Economic Problems and Loneliness as Factors Related to Subjective Unmet Health Needs in People with Chronic Diseases and Dependency

Background: The continuous increase of people with chronic diseases is one of the greatest
challenges for healthcare systems worldwide. Population growth and life expectancy means that
an increasing number of people with chronic diseases and dependency need some kind of assistance
to meet their needs. Determining these subjective unmet needs helps to understand the situation
of these people. The aim of this study was to explore the perceptions of chronic patients over
65 years of age from the day-care center toward subjective health needs that are not being met by
the socio-health system. Methods: Qualitative exploratory-descriptive study. Through convenience
sampling, we selected people with chronic diseases and dependency who used day-care centers and
met the inclusion criteria. Focus groups were performed. The data were transcribed and a thematic
analysis was carried out using Atlas.ti software. Results: The topics resulting from the analysis
were classified into dissatisfaction of biological/physiological needs, psychological needs, social
needs, and other issues that arose in both groups of participants which referred to the types of needs
previously indicated. The issues related to social and psycho-social needs stood out. Conclusions:
People with chronic diseases and dependency have their physiological needs covered with the help
they receive, but their situation of dependency generates additional costs that worsen their economic
situation. However, their greatest need is due to the loneliness they feel and the feeling they have of
“being a burden” on their families.