Asignación de servicios sociales a personas mayoresrevisión y modelo de toma de decisiones

  1. Patricia María Iglesias-Souto 1
  2. José Eulogio Real Deus 1
  3. Agustín Dosil Maceira 1
  4. María Emma Mayo Pais 1
  5. Eva María Taboada Ares 1
  1. 1 Universidade de Santiago de Compostela

    Universidade de Santiago de Compostela

    Santiago de Compostela, España


Cuadernos de trabajo social

ISSN: 0214-0314

Year of publication: 2018

Volume: 31

Issue: 2

Pages: 417-430

Type: Article

DOI: 10.5209/CUTS.55454 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Cuadernos de trabajo social


Cited by

  • Dialnet Metrics Cited by: 2 (07-06-2023)
  • Web of Science Cited by: 0 (26-05-2023)
  • Dimensions Cited by: 0 (31-03-2023)

Índice Dialnet de Revistas

  • Year 2018
  • Journal Impact: 0.450
  • Field: TRABAJO SOCIAL Quartile: C1 Rank in field: 3/53


  • Social Sciences: B

Journal Citation Indicator (JCI)

  • Year 2018
  • Journal Citation Indicator (JCI): 0.17
  • Best Quartile: Q4
  • Area: SOCIAL WORK Quartile: Q4 Rank in area: 77/87


(Data updated as of 31-03-2023)
  • Total citations: 0
  • Recent citations: 0
  • Field Citation Ratio (FCR): 0.0


As a result of population ageing and a reduction in informal care, public institutions must assume a higher responsibility in caring for the elderly and providing services that respond to their needs. The aim of this study is, on the one hand, to investigate the profiles of elderly people using social services; and, on the other hand, to examine whether any classification systems and/or assessment tools are available to guide professionals in the assignment of services. A systematic literature review was carried out using PsycINFO, Web of Science, Dialnet, CSIC and Teseo, and a total of 44 studies were selected. The following variables were identified as predictors of service usage: functional dependency, cognitive impairment, lack or deficit of social support and bad housing conditions. No classification systems or assessment tools were found for facilitating the assignment of services according to profiles. A Decision- Making Model is proposed – based on the identified predictor variables - that aims to ensure an appropriate fit between the needs of the elderly and the social services provided.

