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Centre for Policy on Ageing | |
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The HARP instrument: gender-specific risk appraisals of nursing home admission
— results from the Framingham Study | | Author(s) | Elizabeth W Markson, Margaret Kelly-Hayes, Spencer V Wilking |
| Journal title | Hallym International Journal of Aging, vol 2, no 2, 2000 |
| Pages | pp 149-172 |
| Keywords | Older men ; Older women ; At risk ; Admission [nursing homes] ; Evaluation ; United States of America. |
| Annotation | The relative contribution of modifiable and non-modifiable health appraisal risk factors to first-time nursing home admission are examined. Probability of nursing home placement within the following 5-years period was determined for 2,104 survivors from the Framingham Study (842 men and 1,262 women, median ages 70 and 71 respectively) who have been examined every two years since 1948. The health appraisal risk profile (HARP) was developed to calculate this probability by gender and age, based on individuals' social and medical history, marital status, activity level, body mass index (BMI), alcohol use, functional performance and disabling diseases. Separate HARPs were generated for married and unmarried men and women at ages 70, 75, 80, and 85. Hip fracture within the last two years is the single biggest health appraisal risk for women, and dementia for men. Marital status is especially important for women at every age. Offering comprehensive evaluation of prospective morbidity with the endpoint long-term care, the HARP may be a particularly useful, gender specific instrument for both health care providers and managed care, providing greater specificity than functional status and social support measures alone. (RH). |
| Accession Number | CPA-011119205 A |
| Classmark | BC: BD: CA3: LHB:QKH: 4C: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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