title: [Monitoring a home care cohort].
abstract: OBJECTIVE
  To evaluate home care by primary care teams for people over 65 years old with chronic conditions, in order to identify improvement opportunities. To identify patient and care variables associated with cognitive and functional impairment, nursing home admission, attendance at casualty units, hospital admission and death.
  
  
  METHODS
  Analytic study of the follow-up of a cohort for 3 years.
  
  
  METHODS
  Primary health care teams in Catalonia, Spain.
  
  
  METHODS
  One thousand three hundred patients over 65 with chronic pathologies and cared for by home care programmes in Catalonia.
  
  
  METHODS
  The following will be recorded annually: health status (Charlson, Barthel, Pfeiffer, Braden, and Gijón), data on the carer (Zarit), care received (social and health), self-perception of health (SF-12), Casualty attendance, short-term admissions and the final results, i.e. death or definitive admission to a nursing home or hospital. The statistical analyses will be based on logistic regression and a survival analysis.
  
  
  CONCLUSIONS
  The study should reveal patient characteristics with prognostic value, as well as identify the social and health factors related to better survival and lower consumption of health and social resources.
authors.affiliation: CAPSE Consorci d'Atenció Primària de Salut de l'Eixample, Barcelona, España. jgene@clinic.ub.es
authors.forename: Joan
authors.initials: J
authors.lastname: Gené Badia
authors.forename: Antonio
authors.initials: A
authors.lastname: Hidalgo García
authors.forename: Joan Carles
authors.initials: JC
authors.lastname: Contel Segura
authors.forename: Alicia
authors.initials: A
authors.lastname: Borràs Santos
authors.forename: Jacinto
authors.initials: J
authors.lastname: Ortiz Molina
authors.forename: Jaume
authors.initials: J
authors.lastname: Martín Royo
authors.forename: Noemí
authors.initials: N
authors.lastname: García Planas
authors.forename: Antonio
authors.initials: A
authors.lastname: Heras Tebar
authors.forename: Ramon
authors.initials: R
authors.lastname: Noguera Rodríguez
authors.forename: Manuel
authors.initials: M
authors.lastname: Borrell Muñoz
authors.forename: Cristina
authors.initials: C
authors.lastname: Farràs Salles
authors.forename: Montserrat
authors.initials: M
authors.lastname: Porta Borges
authors.forename: Anna
authors.initials: A
authors.lastname: Oliver Olius
authors.forename: Sonia
authors.initials: S
authors.lastname: Rivas Zuazo
authors.forename: Antonio
authors.initials: A
authors.lastname: Aranzana Martínez
authors.forename: Francisco
authors.initials: F
authors.lastname: Cegri Lombardo
authors.forename: Esther
authors.initials: E
authors.lastname: Limón Ramírez
authors.forename: Núria
authors.initials: N
authors.lastname: Adell Aguiló
authors.forename: Maria Dolors
authors.initials: MD
authors.lastname: Camprubí Casellas
mesh_terms: D000368:Aged; D015331:Cohort Studies; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D006299:Health Services for the Aged; D006699:Home Care Services; D006801:Humans; D008134:Long-Term Care; D012107:Research Design; D013030:Spain