Bibliographic References

  • Aditya, B. S., Sharma, J. C., Allen, S. C., & Vasallo, M. (2003). Predictors of a nursing home placement from a non-acute geriatric hospital. Clinical Rehabilitation, 17, 108-113. doi: 10.1191/0269215503cr567oa
  • Almomani, F. M., McDowd, J. M., Bani-Issa, W., & Almomani, M. (2014). Health-related quality of life and physical, mental and cognitive disabilities among nursing home residents in Jordan. Quality of life research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 23, 155-165. doi: 10.1177/0891988709335799
  • Andel, R., Hyer, K., & Slack, A. (2007). Risk factors for nursing home placement in older adults with and without dementia. Journal of Aging and Health, 19, 213-228. doi: 10.1177/0898264307299359
  • Bernal, M. E., & Barbero, M. I. (2006). Evaluación del nivel de autonomía funcional y del deterioro cognitivo en personas mayores en residencia. Acción Psicológica, 4(1), 15-23. Recuperado de:
  • Bharucha, A. J., Pandav, R., Shen, C., Dodge, H. H., & Ganguli, M. (2004). Predictors of nursing facility admission: A 12-year epidemiological study in the United States. Journal of the American Geriatric Society, 52, 434-439. doi: 10.1111/j.1532-5415.2004.52118.x
  • Buys, D. R., Borch, C., Drentea, P., LaGory, M. E., Sawyer, P., Almman, R. M., …, Locher, J.L. (2013). Physical impairment is associated with nursing home admission for older adults in disadvantaged but not other neighborhoods: Results from the UAB Study of Aging. The Gerontologist, 53, 641-653. doi: 10.1093/geront/gns118
  • Calvete, E. (1994). Apoyo social y ancianos en residencias. Zerbitzuan. Revista de Servicios Sociales, 25, 71-76. doi: 10.5569/1134-7147
  • Challis, D. & Hughes, J. (2002). Frail old people at the margins of care: Some recent research findings. British Journal of Psychiatry, 180, 126-130. doi: 10.1192/bjp.180.2.126
  • Chan, D. C., Kasper, J. D., Black, B. S., & Rabins, P. V. (2003). Presence of behavioral and psychological symptoms predicts nursing home placement in community-dwelling elders with cognitive impairment in univariate but not multivariate analysis. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 58, M548-M554. doi: 10.1093/gerona/58.6.M548
  • Cohen-Mansfield, J. & Wirtz, P. W. (2011). Predictors of entry to the nursing home: Does length of follow-up matter? Archives of Gerontology and Geriatrics, 53, 309-315. doi: 10.1016/j.archger.2010.12.009
  • Damián, J., Valderrama-Gama, E., Rodríguez-Artalejo, F., & Martín-Moreno, J. M. (2004). Estado de salud y capacidad funcional de la población que vive en residencias de mayores de Madrid. Gaceta Sanitaria, 18, 268-274. doi: 10.1016/S0213-9111(04)72013-0
  • Díaz, P. (1985). Redes sociales y comportamiento afectivo en ancianos. Memoria de licenciatura no publicada. Universidad Autónoma de Madrid, Madrid, Spain.
  • Fernández del Valle, J. y García, A. (1994). Redes de apoyo social en usuarios del servicio de ayuda a domicilio de la tercera edad. Psicothema, 6, 39-47.
  • Friedman, S. M., Steinwachs, D. M., Temkin-Greener, H., & Mukamel, D.B. (2006). Informal caregivers and the risk of nursing home admission among individuals enrolled in the program of all-inclusive care for the elderly. The Gerontologist, 46, 456-463. doi: 10.1093/geront/46.4.456
  • Fundación SAR (2007). Calidad y dependencia. Grados de dependencia y necesidad de servicios. Madrid, Spain: IMSERSO.
  • García-Alberca, J. M., Lara, I, S.; González, D., Porta, M. A., Barranco, M., & Berthier, M. (2008). Perfil clínico de pacientes con enfermedad de Alzheimer atendidos en centros de día psicogeriátricos. Anales de Psiquiatría, 24, 145-152.
  • Gaugler, J. E., Edwards, A. B., Femia, E. E., Zarit, S. H., Stephens, M. A. P., Townsend, A., & Greene, R. (2000). Predictors of institutionalization of cognitively impaired older adults: Family help and the timing of placement. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55, P247-P256. doi: 10.1093/geronb/55.4.P247
