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Centre for Policy on Ageing | |
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| Randomised trial of impact of model of integrated care and case management for older people living in the community | | Author(s) | Roberto Bernabei, Francesco Landi, Giovanni Gambassi |
| Journal title | British Medical Journal, vol 316, 2 May 1998 |
| Pages | pp 1348-1351 |
| Keywords | Medical care ; Services ; Coordination ; Case work ; Management [care] ; Living in the community ; Italy. |
| Annotation | In this study, 200 older people already receiving conventional community services in Roverto, northern Italy were randomly allocated to an intervention group receiving integrated social and medical care and case management, or to a control group receiving conventional care. Survival analysis showed that admission to hospital or nursing home in the intervention group occurred later and was less common than in the control group. Health services were used to the same extent, but control subjects received more frequent visits by general practitioners (GPs). In the intervention group, financial savings were estimated at some £1,125 per year of follow up; physical function had improved, and decline of cognitive status was reduced. Integrated social and medical care with case management programmes may therefore provide a cost effective approach to reduce admissions to institutions and functional decline in older people living in the community. (RH). |
| Accession Number | CPA-980623220 A |
| Classmark | LK: I: QAJ: IGA: QA: K4: 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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