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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Hasta el momento&#44; tanto en Espa&#241;a como en la mayor&#237;a de los pa&#237;ses de la Uni&#243;n Europea&#44; el fen&#243;meno de la dependencia se ha considerado impl&#237;citamente un problema de &#237;ndole fundamentalmente privada que debe ser resuelto por las familias&#46; As&#237;&#44; ya sea mediante cuidadores informales o contratando la ayuda de profesionales&#44; bien en el &#225;mbito dom&#233;stico o en residencias asistidas&#44; son las propias personas dependientes y sus familias las que hoy por hoy soportan la mayor parte de los costes implicados&#46; As&#237; las cosas&#44; la preocupaci&#243;n actual reside en que los cambios sociales que se avecinan&#44; principalmente el incremento de la esperanza de vida y la mayor participaci&#243;n laboral de las mujeres&#44; acent&#250;an la necesidad de organizar colectivamente lo que hasta el momento se ha resuelto en el &#225;mbito familiar&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En este contexto&#44; coincidiendo con el anuncio del gobierno de una &#171;Ley de Dependencia&#187; para finales de 2005&#44; el presente trabajo se propone analizar brevemente las cuatro cuestiones que nos parecen m&#225;s importantes para centrar el debate&#58; el alcance actual de los problemas de dependencia y su posible evoluci&#243;n futura&#44; las caracter&#237;sticas del presente modelo de atenci&#243;n y sus posibles problemas&#44; el papel que desempe&#241;an y deber&#237;an desempe&#241;ar los servicios sanitarios en materia de dependencia y&#44; finalmente&#44; las ventajas y los inconvenientes de las distintas alternativas de que dispone la Administraci&#243;n si pretende aumentar su grado de implicaci&#243;n en este &#225;mbito&#46;</p>"
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Parte III. Recursos asistenciales y utilización
La atención a la dependencia en España
Long-term care services in Spain: an overview
David Casado-Marín
Autor para correspondencia
david.casado@upf.edu

Correspondencia: David Casado-Marín. Universitat Pompeu Fabra. C/Trias Fargas, 25-27. 08005 Barcelona. España.
Centre de Recerca en Economia i Salut (CRES). Departamento de Economía y Empresa. Univesitat Pompeu Fabra. Barcelona. España
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          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec13926"
          "palabras" => array:3 [
            0 => "Dependency"
            1 => "Ageing"
            2 => "Long-term care"
          ]
        ]
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    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Hasta el momento&#44; tanto en Espa&#241;a como en la mayor&#237;a de los pa&#237;ses de la Uni&#243;n Europea&#44; el fen&#243;meno de la dependencia se ha considerado impl&#237;citamente un problema de &#237;ndole fundamentalmente privada que debe ser resuelto por las familias&#46; As&#237;&#44; ya sea mediante cuidadores informales o contratando la ayuda de profesionales&#44; bien en el &#225;mbito dom&#233;stico o en residencias asistidas&#44; son las propias personas dependientes y sus familias las que hoy por hoy soportan la mayor parte de los costes implicados&#46; As&#237; las cosas&#44; la preocupaci&#243;n actual reside en que los cambios sociales que se avecinan&#44; principalmente el incremento de la esperanza de vida y la mayor participaci&#243;n laboral de las mujeres&#44; acent&#250;an la necesidad de organizar colectivamente lo que hasta el momento se ha resuelto en el &#225;mbito familiar&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En este contexto&#44; coincidiendo con el anuncio del gobierno de una &#171;Ley de Dependencia&#187; para finales de 2005&#44; el presente trabajo se propone analizar brevemente las cuatro cuestiones que nos parecen m&#225;s importantes para centrar el debate&#58; el alcance actual de los problemas de dependencia y su posible evoluci&#243;n futura&#44; las caracter&#237;sticas del presente modelo de atenci&#243;n y sus posibles problemas&#44; el papel que desempe&#241;an y deber&#237;an desempe&#241;ar los servicios sanitarios en materia de dependencia y&#44; finalmente&#44; las ventajas y los inconvenientes de las distintas alternativas de que dispone la Administraci&#243;n si pretende aumentar su grado de implicaci&#243;n en este &#225;mbito&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">To date&#44; both in Spain and virtually all the other European Union &#40;EU&#41; countries&#44; dependency has been seen to be a fundamentally private problem to be dealt with by the family concerned&#46; In this way&#44; whether through informal carers or contracted professionals&#44; in the domestic environment or in care homes&#44; it is the dependent person themselves and their families who currently bear the majority of the costs&#46; In light of this&#44; current concern lies in the social change that is coming on&#44; mainly the accelerated aging process and the increased participation of middle-aged women in the labour market&#44; which heighten the need for collective organisation of that which until now has been resolved within family circles&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">In this context&#44; at the same time that the Government announces to issue a &#171;Long Term Care Law&#187; by the end of 2005&#44; our paper briefly analyzes what we consider the four crucial issues in this area&#58; the current scope of dependency problems and its possible future evolution&#44; the characteristics of the current spanish long-term care system and its main problems&#59; the role that health services should have in the dependency issue&#59; and finally&#44; the benefits and drawbacks of the main alternatives that the Administration could manage in case it intends to increase its involvement in this field&#46;</p>"
      ]
    ]
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                          "autores" => array:6 [
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                            1 => "J&#46;M&#46; Walthert"
                            2 => "T&#46; Nikolaus"
                            3 => "C&#46; B&#252;la"
                            4 => "C&#46; Hohmann"
                            5 => "J&#46;C&#46; Beck"
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                    0 => array:2 [
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                        "fecha" => "1999"
                        "volumen" => "48"
                        "paginaInicial" => "445"
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                  "referenciaCompleta" => "Instituto Nacional de Estad&#237;stica&#46; Encuesta sobre Discapacidades&#44; Deficiencias y Estado de Salud&#46; Madrid&#58; Instituto Nacional de Estad&#237;stica&#59; 1999&#46;"
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                  "referenciaCompleta" => "Casado D&#46; Envejecimiento y dependencia&#58; un an&#225;lisis econ&#243;mico de sus efectos sobre las finanzas p&#250;blicas&#46; Tesis Doctoral&#46; Universitat Pompeu Fabra &#40;mimeo&#41;&#59; abril 2005&#46;"
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46; Casado"
                            1 => "G&#46; L&#243;pez Casasnovas"
                            2 => "Vejez"
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                      ]
                    ]
                  ]
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                      "Libro" => array:3 [
                        "fecha" => "2001"
                        "editorial" => "Fundaci&#243; &#8220;La Caixa&#8221;"
                        "editorialLocalizacion" => "Barcelona"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
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                        0 => array:2 [
                          "etal" => false
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                  ]
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
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                            1 => "C&#46;W&#46; Zhu"
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                      ]
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                  ]
                  "host" => array:1 [
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                        "fecha" => "2001"
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                        0 => array:2 [
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                        "fecha" => "2003"
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                ]
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                0 => array:1 [
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            24 => array:3 [
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              ]
            ]
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              "identificador" => "bib26"
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            ]
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                          "etal" => false
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                      "Revista" => array:5 [
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                        "volumen" => "48"
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Johri"
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                            2 => "H&#46; Bergman"
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                        ]
                      ]
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                  ]
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                    0 => array:2 [
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                        "fecha" => "2003"
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ISSN: 02139111
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