Onder, Graziano, Liperoti, Rosa, Soldato, Manuel, Carpenter, G. Iain, Steel, R. Knight, Bernabei, Roberto, Landi, Francesco (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. (doi:10.1111/j.1532-5415.2007.01079.x) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:2710)
| The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. | |
| Official URL: http://onlinelibrary.wiley.com/doi/10.1111/j.1532-... |
Abstract
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.
| Item Type: | Article |
|---|---|
| DOI/Identification number: | 10.1111/j.1532-5415.2007.01079.x |
| Uncontrolled keywords: | home care; case manager; nursing home admission |
| Subjects: | H Social Sciences > HM Sociology |
| Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies |
| Depositing User: | Suzanne Duffy |
| Date Deposited: | 21 Apr 2008 08:29 UTC |
| Last Modified: | 16 Nov 2021 09:41 UTC |
| Resource URI: | https://kar.kent.ac.uk/id/eprint/2710 (The current URI for this page, for reference purposes) |
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