Assistive devices and community-based services among 85-year-old community-dwelling elderly in The Netherlands: Ownership, use,and need for intervention

2006 ◽  
Vol 1 (3) ◽  
pp. 199-203 ◽  
Author(s):  
Anton J. M. De Craen ◽  
Rudi G. J. Westendorp ◽  
Charles G. Willems ◽  
Inge C. M. Buskens ◽  
Jacobijn Gussekloo
Keyword(s):  
The Netherlands ◽  
Community Dwelling ◽  
Assistive Devices ◽  
Community Based ◽  
Community Based Services

Models of home care services for persons with dementia: a narrative review

2015 ◽  
Vol 27 (10) ◽  
pp. 1593-1600 ◽  
Author(s):  
Lee-Fay Low ◽  
Jennifer Fletcher
Keyword(s):  
Case Management ◽  
Home Care ◽  
Integrated Care ◽  
Community Dwelling ◽  
Narrative Review ◽  
Nursing Home Admission ◽  
Community Based ◽  
People With Dementia ◽  
The Impact ◽  
Community Based Services

ABSTRACTBackground:Worldwide trends of increasing dementia prevalence, have put economic and workforce pressures to shifting care for persons with dementia from residential care to home care.Methods:We reviewed the effects of the four dominant models of home care delivery on outcomes for community-dwelling persons with dementia. These models are: case management, integrated care, consumer directed care, and restorative care. This narrative review describes benefits and possible drawbacks for persons with dementia outcomes and elements that comprise successful programs.Results:Case management for persons with dementia may increase use of community-based services and delay nursing home admission. Integrated care is associated with greater client satisfaction, increased use of community based services, and reduced hospital days however the clinical impacts on persons with dementia and their carers are not known. Consumer directed care increases satisfaction with care and service usage, but had little effect on clinical outcomes. Restorative models of home care have been shown to improve function and quality of life however these trials have excluded persons with dementia, with the exception of a pilot study.Conclusions:There has been a little research into models of home care for people with dementia, and no head-to-head comparison of the different models. Research to inform evidence-based policy and service delivery for people with dementia needs to evaluate both the impact of different models on outcomes, and investigate how to best deliver these models to maximize outcomes.

Gender and Transportation Access among Community-Dwelling Seniors

2007 ◽  
Vol 26 (2) ◽  
pp. 149-158 ◽  
Author(s):  
Josette Dupuis ◽  
Deborah R. Weiss ◽  
Christina Wolfson
Keyword(s):  
Unmet Needs ◽  
Community Dwelling ◽  
Social Effects ◽  
Urban Setting ◽  
Lower Income ◽  
Community Based ◽  
Multivariable Analyses ◽  
Design And Methods ◽  
Community Based Services ◽  
Income Satisfaction

ABSTRACTPurpose: This study estimates the prevalence of problems with transportation in a sample of community-dwelling seniors residing in an urban setting and investigates the role that gender plays in the ability of seniors to remain mobile in their communities.Design and Methods: Data collected as part of a study assessing the prevalence and consequences of unmet needs for community-based services in a random sample of 839 elderly aged 75 years and older were employed in bivariate and multivariable analyses.Results: The prevalence of problems with transportation was 23 per cent, with 33 per cent of females and 10 per cent of males categorized as having problems with transportation. Of those subjects categorized as having problems with transportation, 88 per cent were women. In addition to being predominantly women, those who reported problems with transportation were older, in poorer health, and had lower income and income satisfaction.Implications: Problems with transportation are an important issue facing seniors; women, in particular. These results highlight the differences in aging as experienced by women and men with respect to social effects, needs, and the significance attached to the experience.

scholarly journals Risk of Hospitalization Associated With Different Constellations of Home & Community Based Services

2021 ◽  
Author(s):  
Ray Van Cleve ◽  
Evan Cole ◽  
Howard Degenholtz
Keyword(s):  
Initial Level ◽  
Secondary Data ◽  
Community Dwelling ◽  
Adult Day Care ◽  
Community Based ◽  
Inpatient Hospitalization ◽  
Medicaid Population ◽  
Low Levels ◽  
To Receive ◽  
Community Based Services

Abstract Background:Identify the association between specific combinations of home and community-based services (HCBS) and risk of acute hospitalization. Methods:Data for this study came from Pennsylvania Medicaid claims, enrollment files, enrollee evaluations, and Medicare and Medicaid hospitalization records. This analysis compared risk of inpatient hospitalization across an entire state Medicaid population of community dwelling elderly individuals receiving HCBS. Twelve constellations of HCBS were identified, each composed of different services. Using logistic regression, we derived predicted probabilities of experiencing hospitalization for people in each constellation. This was secondary data analysis conducted outside of a hospital. This study used observational data. There was no randomization.Results:The highest risk of hospitalization, 15.1%, was associated with use of home delivered meals and low levels of PAS. The lowest risk of hospitalization, 7.5% was associated with use of adult day care and low levels of PAS. An 11.6% risk of hospitalization was associated with people who had applied to receive HCBS but were deemed ineligible. This risk was higher than all other constellations of HCBS except for the risk associated with using only low levels of PAS (13.9%) and using low levels of PAS and home delivered meals (15.1%). Conclusions: Using medium and high levels of PAS was associated with lower hospitalization risk compared to only low levels of PAS. Offering a higher initial level of PAS upon enrollment in Medicaid could potentially reduce hospitalization risk. People receiving home delivered meals had an elevated hospitalization risk.

scholarly journals The Effect of Home- and Community-Based Services on Activity Engagement

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 840-840
Author(s):  
Peter Sun
Keyword(s):  
Social Engagement ◽  
Social Cognitive ◽  
Average Treatment Effect ◽  
Community Dwelling ◽  
Sensitivity Analyses ◽  
Estimation Model ◽  
Community Based ◽  
Activity Engagement ◽  
Treatment Groups ◽  
Community Based Services

Abstract This study examined the association between home- and community-based services (HCBS) and social, cognitive, and physical engagement among community-dwelling older adults in the U.S. Data were drawn from the 2012 Health and Retirement Study (HRS). The sample consisted of respondents ages 50 and over who answered questions on HCBS utilization and activity engagement (n = 567). Genetic matching and propensity score weighting were used to mimic randomized control and treatment groups, in order to estimate the population average treatment effect on the treated (PATT). HCBS utilization was found to be significantly associated with social engagement (PATT = 0.17, SE = 0.05, p < 0.05) and physical (PATT = -0.20, SE = 0.07, p < 0.05) engagement but not significantly associated with cognitive engagement (PATT = -0.04, SE = 0.12, p > 0.05). Sensitivity analyses found that the results were robust to the estimation model. These findings suggest that HCBS utilization is a promising model for increased activity engagement, and future policies aimed at targeting these outcomes are warranted.

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