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oai:riuma.uma.es:10630/397452026-02-03T11:26:34Zcom_10630_2254col_10630_37953

Predictors of health service use by family caregivers of personswith multimorbidity Canca-Sánchez, José Carlos García-Mayor, Silvia Morales-Asencio, José Miguel Gómez-González, Alberto José Kaknani-Uttumchandani, Shakira Cuevas-Fernández-Gallego, María Magdalena Lupiáñez-Pérez, Inmaculada Caro-Bautista, Jorge León-Campos, Álvaro Cuidadores - Salud e higiene Accesibilidad de la asistencia sanitaria Sistema nacional de salud The present study forms part of the project ‘Paid and unpaid work, quality of life and physical and mental health of female family caregivers of people with complex chronic conditions’, known as the TALISMAN Study, which was approved by the Málaga Nordeste Research Ethics Commission and funded by the Ministry of Equality, Health and Social Policies in 2013 (PI- 0223-2013 https://openpolicyfinder.jisc.ac.uk/id/publication/7040 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. 2025-09-03T09:49:21Z 2025-09-03T09:49:21Z 2021-04-25 journal article 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. https://hdl.handle.net/10630/39745 10.1111/jocn.15814 eng Junta de Andalucía. Consejería de Salud y Familias / PI-0223-2013 / Trabajo remunerado y no remunerado, calidad de vida y salud física y mental de mujeres cuidadoras familiares de personas dependientes y con enfermedad crónica compleja / Estudio TALISMAN. metadata only access Wiley