  • Gaugler, J. E., Kane, R. L., Kane, R. A., & Newcomer, R. (2005). Early community-based service utilization and its effects on institutionalization in dementia caregiving. The Gerontologist, 45, 177-185. doi: 10.1093/geront/45.2.177
  • Gaugler, J. E., Kane, R. L., Kane, R. A., Clay, T., & Newcomer, R. (2003). Caregiving and institutionalization of cognitively impaired older people: Utilizing dynamic predictors of change. The Gerontologist, 43, 219-229. Geriatric Society, 52(3), 445-452. doi: 10.1111/j.1532-5415.2004.52120.x
  • Gaugler, J. E., Leach, C. R., Clay, T., & Newcomer, R.C. (2004). Predictors of nursing home placement in african Americans with dementia. Journal of the American Society, 52, 445-452. doi: 10.1111/j.1532-5415.2004.52120.x
  • Grando, V.T., Mehr, D., Popejoy, L., Maas, M., Rantz, M. Wipke-Tevis, D., & Westhoff, R. (2002). Why older adults with light care needs enter and remain in nursing homes. Journal of Gerontological Nursing, 28(7), 47-53. doi: 10.3928/0098-9134-20020701-09
  • Hebert, R., Dubois, M. F., Wolfson, C., Chambers, L., & Cohen, C. (2001). Factors associated with long-term institutionalization of older people with dementia: Data from the Canadian Study of Health and Aging. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 56, M693-M699. doi:
  • Helvik, A. S., Skancke, R. H., Selbaek, G., & Engedal, K. (2014). Nursing home admission during the first year after hospitalization—The contribution of cognitive impairment. PLos ONE, 9(1). doi: 10.1371/journal.pone.0086116
  • Hughes, J. & Challis, D. (2004). Frail older people- margins of care. Reviews in Clinical Gerontology, 14, 155-164. doi:
  • IMSERSO. (2015). Informe 2014. Las personas mayores en España. Ministerio de Sanidad, Servicios Sociales e Igualdad. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad. Recuperado de
  • Kim, E., Cho, E., & June, K. J. (2006). Factors influencing use of home care and nursing homes. Journal of advanced nursing, 54, 511-517. doi: 10.1111/j.1365-2648.2006.03839.x
  • Laborda, A.A., Murguía, I., Rabanaque, S., Zeballos, P., & Pascual, G. (2002). Estudio Zaradia: La atención al paciente con demencia en los centros de día de Zaragoza. Informaciones psiquiátricas, 170, 435-449.
  • Lawton, M. P. & Brody, E. M. (1969). Assessment of older people self-mantainign and instrumental activities of daily living. The Gerontologist, 9, 179-186. doi:
  • Lee, T., Kovner, C. T., Mezey, M. D., & Ko, I. S. (2001). Factors influencing long-term home care utilization by the older population: implications for targeting. Public Health Nursing, 18, 443-449. doi: 10.1046/j.1525-1446.2001.00443.x
  • Lekuona, P. & Calvo, J.J. (2010). Atención sanitaria y de enfermería en las residencias de mayores de Guipúzcoa. Zerbitzuan. Revista de servicios Sociales, 47, 37-47. doi: 10.5569/1134-7147
  • Lim, E. S. (2009). Predictors of nursing home admission: A social work perspective. Australian Social Work, 62, 90-98. doi: 10.1080/03124070802626901
  • Lord, S. R., Menz, H. B., & Sherrington, C. (2006). Home environment risk factors for falls in older people and the efficacy of home modifications. Age and Ageing, 35(Supl. 2), 55-59. doi:
  • Luppa, M., Luck, T., Weyerer, S., König, H., Brähler, E., & Riedel-Heller, S. (2010). Prediction of institutionalization in the elderly. A systematic review. Age and Aging, 39, 31-38. doi: 10.1093/ageing/afp202
  • Mahoney, F. I. & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61-65.
  • Martínez, S., Dávila, M., & Vicente, M.R. (2003). Una aproximación a la evaluación económica de las políticas sociales. El caso del Servicio de Ayuda a Domicilio. Revista del Ministerio de Trabajo y Asuntos Sociales, 41, 89- 103.
  • Maxwell, C. J., Soo, A., Hogan, D. B., Wodchis, W. P., Gilbart, E., Amuah, J., …, Strain, L.A. (2013). Predictors of Nursing Home Placement from Assisted Living Settings in Canada. Canadian Journal on Aging, 32, 333-348. doi:
