Revisión bibliográfica sobre la vulnerabilidad social y los procesos de hospitalizaciónuna mirada desde el Trabajo Social sanitario.

  1. Morro Fernández, Laura 1
  2. Vicente Mochales, Concha 2
  3. Pineda Perez, Ingrid 3
  4. Guilanyá Casas, Josep 4
  5. Puig Cruells, Carmina 5
  1. 1 Universitat Rovira i Virgili (Tarragona). Unidad de Trabajo Social Hospital del Mar - Parc de Salut Mar (Barcelona)
  2. 2 Servicio de Trabajo Social H.G.U - Gregorio Marañón (Madrid). Facultad de Trabajo Social, Universidad Complutense de Madrid.
  3. 3 Unidad de Trabajo Social Hospital del Mar - Parc de Salut Mar (Barcelona)
  4. 4 Investigador independiente
  5. 5 Departamento de Antropología, Filosofía y Trabajo Social. Universitat Rovira i Virgili (Tarragona).
Revista:
Itinerarios de trabajo social

ISSN: 2696-4244

Año de publicación: 2023

Número: 3

Páginas: 66-75

Tipo: Artículo

DOI: 10.1344/ITS.I3.40796 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Itinerarios de trabajo social

Resumen

In recent decades, much has been written about vulnerability and its correlates with Social Work in terms of planning, prevention and citizen care in the health care setting. The purpose of this literature review is to describe the quantification of the items that make up the variable of social vulnerability in the processes of hospitalization of adults. Methodology: applying the keywords “social vulnerability”, “social determinants of health”, “adult population”, “items” and “scale”, 2369 articles were identified in different databases (Scopus, Web of Science, DialNet, Academic Search Ultimate, CINAHL, Psichodoc and PubMed). Results: 154 articles were considered relevant to our study, and through their analysis we quantified 33 items or factors related to social vulnerability in the hospitalization setting, the most prevalent being economic situation, educational level, access to health care, housing instability / situation and social support. Conclusion: Vulnerability is a dynamic and complex term that encompasses different social factors that impact on the process of hospitalization in adults and that must be considered in the practice of Social Work in the health care setting.

