title: [Impact of the program Home Care for the Chronically Ill for elderly: quality of life and hospital readmissions].
abstract: OBJECTIVE
  To evaluate the impact of the ADEC program (acronym in Spanish) as compared with the typical care provided to disabled elderly affiliated with the Mexican Institute of Social Security (IMSS).
  
  
  METHODS
  Prospective cohort at three months after discharge from two general hospitals in Mexico City. A total of 130 patients with functional dependency were studied, 70 in the ADEC program and 60 with typical care. Impact was measured using hospital readmissions and quality of life based on the Sickness Impact Profile (SIP).
  
  
  RESULTS
  Average age was 74 (61/103) years and 60% were women. The main diagnosis was cerebrovascular disease (30.77%). The quality of life in the psychosocial dimension improved for the ADEC group (from 46.26 (±13.85) to 29.45(±16.48) as compared with 47.03 (±16.47) to 42.36 (±16.35) for those receiving typical care (p<0.05). No differences were found regarding hospital readmissions. (p>0.05).
  
  
  CONCLUSIONS
  HC program improved the psychosocial dimension of quality of life.
authors.affiliation: Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Instituto Mexicano del Seguro Social, México, DF, México.
authors.forename: María Claudia
authors.initials: MC
authors.lastname: Espinel-Bermúdez
authors.forename: Sergio
authors.initials: S
authors.lastname: Sánchez-García
authors.forename: Teresa
authors.initials: T
authors.lastname: Juárez-Cedillo
authors.forename: José Juan
authors.initials: JJ
authors.lastname: García-González
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Viveros-Pérez
authors.forename: Carmen
authors.initials: C
authors.lastname: García-Peña
mesh_terms: D000008:Abdominal Neoplasms / Q000453:epidemiology; D000368:Aged; D002561:Cerebrovascular Disorders / Q000453:epidemiology; D002908:Chronic Disease; D015897:Comorbidity; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration / Q000706:statistics & numerical data; D018575:Home Care Services, Hospital-Based / Q000458:organization & administration / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006769:Hospitals, General / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology; D008297:Male; D008800:Mexico / Q000453:epidemiology; D010343:Patient Admission / Q000706:statistics & numerical data; D015397:Program Evaluation; D011446:Prospective Studies; D011788:Quality of Life; D018434:Sickness Impact Profile; D012943:Social Security / Q000458:organization & administration* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors