Análisis de la oferta y demanda de recursos asistenciales en la atención al enfermo mental crónico. Resultados de la aplicación de la Ley de Dependencia 39/2006 al enfermo mental crónico en la Comunidad Autónoma de Cantabria
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2017
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20/01/2016
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Universidad Complutense de Madrid
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En 1999, la Encuesta sobre Discapacidades, Deficiencias y Estado de Salud (1), cifraba en aproximadamente el 9% de la población española del momento, más exactamente 3. 528. 221 ciudadanos, el número total de personas con alguna discapacidad o con limitaciones susceptibles de generarla. (La misma encuesta ya confirmaba una clara correlación entre la prevalencia de las situaciones de discapacidad y la edad). Una década más tarde, en 2008, el Instituto Nacional de Estadística a partir de la Encuesta de Discapacidad, Autonomía personal y situaciones de Dependencia (2) (EDAD) con la finalidad de proporcionar una base estadística y guía de la promoción de la autonomía personal y la prevención de las situaciones de dependencia estimaba en 3, 8 millones el número de personas con discapacidad lo que suponía el 8, 5% de la población. La preferencia de ciertos colectivos de personas en situación de dependencia, en su condición de demandantes de cuidados profesionales sociales y sanitarios incluiría a: Enfermos geriátricos, terminales, personas con enfermedades crónicas evolutivas y en situación de dependencia funcional, en precariedad social y con problemas sanitarios, grandes minusvalías y enfermos mentales crónicos. Es el alto índice de cronicidad asociado a la enfermedad mental en general y, a la patología psiquiátrica grave en particular, lo que presupone padezcan un deterioro real, con una importante causa de morbilidad y discapacidad (3)...
In 1999, the Survey on Disabilities, Deficiencies and State of Health (1) estimated that around 9% of the Spanish population of the time, 3,528,221 citizens to be precise, was the total number of people with some disability or with limitations capable of generating disability (the same survey also confirmed a clear correlation between the prevalence of situations of disability and age). A decade later, in 2008, the National Institute of Statistics and the Survey on Disability, Personal Autonomy and Dependency Situations (2) (EDAD), with the aim of providing a statistical basis and guide on the promotion of personal autonomy and preventing situations of dependence, estimated that the number of people with disabilities was 3.8 million, which meant it was 8.5% of the population. The preference of certain groups of people in situations of dependency, in their capacity as claimants of social and health care professionals would include: Geriatric patients, the terminally ill, people with progressive chronic illnesses and in a state of functional dependence, social precariousness and with health problems, major disabilities and chronically mentally ill. It is the high rate of chronicity attached to mental illness in general, and to grave psychiatric disorders in particular, which presupposes suffering a real deterioration, an important cause of morbidity and disability (3) According to WHO estimates (2001) (4), these cases would mean 12.3% of the total years free from disability lost due to suffering chronic disease, which makes them heavily dependent on others, entails costs, losses and burdens of various kinds, both for people as well as for social and health systems...
In 1999, the Survey on Disabilities, Deficiencies and State of Health (1) estimated that around 9% of the Spanish population of the time, 3,528,221 citizens to be precise, was the total number of people with some disability or with limitations capable of generating disability (the same survey also confirmed a clear correlation between the prevalence of situations of disability and age). A decade later, in 2008, the National Institute of Statistics and the Survey on Disability, Personal Autonomy and Dependency Situations (2) (EDAD), with the aim of providing a statistical basis and guide on the promotion of personal autonomy and preventing situations of dependence, estimated that the number of people with disabilities was 3.8 million, which meant it was 8.5% of the population. The preference of certain groups of people in situations of dependency, in their capacity as claimants of social and health care professionals would include: Geriatric patients, the terminally ill, people with progressive chronic illnesses and in a state of functional dependence, social precariousness and with health problems, major disabilities and chronically mentally ill. It is the high rate of chronicity attached to mental illness in general, and to grave psychiatric disorders in particular, which presupposes suffering a real deterioration, an important cause of morbidity and disability (3) According to WHO estimates (2001) (4), these cases would mean 12.3% of the total years free from disability lost due to suffering chronic disease, which makes them heavily dependent on others, entails costs, losses and burdens of various kinds, both for people as well as for social and health systems...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Psiquiatría, leída el 20-01-2016