Referencias bibliográficas

  • Adger, W.N. (2006). Vulnerability. Global Environmental Change, 16(3), 268-281. https://doi.org/10.1016/j.gloenvcha.2006.02.006
  • Araujo González, R. (2015). Vulnerabilidad y riesgo en salud: ¿Dos riesgos concomitantes? Novedades en Población, XI(210), 89-96. http://www.novpob.uh.cu/index.php/NovPob/article/view/215/248
  • Ayres, J. R. de C. M., Franca Junior, I., Calazans, G. J., e Saletti Filho, H. C. (2003). O conceito de vulnerabilidade e as práticas de saúde: novas perspectivas e desafios. In Promoção da saúde: conceitos, reflexões, tendências. Rio de Janeiro: FIOCRUZ.P.121-143 https://repositorio.usp.br/item/001528349
  • Busso, G. (2001). Vulnerabilidad social: nociones e implicancias de políticas para Latinoamérica a inicios del siglo XXI. Seminario Internacional Las diferentes expresiones de la vulnerabilidad social en América Latina y el Caribe, Santiago de Chile.
  • Cabieses, B. (2016). Sobre el concepto de vulnerabilidad desde el enfoque de desigualdad social en salud. Vulnerabilidad social y su efecto en salud en Chile: desde la comprensión del fenómeno hacia la implementación de soluciones. "Universidad del Desarrollo, 450. http://hdl.handle.net/11447/1459
  • Cabrera-León, A., Daponte-Codina, A., Mateo, I., Arroyo-Borrell, E., Bartoll, X., Bravo, M.J., Domínguez-Berjón, M.F., Renart, G., Álvarez-Dardet, C., Marí-Dell’Olmo M., Bolívar-Muñoz, J., Saez, M. Escribà-Agüir, V., Palència, L., López, M.J., Saurina, C., Puig, V., Martín, U., Gotsens, M., … Bernal, M. (2017). Indicadores contextuales para evaluar los determinantes sociales de la salud y la crisis económica española . Gaceta Sanitaria, 31(3), 194-203. https://dx.doi.org/10.1016/j.gaceta.2016.06.014
  • Carmichael, H., Moore, A., Steward, L., & Velopulos, C. G. (2020). Disparities in emergency versus elective surgery: comparing measures of neighbourhood social vulnerability. Journal of Surgical Research, 256, 397-403. https://doi.org/10.1016/j.jss.2020.07.002
  • Castel, R. (1992). La inserción y los nuevos retos de las intervenciones sociales. En F. Álvarez-Uría (Coord.) Marginación e inserción: los nuevos retos de las políticas sociales (pp. 25-36). Endimión. ISBN 84-7731-119-6
  • Castel, R. (1997). Metamorfosis de La Cuestión Social. Una crónica del salariado. Paidós.
  • Cotanda, F. L. (1994). Una perspectiva de la política sanitaria 20 años después del informe Lalonde. Gaceta sanitaria, 8(43), 189-194. https://doi.org/10.1016/S0213-9111(94)71192-4
  • Commission on Social Determinants of Health. (‎2008)‎. Subsanar las desigualdades en una generación: alcanzar la equidad sanitaria actuando sobre los determinantes sociales de la salud: resumen analítico del informe final. Organización Mundial de la Salud. https://apps.who.int/iris/handle/10665/69830
  • Dahlgren, G. & Whitehead, M., (1991). Policies and strategies to promote social equity in health. Background document to WHO - Strategy paper for Europe," Arbetsrapport 2007:14, Institute for Futures Studies. https://core.ac.uk/download/pdf/6472456.pdf
  • Diaz, A., Beane, J. D., Hyer, J. M., Tsilimigras, D., & Pawlik, T. M. (2022). Impact of hospital quality on surgical outcomes in patients with high social vulnerability: Association of textbook outcomes and social vulnerability by hospital quality. Surgery, 171(6), 1612-1618. https://doi.org/10.1016/j.surg.2021.10.021
  • Erten, Ö., Biyik, İ., Soysal, C., Ince, O., Keskin, N., & Tascı, Y. (2022). Effect of the Covid 19 pandemic on depression and mother-infant bonding in uninfected postpartum women in a rural region. BMC Pregnancy and Childbirth, 22(1), 1-7. https://doi.org/10.1186/s12884-022-04580-8
  • Farooqi, A., Dimentberg, R., Glauser, G., Shultz, K., McClintock, S. D., & Malhotra, N. R. (2022). The impact of gender on long-term outcomes following supratentorial brain tumor resection. British journal of neurosurgery, 36(2), 228–235. https://doi.org/10.1080/02688697.2021.1907307
