The accreditation of centres for elderly people in a situation of dependency: a tool at the service of employment and care quality

La presente investigación pretende analizar el desarrollo normativo autonómico sobre acreditación de centros residenciales y diurnos / nocturnos destinados a personas mayores en situación de dependencia, de manera concreta, en materia de recursos humanos. La acreditación se configura como instrumento de calidad asistencial y generación de empleo. Se estudia el Acuerdo del Consejo Territorial del SAAD de 27/11/2008 (modificado parcialmente el 7/10/2015), donde se fijan criterios comunes sobre titulación y formación directiva, ratios mínimas de plantilla global y específica para Gerocultor/a o similar. Se configura la base normativa que cada Comunidad Autónoma deberá desarrollar o adaptar en el marco de su competencia. Transcurrido el tiempo, se constata cómo el Acuerdo apenas ha sido desarrollado en cada ámbito territorial, se mantiene vigente en algunas autonomías la normativa preexistente y existe disparidad autonómica sobre requisitos de plantillas mínimas globales y específicas.This research aims to analyse the regulatory development of the autonomous regions on the accreditation of residential centres and day/night centres for elderly people in a situation of dependency, specifically, in human resources. The accreditation is configured as an instrument of care quality and job creation. It is studied the Agreement of the Territorial Council of the SAAD of 27/11/2008 (partially modified on the 7/10/2015), where the common criteria on qualification and complementary training, minimum ratios of global and specific staff for geriatric caregivers or similar are established. The normative basis that each Autonomous Community will have to develop or adapt within the framework of their competence is configured. As time has gone by, it is verified how the Agreement has barely been developed in each territorial area, the preexisting regulations are still in force in some of the autonomous regions and there is a disparity in the requirements of the minimum global and specific staff in the different autonomous regions

The impact on the economic benefits of the spanish dependency system of deductible complements of analogue nature and purpose

En el presente trabajo se analiza la relación entre prestaciones económicas derivas del sistema de dependencia español (cuidados en el entorno familiar y apoyo a cuidadores no profesionales, vinculada al servicio, asistente personal) y los complementos deducibles de análoga naturaleza y finalidad. Tras las simulaciones efectuadas, se aprecia la importante merma que sufre la prestación para cuidados familiares, sin contenido económico en determinados supuestos, situación coherente con el carácter excepcional de esta modalidad. De igual modo, la menor influencia en las prestaciones vinculadas al servicio y asistente personal, al ser los importes iniciales más elevados.The present paper analyzes the relationship between economic benefits derived from the Spanish dependency system (care of the family environment and support to nonprofessional carers, linked to the service, personal assistant) and the deductible complements of analogous nature and purpose. After the simulations carried out, it is possible to appreciate the important reduction suffered by the provision for family care, without content in certain cases, a situation consistent with the exceptional nature of this modality. Similarly, the lower influence on the benefits linked to the service and personal assistant, since the initial amounts are higher

The resolution of retirement pension to Moroccan workers with cross-border authorization

En este documento se analiza el procedimiento de reconocimiento de la pensión de jubilación de los empleados marroquíes con autorización de trabajo transfronteriza en Ceuta y Melilla, respecto de las provincias limítrofes de Tetuán y Nador, respectivamente. El marco de referencia es el Convenio de Seguridad Social celebrado entre España y Marruecos en 1979. Dado que el trabajador transfronterizo no obtiene autorización de residencia, una vez reconocida la pensión de jubilación, se producen singularidades en materia tributaria y en el acceso a complementos que garanticen una pensión mínima.This document analyzes the procedure for the recognition of the retirement pension of Moroccan employees with cross-border work authorization in Ceuta and Melilla, with respect to the provinces bordering Tetuán and Nador, respectively. Since the cross-border worker does not obtain a residence permit, once the retirement pension is recognized, there are singularities in tax matters and access to complements that guarantee a minimum pension

