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Centre for Policy on Ageing | |
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Perception of risk of adverse outcomes of older people
— comparison between nursing homes, day centers and home care services | | Author(s) | Laetitia Teixeira, Maria Joao Azevedo, Sara Alves |
| Journal title | Quality in Ageing and Older Adults, vol 18, no 3, 2017 |
| Publisher | Emerald, 2017 |
| Pages | pp 212-220 |
| Source | http://www.emeraldinsight.com/loi/qaoa |
| Keywords | Usage [services] ; At risk ; Nursing homes ; Day centres ; Home care services ; Evaluation ; Portugal. |
| Annotation | In Portugal, the three main kinds of care services available for older people are nursing homes, day centres and home care services. The use of these care services is mostly based on complex socioeconomic and functional criteria. However, it is not clear whether this placement corresponds to a higher or lower risk of adverse outcomes. This paper has the following purposes: to characterise clients of each type of service; to estimate the proportion of individuals at perceived risk of each adverse outcome according to type of service; and to assess the ability of the Risk Instrument for Screening in the Community (RISC) to identify the risk profiles according to type of service. The sample comprised 224 individuals aged 65+ receiving care at home, in day centres or in nursing homes. Identification of individuals at risk for three adverse outcomes (institutionalisation, hospitalisation and death) was performed using a short pre-screen instrument (RISC). The RISC identified mental state issues as the unique factor that differentiated clients according the type of care services (chi squared (6, N=224)=20.96, p=0.002), with day centre presenting the lowest percentage of mental health concerns and nursing home presenting the highest percentage (44.44 and 71.91 percent, respectively). Additionally, a gradient was found between perceived risk of adverse outcomes (institutionalisation and hospitalisation) and care of levels required. The RISC can be used to discriminate between different settings of care, and can be helpful in the selection of groups at risk who will benefit more from the services available. (RH). |
| Accession Number | CPA-170922226 A |
| Classmark | QLD: CA3: LHB: NMC: NH: 4C: 76T |
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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