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The situation of the service of residential attention in Spain


11 Thursdays November 2010

Recently, the Imserso published a survey on people majors in which it made sure that the Spanish population more and more is inclined to receive welfare services outside its address on the part of qualified professionals. An encouraging data for the residential sector in Spain that, according to a report of the PwC consultant, considers that to give sustainability to the system a more efficient public-private collaboration is due to establish.


The situation of the service of residential attention in Spain
To date 27 of September of 2010, the numbers that take shelter in the document Statistical on residences: residential distribution of centers and places by province, made by the Vestibule Majors, indicate that in Spain a total of 5,490 residential centers (3,909 private and 1,412 public exist; the data of the 169 remaining residences is not known), and 331,200 places available, of which 234,866 are private (70.9 percent) and 90,069 public ones (27.2 percent). In addition, according to the report, half of the centers in Spain (50.5 percent) has more than 100 places.

By regions, Catalonia is the independent community that more residential centers it has with 1.045. They follow Andalusia (700), Castile and Leon to him (631), Community of Madrid (489), Castilla-La Mancha (478) and Basque Country (380). As far as the number of places, Catalonia is also the region that goes in head, with almost 53.000. Community of Madrid, Castile and Leon, Andalusia, Valencian Community and Castilla-La Mancha is placed behind, surpassing the all of them number of 25,000 places.

Nevertheless, these positions vary if we fitted ourselves to the ratio of residential places by each 100 people of 65 years or more. In this case, the first positions are for Castile and Leon (6.9 percent), Castilla-La Mancha (6.8 percent), Aragon (6.2 percent), Navarre (5.4 percent), Extremadura (5.3 percent) and La Rioja (5.2 percent). The rate of cover at national level is of the 4.2 percent, eight points below the 5 percent that the World-wide Organization of the Health recommends (the WHO), and which they do not surpass the rest of independent communities.

By provinces, the ten with better ratio of places are: Guadalajara, Palencia, Soria, Segovia, Avila, Burgos, Toledo, Zamora, Teruel and Cáceres. In the other end they are: Murcia, Malaga, Pontevedra, Alicante, Seville, Las Palmas of Gran Canaria, To Corunna, Huelva, Granada and Santa Cruz de Tenerife.


PwC report

Recently, the PricewaterhouseCoopers consultant (PwC) has made a report public on the Situation of the service of residential attention in Spain in a day organized jointly with AESTE, the Spanish association of the great operators of the sector of attention to the dependancy. The study shows the deficiencies of the beginning of the Law of Dependancy in Spain and bet by a stable frame, is transparent and sustainable based on the public-private collaboration, a defined system of accreditation and clear standards of quality by degrees and levels of dependancy.

In this sense, the report considers that to give sustainability to the system a more efficient public-private collaboration is due to establish and bets “to establish the tariffs of the places arranged by the Administration by dependancy level according to the real cost of the services�, with the aim of “avoiding that the private tariffs cover the deficit with the public tariffs�. At present, the average price of a residential place in Spain is of 70 Euros/day, but the administrations only pay to an average of 54 Euros/day to the arranged centers, which supposes 16 Euros less than its real cost.

Another one of the points of disagreement of the sector exceeds how the application of the Law of Dependancy in our country is being carried out, is that according to it is indicated in the study, as the calendar of implantation of the Law advances, the weight of the residential attention falls in favor of the familiar caretakers, a figure that the Law anticipates like exceptional and which it almost represents half of the benefits granted until the moment. In this sense, they indicate that there are communities with more of a 80 percent of benefits of this type.

On the other hand, the industralists of the sector assure that the services of attention to the dependancy are a great generator of stable and nondeslocalizable use. The study recommends the priorización of these according to level of dependancy against the familiar cares, that do not generate use nor economic return and aim that he is essential to complete the accreditation process that “guarantees to the citizens a service of comparable quality in all the territory and that, without a doubt, will take implicit a reconversion of the sector�.

