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Centre for Policy on Ageing | |
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Quality of private personal care for elderly people in Italy living at home with disabilities
— risk of nursing home placement at a 1-year follow-up | | Author(s) | Claudio Bilotta, Paolo Nicolini, Carlo Vergani |
| Journal title | Health and Social Care in the Community, vol 17, no 6, November 2009 |
| Pages | pp 543-547 |
| Source | http://www.blackwellpublishing.com/hsc |
| Keywords | Domiciliary services ; Care support workers ; Quality ; Physical disabilities ; Living in the community ; Admission [nursing homes] ; Longitudinal surveys ; Italy. |
| Annotation | The aim of this prospective Italian study was to evaluate the correlation between self-perceived quality of private personal care for older people living at home and 1-year risk of hospital admission, nursing home placement and death. 100 community-dwelling older patients (mean age 85) who had been receiving private personal care for any kid of disability for at least 1 month were enrolled to the study. Quality of care was described by both the older people without overt cognitive impairment and their informal caregivers, and this was categorised for analysis as "poor or fair" or "optimal or immediate". Rates of hospital admission, long-term care placement and death were assessed at a 1-year follow-up, between May 2006 and January 2008. One year after enrolment, 67 of the enrollees were still living at home, 10 had been institutionalised and 23 had died. 46 had experienced at least one hospital admission. The 16 belonging to the "poor or fair care" group showed a higher risk of nursing home placement when compared with the 84 belonging to the "optimal or immediate care" group (relative risk = 5.25, 95% confidence level 1.72-16.06) without there being any significant difference between the two groups in terms of baseline assessment and basic functional status at follow-up. The quality of personal care was not a predictor of either hospital admission or death. Therefore, a poor or fair quality of personal care turned out to be a 1-year predictor of placement in a long-term care facility for community-dwelling older people with a disability. (RH). |
| Accession Number | CPA-100323001 A |
| Classmark | N: QRS: 59: BN: K4: LHB:QKH: 3J: 76V |
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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