Onder, G. and Liperoti, R. and Soldato, M. and Carpenter, G.I. and Steel, K. and Bernabei, R. and Landi, F. (2007) Case management and risk of nursing home admission for older adults in home care: Results of the AgeD in HOme Care Study. Journal of the American Geriatrics Society, 55 (3). pp. 439-444. ISSN 0002-8614 .
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OBJECTIVES: To explore the relationship between a case management approach and the risk of institutionalization in a large European population of frail, old people in home care. DESIGN: Retrospective cohort study. SETTING: Eleven European countries. PARTICIPANTS: Three thousand two hundred ninety-two older adults receiving home care (mean age 82.3 +/- 7.3). MEASUREMENTS: Data on nursing home admission were collected every 6 months for 1 year. RESULTS: One thousand one hundred eighty-four (36%) persons received a home care program based on case management, and 2,108 (64%) received a traditional care approach (no case manager). During the 1-year follow-up, 81 of 1,184 clients (6.8%) in the case management group and 274 of 2,108 (13%) in the traditional care group were admitted to a nursing home (P <.001). After adjusting for potential confounders, the risk of nursing home admission was significantly lower for participants in the case management group than for those in a traditional care model (adjusted odds ratio=0.56, 95% confidence interval=0.43-0.63). CONCLUSION: Home care services based on a case management approach reduce risk of institutionalization and likely lower costs.
|Uncontrolled keywords:||home care; case manager; nursing home admission|
|Subjects:||H Social Sciences > HM Sociology|
|Divisions:||Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies|
|Depositing User:||Suzanne Duffy|
|Date Deposited:||21 Apr 2008 08:29|
|Last Modified:||28 Feb 2012 09:15|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/2710 (The current URI for this page, for reference purposes)|
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