<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0213-9111</journal-id>
<journal-title><![CDATA[Gaceta Sanitaria]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Sanit]]></abbrev-journal-title>
<issn>0213-9111</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0213-91112022000300013</article-id>
<article-id pub-id-type="doi">10.1016/j.gaceta.2021.09.005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[COVID-19 en residencias de mayores: factores estructurales y experiencias que avalan un cambio de modelo en España]]></article-title>
<article-title xml:lang="en"><![CDATA[COVID-19 in nursing homes: structural factors and experiences that endorse a change of model in Spain]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Rodríguez]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonzalo-Giménez]]></surname>
<given-names><![CDATA[Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Pilares para la Autonomía Personal  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escuela Andaluza de Salud Pública  ]]></institution>
<addr-line><![CDATA[Granada ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Investigación Biosanitaria ibs.GRANADA  ]]></institution>
<addr-line><![CDATA[Granada ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>36</volume>
<numero>3</numero>
<fpage>270</fpage>
<lpage>273</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0213-91112022000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0213-91112022000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0213-91112022000300013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La pandemia de COVID-19ha tenido efectos devastadores sobre las personas mayores que viven en residencias. En España, aproximadamente el 3% de los casos y el 40% de los fallecimientos han sido en este grupo de población, en el que además han aumentado los síndromes geriátricos y los problemas psicosociales, y se han vulnerado derechos fundamentales, como consecuencia de las medidas para el control de la crisis. En este artículo se describen factores estructurales de las residencias y de su relación con los servicios sanitarios públicos que han tenido un papel importante en el impacto de la pandemia en estos entornos. Se presentan modelos alternativos a las residencias tradicionales y a la manera habitual de relación con el sistema público de salud, que unen a otras ventajas la de haber mostrado capacidades excelentes para proteger de la COVID-19 a las personas mayores que viven en estos centros. Entre estos modelos destacan diferentes tipos de viviendas de grupo, modalidades de coordinación sociosanitaria basadas en la gestión de casos y en la dotación de profesionales sanitarios desde el sistema de salud. Se proponen estas experiencias de éxito como elementos a considerar en el cambio de modelo sociosanitario (integrado y centrado en las personas) que ha comenzado a desarrollarse en algunas comunidades autónomas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The effects of COVID-19 pandemic on older people living in care homes have been devastating. In Spain approximately 3% of the cases and 40% of the deaths have occurred in this group. In addition, due to measures taken to control the crisis, the incidence of geriatric syndromes has increased, and residents' fundamental rights have been violated. In this article we describe structural factors of care homes and their relationship with public health services that have influenced the impact of the pandemic. We suggest different types of group homes, and models of provision/coordination with public health services that have given excellent results protecting nursing homes residents from COVID-19, as alternative models to conventional residences and to the regular provision of health care services. We recommend that these successful experiences are taken into account in the transformation of the social-health model (to one integrated and focused on people) that has begun to be implemented in some Autonomous Communities of Spain.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[Pandemia]]></kwd>
<kwd lng="es"><![CDATA[Residencias]]></kwd>
<kwd lng="es"><![CDATA[Centros sociosanitarios]]></kwd>
<kwd lng="es"><![CDATA[Personas mayores]]></kwd>
<kwd lng="es"><![CDATA[Atención primaria de salud]]></kwd>
<kwd lng="es"><![CDATA[Gestión de casos]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Pandemic]]></kwd>
<kwd lng="en"><![CDATA[Nursing homes]]></kwd>
<kwd lng="en"><![CDATA[Long-term care]]></kwd>
<kwd lng="en"><![CDATA[Elderly]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
<kwd lng="en"><![CDATA[Case management]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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