A randomized trial of Veterans Administration home care for severely disabled veterans
| Autor: | Susan L. Hughes, Kendon J. Conrad, Frances M. Weaver, Joan Cummings, Larry M. Manheim, Karen Nash |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
medicine.medical_specialty
Cost-Benefit Analysis MEDLINE Aftercare law.invention Treatment and control groups Random Allocation Cognition Randomized controlled trial Nursing law Health care medicine Humans Disabled Persons Cognitive skill Aged Veterans Cost–benefit analysis business.industry Public Health Environmental and Occupational Health Consumer Behavior Middle Aged Home Care Services Clinical trial Outcome and Process Assessment Health Care Caregiver satisfaction Physical therapy Illinois business |
| Zdroj: | Medical care. 28(2) |
| ISSN: | 0025-7079 |
| Popis: | This randomized study screened hospital admissions to all wards except Psychiatry and Spinal Cord Injured during a 3-year period to identify 233 severely disabled patients (2 impairments on the Katz Index of ADL) and caregivers who were willing to participate in a pretest-multiple posttest trial of the Hines VA Hospital-based Home Care (HBHC) Program. Patient functional status, morale, and satisfaction with care were measured at baseline, 1 month and 6 months post discharge. Caregiver satisfaction and morale were assessed at the same time periods. All health care services used by both groups were tracked over the 6-month period and converted to cost. Findings include improved 1-month satisfaction with care (P = 0.04) and improved 6-month cognitive functioning (P = 0.04) among HBHC patients and improved 1-month (P = 0.04) and 6-month satisfaction with care (P less than 0.01) among their caregivers. A nonsignificant 10% decrease in net cost of care, was found in the treatment group, largely due to lower use of private sector hospital care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|