  • Feito, L. (2007). Vulnerabilidad. Anales Del Sistema Sanitario De Navarra, 30, 7–22. https://doi.org/10.23938/ASSN.0199
  • Gehanno, J. F., Rollin, L., & Darmoni, S. (2013). Is the coverage of Google Scholar enough to be used alone for systematic reviews. BMC medical informatics and decision making, 13(1), 1-5. https://doi.org/10.1186/1472-6947-13-7
  • Hughes, K., Olufajo, O. A., White, K., Roby, D. H., Fryer, C. S., Wright, J. L., & Sehgal, N. J. (2022). The influence of socioeconomic status on outcomes of lower extremity arterial reconstruction. Journal of Vascular Surgery, 75(1), 168-176. https://doi.org/10.1016/j.jvs.2021.08.071
  • Jin, Y., Assanangkornchai, S., Fang, M., Guan, W., Tian, B., Yu, M., & Du, Y. (2021). Measuring the uptake of continuous care among people living with HIV receiving antiretroviral therapy and social determinants of the uptake of continuous care in the southwest of China: a cross-sectional study. BMC Infectious Diseases, 21(1), 1-15. https://doi.org/10.1186/s12879-021-06644-0
  • Kaplan, H. J., & Leitman, I. M. (2022). Race and insurance status outcome disparities following splenectomy in trauma patients are reduced in larger hospitals. A cross-sectional study. Annals of medicine and surgery (2012), 77, 103516. https://doi.org/10.1016/j.amsu.2022.103516.
  • Kaztman, R. (2000): Notas para la medición de la vulnerabilidad social. Serie Documentos de Trabajo del IPES / Colección Aportes Conceptuales Nº2. Universidad Católica del Uruguay. http://repositorio.cepal.org/handle/11362/31545
  • Kianoush, S., Al Rifai, M., Patel, J., George, J., Gulati, M., Taub, P., Moran, T., Shapiro, M.D., Agarwala, A., Ullah, W., Lavie, J.C., Bittner, V., Ballantyne, C.M. & Virani, S.S. (2022). Association of participation in Cardiac Rehabilitation with Social Vulnerability Index: The behavioral risk factor surveillance system. Progress in Cardiovascular Diseases. https://doi.org/10.1016/j.pcad.2022.02.003
  • Kim, A.J., Servino, L., Bircher, S., Fest, C., Rdesinski, R.E., Dukhovny, S., Shaffer, B.L. & Saxton, S.N. (2021). Depression and socioeconomic stressors in expectant parents with fetal congenital anomalies. The Journal of Maternal-Fetal & Neonatal Medicine, 1-7. https://doi.org/10.1080/14767058.2021.1992379
  • Lalonde, M. (2002). A New Perspective on the Health of Canadians. Revista Panamericana de Salud Pública (OPS) = Pan American Journal of Public Health (PAHO),12(3),149-152. https://doi.org/10.1590/s1020-49892002000900001
  • Lee, G. A., & Scanlon, A. (2007). The use of the term 'vulnerability' in acute care: why does it differ and what does it mean? Australian Journal of Advanced Nursing, The, 24(3). PMID: 17518167
  • Lipshutz, J. A., Hall, J.E., Penman-Aguilar, A., Skillen, E., Naoom, S. & Irune, I. (2022). Leveraging Social and Structural Determinants of Health at the Centers for Disease Control and Prevention: A Systems-Level Opportunity to Improve Public Health. Journal of public health management and practice: JPHMP, 28(2), E380. https://doi.org/10.1097/PHH.0000000000001363
  • Lisboa, A. M. G., & Almeida, H.N . (2017) Vulnerability and Social Work in Health. En The 5th International Virtual Conference on Advanced Scientific Results 21-126. Coimbra https://doi.org/10.18638/scieconf.2017.5.1.402
  • Ministerio de Sanidad, Consumo y Bienestar Social. (2019). Estrategia para el Abordaje de la Cronicidad en el Sistema Nacional de Salud. Informe de Evaluación y Líneas Prioritarias de Actuación.
  • https://www.sanidad.gob.es/organizacion/sns/planCalidadSNS/pdf/Evaluacion_E._Cronicidad_Final.pdf
  • Moreno Crossley, J.C. (2008). El concepto de vulnerabilidad social en el debate en torno a la desigualdad: problemas, alcances y perspectivas. Miami, Center for Latin American Studies, University of Miami.
