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Centre for Policy on Ageing | |
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| A whole system study of intermediate care services for older people | | Author(s) | John B Young, Mike Robinson, Sue Chell |
| Journal title | Age and Ageing, vol 34, no 6, November 2005 |
| Pages | pp 577-582 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Admission [hospitals] ; Rehabilitation ; Aftercare ; Clinical surveys ; Longitudinal surveys ; Leeds. |
| Annotation | Intermediate care (IC) services have been widely introduced in England and have the strategic objectives of reducing hospital and long-term care use. There is uncertainty about the clinical outcomes of these services and whether their strategic aims will be realised. The Health Authority and City Council in Leeds jointly developed a commissioning framework for older people's services to provide support and rehabilitation either at home or through short term care home placements. A quasi-experimental study compared a group of 800 older people before introduction of the IC service (control group) with a similar group of 848 recruited and followed up after introduction of IC. Clinical outcomes, hospital and long-term care use were similar for both groups. Uptake of IC was lower than anticipated at 29%. An embedded case control study comparing 246 patients who received IC with a matched sample from the control group demonstrated similar clinical outcomes but increased hospital bed days used over 12 months. Thus, this city-wide IC service did not achieve its strategic objective of reducing long-term care and hospital use. (RH). |
| Accession Number | CPA-060202210 A |
| Classmark | LD:QKH: LM: LN: 3G: 3J: 88B |
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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