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Comparison of residential and nursing home care before and after the 1993 community care policy
Author(s)Vivienne L S Crawford, T R O Beringer, R W Stout
Journal titleBritish Medical Journal, vol 318, no 7180, 6 February 1999
Pagesp 366
KeywordsResidents [care homes] ; Care homes ; Nursing homes ; Community care ; Policy ; Comparison ; Northern Ireland.
AnnotationTo test whether the community care policy has resulted in better targeting of care, the authors examined physical dependency and mental state of all residents aged over 65 admitted to residential and nursing home care in Belfast from April 1992 to March 1993, and from April 1993 to March 1994 - that is one year before and one year after the policy's implementation. A number of standard scoring systems were used, and scores for each measure of dependency by type of care and period of admission are presented. The results given in this short article show that after the introduction of assessment, more people were admitted to institutional care, suggesting that before 1993, there was an unmet need. The authors conclude that if this pattern of long term care remains unchanged, by the year 2030, expenditure in long term care alone will grow from 7.5% to nearly 11% of the gross national product (GNP), illustrating the need for appropriate targeting of healthcare resources. (RH).
Accession NumberCPA-990301207 A
ClassmarkKX: KW: LHB: PA: QAD: 48: 9Y *

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