  • ONU. Oficina del Alto Comisionado de Derechos Humanos (ACNUDH) (2022) Folleto informativo El derecho a la salud, junio 2008, No. 31 , https://www.refworld.org.es/docid/5289d2de4.html
  • Palomino Moral, P., Grande Gascón, M.L. y Linares Abad, M. (2014). La salud y sus determinantes sociales. Desigualdades y exclusión en la sociedad del siglo XXI. Revista Internacional de Sociología, 72 (Extra1), 71-91. http://dx.doi.org/10.3989/ris.2013.02.16
  • Pinsker, D.M., McFardland, K., & Stone, V.E. (2011). The Social Vulnerability Scale for Older Adults: An Exploratory and Confirmatory Factor Analytic Study, Journal of Elder Abuse & Neglect, 23:3, 246-272. https://doi.org/10.1080/08946566.2011.584049
  • Pizarro Hofer, R. (2001). La vulnerabilidad social y sus desafíos: una mirada desde América Latina. Cepal. http://repositorio.cepal.org/handle/11362/4762
  • Phillips, A. Z., Brewster, A. L., Kyalwazi, M. J., & Rodriguez, H. P. (2020). The Centers for Medicaid and Medicare Services State Innovation Models Initiative and Social Risk Factors: Improved Diagnosis Among Hospitalized Adults with Diabetes. American journal of preventive medicine, 59(4), e161-e166. http://dx.doi.org/10.1016/j.amepre.2020.04.017
  • Ramasco-Gutiérrez, M., Heras-Mosteiro, J., Garabato-González, S., Aránguez-Ruiz, E., & Martín-Gil, R.A.. (2017). Implementación del mapa de la vulnerabilidad en salud en la Comunidad de Madrid. Gaceta Sanitaria, 31, 432-435. https://doi.org/10.1016/j.gaceta.2016.07.026
  • Ricoeur, P. (2008). El Sí mismo como Otro. Madrid: Siglo XXI.
  • Roldán, E; García, T , y Nogués, L. (2013). Los servicios sociales en España (2ª edición). Síntesis.
  • Solar O, & Irwin, A . (2010). A Conceptual Framework for Action on the Social Determinants of Health. Organización Mundial de la Salud; 2010. p. 79. http://apps.who.int/iris/bitstream/10665/44489/1/9789241500852_eng.pdf
  • Straehle, C. (2016). Vulnerability, Health Agency and Capability to Health. Bioethics, 30(1), 34-40. https://doi.org/10.1111/bioe.12221
  • Tormo, V. C., y Lahiguera, L. H. (2015). Servicios públicos, diferencias territoriales e igualdad de oportunidades. Fundación BBVA. ISBN: 978-84-92937-57-8
  • Varughese, R.A., Theou, O., Li, Y., Huang, X. Chowdhury, N., Famure, O, Selzner, N., MacIver, J., Mathur, S., Kim, S.J., Rockwood, K., & Singer, L. (2021). Cumulative Deficits Frailty Index predicts outcomes for solid organ transplant candidates. Transplantation direct, 7(3). https://doi.org/10.1097/TXD.0000000000001094
  • Vironkannas, E., Liuski, S., & Kuronen, M. (2020). The contested concept of vulnerability: a literature review. European Journal of Social Work, 23(2), 327-339. https://doi.org/10.1080/13691457.2018.1508001
  • Walls, M., Priem, J. S., Mayfield, C. A., Sparling, A., Aneralla, A., Krinner, L. M., & Taylor, Y. J. (2022). Disparities in Level of Care and Outcomes Among Patients with COVID-19: Associations Between Race/Ethnicity, Social Determinants of Health and Virtual Hospitalization, Inpatient Hospitalization, Intensive Care, and Mortality. Journal of racial and ethnic health disparities, 1–11. Advance online publication. https://doi.org/10.1007/s40615-022-01274-x
  • World Health Organization. (2011). 10 Facts on Health Inequities and Their Causes. Geneva. https://www.who.int/features/factfiles/health_inequities/en/
  • Yoo, R., Krawczyk, N., Johns, E., McCormack, R. P., Rotrosen, J., Mijanovich, T., Gelberg, L., & Doran, K. M. (2022). Association of substance use characteristics and future homelessness among emergency department patients with drug use or unhealthy alcohol use: Results from a linked data longitudinal cohort analysis. Substance abuse, 43(1), 1100–1109. https://doi.org/10.1080/08897077.2022.2060445