  • McCallum, J., Simons, L. A., Simons, J., & Friedlander, Y. (2005). Patterns and predictors of nursing home placement over 14 years: Dubbo study of elderly Australians. Australasian Journal on Ageing, 24, 169-173. doi: 10.1111/j.1741-6612.2005.00116.x
  • Miller, E. A. & Weisser, W. G. (2000). Predicting Elderly People’s Risk for Nursing Home Placement, Hospitalization, Functional Impairment, and Mortality: A Synthesis. Medical Care Research and Review, 57, 259-297. doi: 10.1177/107755870005700301
  • Mora, J., Silveira, L. J., Calcerrada, N., Maganto, M. A., Merino, C., & Ribera, J. M. (2009). Análisis del índice de consecución de residencia pública asistida tras ingreso hospitalario en ancianos frágiles. Revista Española de Geriatría y Gerontología, 44, 186-193. doi: 10.1016/j.regg.2009.03.008
  • Noël-Miller, C. (2010). Spousal loss, children, and the risk of nursing home admission. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 65B, 370-380. doi: 10.1093/geronb/gbq020
  • Pfeiffer, E. (1975). A short portable mental status questionnaire for the assesment of organic brain deficit in elderly patients. Journal of the American Geriatric Society, 23, 433-411. doi: 10.1111/j.1532-5415.1975.tb00927.x
  • Pot, A. M., Deeg, D. J., & Knipscheer, C. P. (2001). Institutionalization of demented elderly: The role of caregiver characteristics. International Journal of Geriatric Psychiatry, 16, 273-280. doi: 10.1002/gps.331
  • Prados, C. (2001). Prevención y mantenimiento de la autonomía de los mayores. La ayuda a domicilio. Cuadernos de Trabajo Social, 14, 291-300.
  • Sabartés, O., Galí, N., González, P., Román, A., & González, V. (2004). Análisis descriptivo de la implantación de un servicio de ayuda a domicilio en el momento del alta de una unidad de media estancia. Revista Multidisciplinar de Gerontología, 14, 9-15.
  • Serrano, P. & de Tena-Dávila, M. C. (2004). Criterios de fragilidad en los usuarios del servicio de ayuda social a domicilio. Revista Española de Geriatría y Gerontología, 39, 9-18. doi: 10.1016/S0211-139X(04)74925-2
  • Sheppard, K. D., Sawyer, P. R., Christine, S., Allman, R. M., & Brown, C. J. (2013). Life-space mobility predicts nursing home admission over 6 years. Journal of Aging and Health, 25, 907-920. doi: 10.1186/1756-0500-7-323
  • Solano, J. J. & López, E. (1998). Envejecimiento y sistemas de clasificación de pacientes (I). Revista Española de Geriatría y Gerontología, 33, 292-300.
  • Soldevila, A., & March, J. (2002). Nivel de salud y autonomía en los Centros de Día de mayores. Revista Multidisciplinar de Gerontología, 12, 5-12.
  • Spector, W. D., Reschovsky, J. D., & Cohen, J.W. (1996). Appropiate placement of nursing home residents in lower levels of care. Milbank Quarterly, 74, 139-160. doi: 10.2307/3350436
  • Tomiak, M., Berthelot, J. M., Guimond, E., & Mustard, C. A. (2000). Factors Associated With Nursing-Home Entry for Elders in Manitoba, Canada. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 55, M279-M287. doi: 10.1093/gerona/55.5.M279
  • Von Bonsdorff, M., Rantanen, T., Laukkanen, P., Suutama, T., & Heikkinen, E. (2006). Mobility limitations and cognitive deficits as predictors of institutionalization among community-dwelling older people. Gerontology, 52, 359-365. doi:10.1159/000094985
  • Wahl, H., Fängue, A., Oswald, F., Gitlin, L. N., & Iwarsson, S. (2009). The home environment and disability-related outcomes in aging individuals: What is the empircal evidence? The Gerontologist, 49, 355- 367. doi: 10.1093/geront/gnp056
  • Yaffe, K., Fox, P., Newcomer, R., Sands, L., Lindquist, K., Dane, K., & Covinsky, K.E. (2002). Patient and caregiver characteristics and nursing home placement in patients with dementia. The Journal of the American Medical Association, 287, 2090-2097. doi:10.1001/jama.287.16.2090
  • Zank, S. H. & Schacke, C. (2002). Evaluation of geriatric day care units: Effects on patients and caregivers. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 57B, P348-P357. doi: 10.1093/geronb/57.4.P348