reported that integrated care does not improve clinical outcomes. The lowest quality evidence was for consumer directed care which appears to increase satisfaction with care and community service use but has little effect on clinical outcomes. Studies were heterogeneous in methodology and results were not consistent. Conclusions The outcomes of each model of care differ and correspond to the model's focus. Combining key elements of all three models may maximize outcomes.
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            Informe mundial sobre el envejecimiento y la salud.

            (2015)
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              The ten characteristics of the high-performing chronic care system

              C. HAM, C Ham (2010)
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rpmesp
                Revista Peruana de Medicina Experimental y Salud Pública
                Rev Peru Med Exp Salud Publica
                Instituto Nacional de Salud
                1726-4642
                June 2016
                : 33
                : 2
                : 351-356
                Affiliations
                [1 ] Universidad Peruana Cayetano Heredia Peru
                [2 ] Hospital Nacional Cayetano Heredia Perú
                [3 ] Seguro Social de Salud Perú
                [4 ] Ministerio de Salud Perú
                Article
                S1726-46342016000200351
                10.17843/rpmesp.2016.332.2212
                54821658-97ef-4e6b-8b23-bda35b56691f

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Product

                SciELO Public Health

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=1726-4634&lng=en
                Categories
                Health Policy & Services

                Public health
                Atención médica,Envejecimiento,Medical care,Aging
                Public health
                Atención médica, Envejecimiento, Medical care, Aging

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