• Lorenzo Pascual López and José Luis Colomar Martínez.
• Medicina familiar, Centro de Salud Manises, Valencia, España. Electronic address: lopascualg@gmail.com.
• Aten Primaria. 2022 Apr 1; 54 (4): 102306.

ObjectiveAnalyze the characteristics and health care received by the patients included in a care program for advanced chronic disease («AgéndaECA»).DesignDescriptive study.LocationManises Department, Valencian Community, Primary Care.ParticipantsPatients residing in Manises Department, included in the care program for patients with advanced chronic disease («AgéndaECA») in 2018 (n = 268). NECPAL 3.0 positive inclusion criteria.Main MeasurementsVariables related to the characteristics of the patients, place of death, health care received in primary care and hospital care.ResultsAverage age was 80.9 years. Main diagnosis: dementia and neurodegenerative diseases (42.2%), cancer (31.3%). Average stay in the program 116 days. 33.8% of the patients did not have any hospitalization, 50.6% died at home. Health care was analyzed 6 months before and 6 months after inclusion, hospitalizations decreased significantly (0.93) before, (0.51) after, also decreasing visits to hospital emergencies (1.69), before, (0.89) after. Medical home visits (4.1) before, (5.5) after and nursing home visits (9.3) before, (16.4) after.ConclusionsHome is the fundamental place of care for patients with advanced chronic disease. The inclusion in a care program increases home visits and decreases hospital care. It is necessary to propose and evaluate strategies for improving the care of patients with advanced chronic disease developed in the primary care setting.Copyright © 2022 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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