Non-compliant residences and nursing homes: review of compliance with NOM 030 SSA 2013 in ten residences and nursing homes for the elderly in the Guadalajara Metropolitan Area.

• DOI: https://doi.org/10.22533/at.ed.216562512035

• Palavras-chave: Adultos mayores, cuidados, residencias, legislación

• Keywords: Older adults, care, residences, legislation

• Abstract:

  Abstract: Introduction: caregiving used to be the domain of families and mostly women, although currently the situation has changed due to the insertion of women into the labor market and caregiving has moved from homes to public or private care institutions, these institutions provide care and attention 24 hours a day, 365 days a year.  framework: Long-term care institutions for the elderly are governed in Mexico by rules and laws that must be observed on a mandatory basis, in this research we took as reference the NOM 030-SSA3-2013 Architectural characteristics to facilitate access, transit, use and permanence of people with disabilities in establishments for outpatient and inpatient medical care of the National Health System, which consists of 102 indicators whose compliance was verified in ten nursing homes in the Metropolitan Area of Guadalajara. Methodology: Exploratory cross-sectional study, in which ten long-term care institutions for the elderly in the Metropolitan Area of Guadalajara were visited, which were chosen by convenience (permits to perform the analysis) during the period from October to November 2022 and February to April 2023, with a total of ten visits and checklists containing the 102 elements were applied to verify that they complied with the characteristics of NOM 030 SSA3 2013. Results: a high percentage of the institutions evaluated do not comply with the requirements established in NOM 030 SSA-2013, revealing significant deficiencies in accessibility and health risks for users. Discussion and conclusions: Despite the existence of laws and regulations, the lack of an effective framework to ensure compliance puts the quality of life of the users of these institutions at risk. Good intentions are not enough; the enforcement structure needs to be strengthened to ensure that these spaces are truly accessible and safe. Research will continue to focus on identifying deficits and proposing solutions to address these issues.