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Residential and nursing home care of elderly people with cognitive impairment
 — prevalence, mortality and costs
Author(s)A Netten, R Darton, A Bebbington
Journal titleAging & Mental Health, vol 5, no 1, February 2001
Pagespp 14-22
Sourcehttp://www.tandfonline.com
KeywordsCognitive impairment ; Care homes ; Nursing homes ; Longitudinal surveys ; Cross sectional surveys ; England.
AnnotationResults reported draw on two studies commissioned by the Department of Health (DH): a longitudinal survey of some 2,500 publicly funded admissions aged 65 and over to residential and nursing home care; and a cross-sectional survey of 11,900 at 618 homes based on information about cognitive impairment using the Minimum Data Set Cognitive Performance Scale (MDS CPS). Cognitive impairment was associated with source of funding and type of home. Although level of impairment has some effect, fees and costs were most influenced by type of home. At the same level of impairment, self-funded residents were more likely to be in relatively low-cost settings. In independent homes, fees were lower for publicly funded than for self-funded residents. Overall median length of stay of publicly-funded admissions was 18 months. For the most part, length of stay was not associated with level of cognitive impairment on admission. More information is needed about the effect of quality of care in different settings. There is evidence that changes in placement policies could result in potential savings to the public purse. (RH).
Accession NumberCPA-010316202 A
ClassmarkE4: KW: LHB: 3J: 3KB: 82

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