<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-05-28T19:45:23Z</responseDate><request verb="GetRecord" identifier="oai:riuma.uma.es:10630/39745" metadataPrefix="marc">https://riuma.uma.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:riuma.uma.es:10630/39745</identifier><datestamp>2026-02-03T11:26:34Z</datestamp><setSpec>com_10630_2254</setSpec><setSpec>col_10630_37953</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Canca-Sánchez, José Carlos</subfield>
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      <subfield code="a">García-Mayor, Silvia</subfield>
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      <subfield code="a">Morales-Asencio, José Miguel</subfield>
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      <subfield code="a">Gómez-González, Alberto José</subfield>
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      <subfield code="a">Kaknani-Uttumchandani, Shakira</subfield>
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      <subfield code="a">Cuevas-Fernández-Gallego, María Magdalena</subfield>
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      <subfield code="a">Lupiáñez-Pérez, Inmaculada</subfield>
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      <subfield code="a">Caro-Bautista, Jorge</subfield>
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      <subfield code="a">León-Campos, Álvaro</subfield>
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      <subfield code="c">2021-04-25</subfield>
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      <subfield code="a">This study analyses the use of health services by informal carers, comparing it with the use made by the general population with similar characteristics. &#xd;
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. &#xd;
The sample consisted of 314 family caregivers and 2,290 non-caregivers. This subsample was gender-matched to our sample.&#xd;
 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). &#xd;
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.</subfield>
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      <subfield code="a">Canca‐Sánchez, J. C., García‐Mayor, S., Morales‐Asencio, J. M., Gómez‐Gónzalez, A. J., Kaknani‐Uttumchandani, S., Cuevas Fernández‐Gallego, M., ... &amp; 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.</subfield>
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      <subfield code="a">https://hdl.handle.net/10630/39745</subfield>
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      <subfield code="a">10.1111/jocn.15814</subfield>
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      <subfield code="a">Cuidadores - Salud e higiene</subfield>
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      <subfield code="a">Accesibilidad de la asistencia sanitaria</subfield>
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      <subfield code="a">Sistema nacional de salud</subfield>
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      <subfield code="a">Predictors of health service use by family caregivers of personswith multimorbidity</subfield>
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