Utility of Service-Learning as a tool for the application of Fundamentals of Public Health in the elderly community

Authors

  • Lucia Cea Soriano Universidad Complutense de Madrid https://orcid.org/0000-0002-7051-0730
  • José Pulido Manzanero Departamento de Salud Pública y Materno-Infantil. Facultad de Medicina. Universidad Complutense de Madrid https://orcid.org/0000-0001-8487-7384
  • Paloma Astasio Departamento de Salud Pública y Materno-Infantil. Facultad de Medicina. Universidad Complutense de Madrid
  • Paloma Ortega Departamento de Salud Pública y Materno-Infantil. Facultad de Medicina. Universidad Complutense de Madrid
  • Juana Santos Departamento de Salud Pública y Materno-Infantil. Facultad de Medicina. Universidad Complutense de Madrid
  • Gema Montero Muñoz Concejalía de Servicios Sociales y Mayores. Ayuntamiento de Coslada https://orcid.org/0000-0003-0607-2884
  • Cristina Moreno Cerro Concejalía de Servicios Sociales y Mayores. Ayuntamiento de Coslada
  • Soledad Fernández Alfonso Departamento de Farmacología. Facultad de Farmacia. Universidad Complutense de Madrid https://orcid.org/0000-0002-9110-8070
DOI: https://doi.org/10.6018/edumed.465291
Keywords: Aprendizaje-Servicio, personas mayores, utilización de medicamentos, incumplimiento, olvido

Abstract

Introduction: Elderly are making more use of health services and exhibit a high consumption of medicines. This is associated with a difficulty in treatment compliance and with a greater risk of adverse reactions. The aim of this project is to evaluate the knowledge and handling of medicines in a group of elderly community centers.

 

Material and methods: This study is part of a Learning and Service Project (LSP) between the Complutense University of Madrid (UCM) and Coslada Town Council. The students designed and elaborated a survey of 32 items and interviewed the elderly volunteers (N=366) during the period of Nov-Dec (2019). After collecting the information, a descriptive analysis stratified by sex was carried out.

 

Results: The average age of participants was 70.7 years, with a majority of women (70.2%). More than two thirds perceived their quality of life to be between very good and good, with this perception being slightly higher in women. Participants take an average of 3.4 medicines and 10% forgot medication intake. Even though most of them are independent and autonomous when it comes to taking their medication, 38% use a reminder method.

 

Conclusion: The group of elderly people in Coslada stands out for its highly perceived quality of life and knowledge of their therapeutic management. The LSP is a unique opportunity to directly extrapolate the knowledge of Public Health to a reality and social need.

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References

Organización Mundial de la Salud. Envejecimiento. [consultado 8 Jul 2020]. Disponible en: https://www.who.int/topics/ageing/es/

Avance de la Estadística del Padrón Continuo a 1 de enero de 2020 [consul-tado 8 Jul 2015]. Disponible en: https://www.ine.es/prensa/pad_2020_p.pdf

Movimiento Natural de la Población (MNP) Indicadores Demográficos Básicos (IDB) Año 2019. Datos provisionales [consultado 8 Jul 2020]. Disponible en: https://www.ine.es/prensa/mnp_2019_p.pdf

Clarke P, Nieuwenhuijsen ER. Environments for healthy ageing: a critical review. Maturitas. 2009;64:14-9

Aguilar-Palacio I, Carrera-Lasfuentes P, Solsona S, Sartolo MT, Rabanaque MJ. Utilización de servicios sanitarios en ancianos (España 2006-2012): influencia del nivel de salud y de la clase social [Health-care utilization in elderly (Spain 2006-2012): Influence of health status and social class]. Aten Primaria. 2016;48(4):235-243

Palacios-Ceña D, Hernández-Barrera V, Jiménez-García R, Valle-Martín B, Fernández-de-las-Peñas C, Carrasco-Garrido P. Has the prevalence of health care services use increased over the last decade (2001-2009) in elderly people? A Spa-nish population-based survey. Maturitas. 2013;76(4):326-333

Vedsted P, Christensen MB. Frequent attenders in generalpractice care: A literature review with special reference to met-hodological considerations. Public Health. 2005;119:118-37

Sinha SK. Why the elderly could bankrupt Canada and how demographic imperatives will force the redesign of acute care service delivery. Healthc Pap. 2011;11(1):46-91

Fernández-Olano C, Hidalgo JLT, Cerdá-Díaz R, Requena-GallegoM, Sán-chez-Casta˜no C, Urbistondo-Cascales L, et al. Factorsassociated with health care utilization by the elderly in a publichealth care system. Health Policy. 2006;75:131-9

Fernandez-Mayoralas G, Rodriguez V, Rojo F. Health services accessibility among Spanish elderly. Soc Sci Med.2000;50:17---26

Somers A, Robays H, Vander Stichele R, Van Maele G, BogaertM, Petrovic M. Contribution of drug related problems to hospital admission in the elderly. J Nutr Health Aging. 2010;14:477-82.

Christensen LD, Reilev M, Juul-Larsen HG, et al. Use of prescription drugs in the older adult population-a nationwide pharmacoepidemiological study. Eur J Clin Pharmacol. 2019;75(8):1125-1133

Odeh, M., Scullin, C., Hogg, A. et al. A novel approach to medicines opti-misation post-discharge from hospital: pharmacist-led medicines optimisation clinic. Int J Clin Pharm 42, 1036–1049 (2020). https://doi.org/10.1007/s11096-020-01059-4

Aprendizaje y Servicio. [consultado 8 Jul 2020]. Disponible en: https://www.ucm.es/diversidad/aprendizaje-servicio

Pilar Folgueiras Bertomeu. Esther Luna González Gemma Puig Latorre . Aprendizaje y servicio: estudio del grado de satisfacción de estudiantes universi-tarios Revista de Educación, 362. Septiembre - diciembre 2013

Gil-Lacruz M, Gil-Lacruz AI. Health perception and health careaccess: Sex differences in behaviors and attitudes. Am J EconSociol. 2010;69:783---801.

McFadden E, Luben R, Bingham S, Wareham N, Kinmonth AL,Khaw KT. Does the association between self-rated health andmortality vary by social class? Soc Sci Med. 2009;68:275---80.

Al-Windi A, Elmfeldt D, Svärdsudd K. The relationship between age, gen-der, well-being and symptoms, and the use of pharmaceuticals, herbal medicines and self-care products in a Swedish municipality. Eur J Clin Pharmacol. 2000;56(4):311-317

Jörgensen TM, Isacson DG, Thorslund M. Prescription drug use among am-bulatory elderly in a Swedish municipality. Ann Pharmacother. 1993;27(9):1120-1125

Loikas D, Wettermark B, von Euler M, Bergman U, Schenck-Gustafsson K. Differences in drug utilisation between men and women: a cross-sectional analysis of all dispensed drugs in Sweden. BMJ Open. 2013;3(5):e002378

Pinkhasov RM, Wong J, Kashanian J, et al. Are men shortchanged on health? Perspective on health care utilization and health risk behavior in men and women in the United States. Int J Clin Pract 2010;64:475–87

Published
22-03-2021
How to Cite
Cea Soriano, L., Pulido Manzanero, J., Astasio, P., Ortega, P., Santos, J., Montero Muñoz, G., … Fernández Alfonso, S. (2021). Utility of Service-Learning as a tool for the application of Fundamentals of Public Health in the elderly community. Spanish Journal of Medical Education, 2(1), 66–73. https://doi.org/10.6018/edumed.465291

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