Client Outcomes in Case Managed Care: Who Benefits Most?

Autor:	Hal Kendig, Hal Swerissen, Yvonne Wells
Rok vydání:	1999
Předmět:	Community and Home Care Reduced Motivation business.industry Institutionalisation Longitudinal data Community service General Medicine Nursing Spouse Residential care Medicine Managed care Geriatrics and Gerontology Nursing homes business
Zdroj:	Australasian Journal on Ageing. 18:79-85
ISSN:	1741-6612 1440-6381
DOI:	10.1111/j.1741-6612.1999.tb00100.x
Popis:	Objective: To determine how well outcomes could be predicted by initial circumstances and subsequent deterioration in clients and carers. Method: Longitudinal data from the Victorian Linkages projects, collected in 1992 and 1994, were examined. Results: Institutionalisation was highly likely in cases where carers experienced reduced motivation to care. Placement in nursing homes rather than in hostels was best predicted by incontinence. Death was associated with changes in health status. Those clients most successful in avoiding long-term institutional care were in stable situations with a spouse carer. Conclusion: The study provides supportive evidence of the capacity of intensive community services to provide alternatives to entry to residential care.
Databáze:	OpenAIRE
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