title: [Health problems also explain social services use in home care].
abstract: OBJECTIVE
  To identify which social and health variables are associated with receiving social services in patients included in home care programmes with the implementation of the Dependence Law.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  72 primary health care teams in Catalonia.
  
  
  METHODS
  Patients over 64 years old with chronic diseases in home care programmes in Catalonia.
  
  
  METHODS
  Health status variables: Charlson, Barthel, Pfeiffer, Braden and Gijon, data from their carer (Zarit), self perception of health (SF-12), health professional visits, as well as: emergency visits, temporary admissions, and final results such as death or definitive admission in a nursing home or a hospital.
  
  
  RESULTS
  A total of 1068 patients were included, 46.8% of the patients received some kind of social service, public or private. We observed that the variables related to receive some kind of social services are: high dependence (Barthel test), pressure sores and home care rehabilitation. Barthel test is highly associated with having social problems (Gijon test), living without an informal carer, more than 2 GP visits and having additional private health care.
  
  
  CONCLUSIONS
  To be more fair, the evaluation of the provisions of the Dependence Law should also consider the health status of the patient. With the implementation of this law we can observe difficulties in access to social services for middle class patients. These patients do not have access to public social assistance and cannot pay for a private one. Social services are still an alternative to family care.
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: Joan Carles
authors.initials: JC
authors.lastname: Contel Segura
authors.forename: Antonio
authors.initials: A
authors.lastname: Hidalgo García
authors.forename: Alícia
authors.initials: A
authors.lastname: Borràs Santos
authors.forename: Montserrat
authors.initials: M
authors.lastname: Porta Borges
authors.forename: Anna
authors.initials: A
authors.lastname: Oliver Olius
authors.forename: Montse
authors.initials: M
authors.lastname: Saus Arus
authors.forename: Carlos
authors.initials: C
authors.lastname: Ascaso Terren
authors.forename: Martiño
authors.initials: M
authors.lastname: Piñeiro González
authors.forename: Francisco
authors.initials: F
authors.lastname: Cegri Lombardo
authors.forename: Esther
authors.initials: E
authors.lastname: Limón Ramírez
authors.forename: Antonio
authors.initials: A
authors.lastname: Aranzana Martínez
authors.forename: Antonio
authors.initials: A
authors.lastname: Heras Tebar
authors.forename: Ramón
authors.initials: R
authors.lastname: Noguera Rodríguez
authors.forename: Roser
authors.initials: R
authors.lastname: Pedret Llaberia
authors.forename: Manuel
authors.initials: M
authors.lastname: Borrell Muñoz
authors.forename: M Dolors
authors.initials: MD
authors.lastname: Camprubí Casellas
authors.forename: Jacinto
authors.initials: J
authors.lastname: Ortiz Molina
authors.forename: Jaume
authors.initials: J
authors.lastname: Martín Royo
authors.forename: Susana
authors.initials: S
authors.lastname: Gonzalez Martinez
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012947:Social Work / Q000706:statistics & numerical data*; D013030:Spain