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Best place of care for older people after acute and during subacute illness
 — a systematic review
Author(s)Gillian Parker, Padma Bhakta, Savita Katbamna
Journal titleJournal of Health Services Research & Policy, vol 5, no 3, July 2000
Pagespp 176-189
KeywordsHospital services ; Medical care ; Costs [care] ; Management [care] ; Quality ; Evaluation ; Literature reviews.
AnnotationEvaluative research literature was assessed on the costs, quality and effectiveness of different locations of care for older patients. Twenty-five databases, also library OPACs, the Internet and research registers were searched for relevant material. 84 papers from 45 trials were selected. Firm conclusions were difficult to draw, except in relation to some outcomes for stroke units, early discharge schemes and geriatric assessment units. Few trials in this area have adequately dealt with issues concerning patients' quality of life and costs to health services, social care providers, patients and their families. Despite considerable recent development of different forms of care for older patients, evidence about effectiveness and costs is weak. However, evidence is also weak for longer-standing care models. A substantial service evaluation agenda emerges from this review. The study also raises questions about the usefulness of systematic review techniques in the area of service delivery and organisation. (RH).
Accession NumberCPA-001219201 A
ClassmarkLD: LK: QDC: QA: 59: 4C: 64A *

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