The dependency situation in the minor age

En el presente documento se estudia la especial posición de los menores de edad en la normativa española sobre dependencia. Se analizan las peculiaridades en materia de reconocimiento del derecho, valoración y asignación de programas.This document examines the special position of minors in spanish regulations on dependency. The peculiarities in terms of recognition of the right, valuation and assignment of programs are analyzed

The family caregiver and the spanish dependency system

El presente texto analiza las posibilidades que ofrece al cuidador/a familiar el sistema de dependencia español. El punto de partida del modelo es el reconocimiento prioritario de los servicios profesionales en la atención a personas dependientes, aunque facilitando nuevas posibilidades a los tradicionales cuidados familiares. Se establece una triple dimensión protectora, consistente en apoyo profesional (limitado por el copago y la intensidad horaria), cotización a la Seguridad Social (convenio especial Régimen General) y transferencia de conocimiento. Se reconoce una prestación económica relacionada con la figura del cuidador/a, siendo su titular la persona en situación de dependencia, no el cuidador/a.This document analyzes the possibilities that the Spanish dependency system offers the family caregiver. The starting point of the model is the priority recognition of professional services in caring for dependent people, although facilitating new possibilities for traditional family care. A triple protective dimension is established, consisting of professional support (limited by copayment and hourly intensity), Social Security contribution (special agreement for the General Regime) and knowledge transfer. An economic benefit related to the figure of the caregiver is recognized, the owner being the dependent person, not the caregiver

Mínimum Vital Income in single-person households

En el presente documento se estudia la aplicación del nuevo ingreso mínimo vital en relación con las personas que viven solas en hogares unipersonales, fenómeno cada vez con mayor trascendencia en España. Se detecta cómo los requisitos de residencia son más rigurosos que los previstos para unidades de convivencia tradicionales, apreciándose dificultades en la acreditación de requisitos (empadronamiento y residencia) en las personas sin hogar o el maltrato de género oculto. Se analizan materias que deben afrontarse como la homogeneidad en los requisitos exigibles a las pensiones no contributivas de invalidez o jubilación en relación con el ingreso mínimo vital, el papel que deben asumir las Comunidades Autónomas, la ampliación del plazo máximo de resolución y notificación de seis meses o la necesidad de presentar declaración anual de ingresos.This document studies the application of the new minimum vital income in relation to people who live alone in single-person households, a phenomenon with increasing importance in Spain. It´s detected how the residency requirements are more rigorous than those foreseen for traditional coexistence units, appreciating difficulties in the accreditation of requirements (registration and residence) in the homeless or hidden gender abuse. Matters that must be addressed are analyzed, such as the homogeneity in the requirements for non-contributory disability or retirement pensions in relation to the minimum vital income, the role that the Autonomous Communities must assume, the expansion of the maximum period of resolution and notification of six months or the need to present an annual income statement

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

The coordination of personal assistance benefits in EU legislation

En el presente trabajo se analiza la prestación económica de asistencia per-sonal derivada de situación de dependencia, en relación con la aplicación de los derechos de libre circulación y residencia previstos en la normativa de la UE. Como objetivo central se examina la posible inclusión en el Regla-mento 883/04, de coordinación de sistemas de Seguridad Social en la UE. La jurisprudencia del TJUE ha sido protagonista en la determinación de las reglas aplicables en materia de totalización de periodos de residencia y ase-guramiento (reconocimiento, conservación y recuperación), así como en la supresión del requisito de residencia (principio de exportación)This paper analyzes the economic benefits of personal assistance derived from the perspective of dependency, taking into account the right to free-dom of movement and EU residence regulations. The main objective of the paper is to examine the possible inclusion of Social Security systems in EU Regulation 883/04. CJEU jurisprudence plays a leading role in determining applicable rules governing total residence requieriments and Social Security (recognition, maintenance and recovery), as well as the waiving of the resi-dence requirement