Room of a residence of Sanyres
Room of a residence of Sanyres
IN SEARCH OF THE BEST CENTER

At the time of choosing residence, there are some essential aspects that us can indicate the quality of the center. But, without a doubt, most important it is to visit this one so many times as we consider opportune to have one more a more real and nearer vision. In this sense, it is fundamental to observe, for example:

• Facility of access.
• Adapted facilities and furniture to the needs of the users.
• Special diets and menus.
• Cleaning.
• If limitation in the number of visits and its schedule exists.
• Common zones and dormitories.
• Illumination.
• Absence of noises.
• Air conditioning.
• Attention of the personnel.
• Activities so that the residents interact.
• Fulfillment of the norms of prevention of labor risks.


Factory of occupational therapy in the residence Ballesol Olavide in Madrid
Factory of occupational therapy in the residence Ballesol Olavide in Madrid

A new concept of life in residences

“We remained�. These were the words that Araceli Oil mill (80 years) said to him to its Simón husband (91 years) after a brief posquirúrgica stay in the residence Ballesol Olavide of Madrid. Without children and family in the capital, she was the one in charge to look for a center in which his husband, convalescent after an operation of hip, could recover more soon possible. “She looked for a site that was near house, where my husband could be constantly taken care of by professionals during the period posoperatorio, and this residence met all the requirements�, explains Araceli to us. As much she is thus, that what was going to be 30 days have become 30 months.

“After weeks in center we knew, it so clearly we decided to settle down itself here for always. The comfort and the tranquility that we have now not we changed it by anything. The personnel who works in center is most amiable and is all the pending short while of our state. We do not need attentions of any type, toilet, psycho-social support, support…. It is pleasant! �, it assures this old teacher of religious education, that today spends all their time to write its memories and to prepare char them of theology that in the morning offers Sundays in the residence, and in that manages to reunite more than 50 people.

One of the most precise residents to this appointment is its friend Rosary Martin, who to his 102 years just fulfilled, would say it to anyone listening to speak it, confesses to us that, initially, it did not like the idea to enter a residence, “because it did not know what it was going to find to me�. Nevertheless, nothing had to do what it imagined and so it was his arrival. “I feel very dear from the first day, besides the public health attention, south wind the affection on the part of all the professionals. We are a family, and that is the best thing of everything. For my birthday, they organized an incredible celebration to me�, relates moved this old charmer, who keeps another confession: “Neither creams nor nothing, eh! �, it says to us between laughter.

Rosary, that conserves an enviable skin, has, in addition, a unique memory of elephant (is able to recite several poetries of the pull and to count one after another tens of anecdotes of its youth) and freshness and a naturalness. “For two years, I go every day to classes of occupational therapy with Veronica - the therapist, where besides making small exercises to maintain to us in form, I enjoy the company of the rest of friendly of the center. Also receipt enough visits of friendships and relatives. We go, that the one that becomes bored is because it wants. I am very contented and I feel like in my house�, counts.

And it is that the concept of life in residences has changed, by the served attention, facilities and. “When a person arrives at our residential center [Ballesol Olavide] is made one complete medical valuation him to determine what capacities have and from there establishing an adapted plan of individual action in accordance with its needs. From the rehabilitating perspective, we have factories of occupational therapy, that they look for to favor the autonomy in the basic and instrumental activities of the daily life, and functional physiotherapy for residents with neurological pathologies�, explains therapist Veronica Perez.

At present, the residences count on a great multidisciplinary team of qualified workers (doctors, nurses, aids, psychologist, therapist, physiotherapist…), to the service of the residents and modern facilities, that especially have been designed for greater comfort of the people. Of this form, all elements, rooms, quarters of bath, stairs, elevators, dining rooms, halls, hairdressing salon, infirmary, etc., have the characteristics and adapted dimensions more for the users and present/display the last new features in domótica (pulsers of emergencia, detectors of smoke, interconnection with the control center).


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