RT Journal Article
T1 Predictors of health service use by family caregivers of personswith multimorbidity
A1 Canca-Sánchez, José Carlos
A1 García-Mayor, Silvia
A1 Morales-Asencio, José Miguel
A1 Gómez-González, Alberto José
A1 Kaknani-Uttumchandani, Shakira
A1 Cuevas-Fernández-Gallego, María Magdalena
A1 Lupiáñez-Pérez, Inmaculada
A1 Caro-Bautista, Jorge
A1 León-Campos, Álvaro
K1 Cuidadores - Salud e higiene
K1 Accesibilidad de la asistencia sanitaria
K1 Sistema nacional de salud
AB This study analyses the use of health services by informal carers, comparing it with the use made by the general population with similar characteristics. Cross-sectional analytical study carried out in the Malaga-Valle Guadalhorce Primary Health Care District (Spain). Healthcare demand and perceived health were measured in the family caregivers, compared to the general population. Strobe Statement for observational studies has been used to strength the report of the results. The sample consisted of 314 family caregivers and 2,290 non-caregivers. This subsample was gender-matched to our sample. Formal caregivers make fewer annual visits to the health services, with respect to the general population, regardless of the perceived level of health. The difference of the means between those who perceive their health as very poor was 0.11 (95% CI: 0.01 to 0.20) consultations with the family doctor, 0.21 (95% CI: 0.15 to 0.26) consultations with medical specialists and 1.70 (95% CI: 1.52 to 1.87) emergency room attention. Three independent factors were identified that predispose to the increased use of health services: background of greater education achievement (OR 8.13, 95% CI: 1.30 to 50.68), non-cohabitation with the care recipient (OR 3.57, 95% CI: 1.16 to 11.11) and a more positive physical quality of life component (OR 1.06; 95% CI: 1.03 to 1.09). Intrinsic components of the caregiver reveal their independent relationship with the provision of informal care and the use of health services. A broader vision is needed for the factors that influence the health of these caregivers to develop multipurpose interventions and improve the consistency and effectiveness of the health services offered to the caregiver.
PB Wiley
YR 2021
FD 2021-04-25
LK https://hdl.handle.net/10630/39745
UL https://hdl.handle.net/10630/39745
LA eng
NO Canca‐Sánchez, J. C., García‐Mayor, S., Morales‐Asencio, J. M., Gómez‐Gónzalez, A. J., Kaknani‐Uttumchandani, S., Cuevas Fernández‐Gallego, M., ... & León‐Campos, Á. (2021). Predictors of health service use by family caregivers of persons with multimorbidity. Journal of Clinical Nursing, 30(19-20), 3045-3051.
NO The present study forms part of theproject ‘Paid and unpaid work, qualityof life and physical and mental health offemale family caregivers of people withcomplex chronic conditions’, known as theTALISMAN Study, which was approvedby the Málaga Nordeste Research EthicsCommission and funded by the Ministryof Equality, Health and Social Policies in2013 (PI- 0223-2013
NO https://openpolicyfinder.jisc.ac.uk/id/publication/7040
NO Consejería de Salud y Familias. Junta de Andalucía
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026