دورية أكاديمية
Impact of social care on Hospital Admissions in a sample of community-dwelling older adults: Results of a quasiexperimental study
| العنوان: | Impact of social care on Hospital Admissions in a sample of community-dwelling older adults: Results of a quasiexperimental study |
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| المؤلفون: | Liotta G., Inzerilli M. C., Palombi L., Bianchini A., Di Gennaro L., Madaro O., Marazzi M. C. |
| المساهمون: | Liotta, G, Inzerilli, Mc, Palombi, L, Bianchini, A, Di Gennaro, L, Madaro, O, Marazzi, Mc |
| بيانات النشر: | società editrice universo IT |
| سنة النشر: | 2018 |
| المجموعة: | Universitá degli Studi di Roma "Tor Vergata": ART - Archivio Istituzionale della Ricerca |
| مصطلحات موضوعية: | Health system sustainability, Hospital Admission, Older adult, Social service, Aged, 80 and over, Cohort Studie, Community Health Service, Female, Follow-Up Studie, Frail Elderly, Hospitalization, Human, Italy, Linear Model, Male, Multivariate Analysi, Social Isolation, Social Work, Surveys and Questionnaire, Independent Living, Social Capital, Social Support, Settore MED/42 - IGIENE GENERALE E APPLICATA |
| الوصف: | TIntroduction. The paper describes the impact on Hospital Admissions of a program targeting the communitydwelling older citizens with social interventions aimed at managing frailty and reducing social isolation. Study design. The study is quasi-experimental intervention program Methods. A randomized sample made up by 207 participants (cases) to the Long Live the Elderly program is compared with a cohort of 308 older adults (controls) followed up since 2014 by the University of Tor Vergata. At the enrolment all the participants have been administered a multidimensional questionnaire to assess frailty. After six months, the two groups are compared for the inpatient's admission rate. Results. The percentage of patients who was admitted to the hospital during the first six month of follow up was 9.1% and 8.3% among the controls and the cases respectively. The inpatient's admission rate was higher among the controls (251.6 per 1000 observation/year) than for the cases (167.3). Despite the cases were older than the controls (mean age 83.5, SD±8.1 vs 76.7, SD±7.1; p=0.001), showed a lower percentage of frail/very frail individuals (29.5% vs 33.4%). The multivariate linear regression adjusted for gender, age and frailty showed a reduction of the hospital admission rate associated to the Long Live the Elderly program (p=0.013). Conclusion. The study suggests the impact on the reduction of acute hospital admission in the first six months of follow up, of a Community-based Program aimed at increasing the social capital of older adults. Further studies with longer follow up are needed to confirm the study results in order to support the hypothesis that the future sustainability of health systems is partially linked to the increase of the social component of community care service. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/30062365; info:eu-repo/semantics/altIdentifier/wos/WOS:000459130500002; volume:30; issue:5; firstpage:378; lastpage:386; numberofpages:9; journal:ANNALI DI IGIENE MEDICINA PREVENTIVA E DI COMUNITÀ; http://hdl.handle.net/2108/232670Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85050723900 |
| DOI: | 10.7416/ai.2018.2237 |
| الإتاحة: | https://doi.org/10.7416/ai.2018.2237Test http://hdl.handle.net/2108/232670Test |
| رقم الانضمام: | edsbas.1292B891 |
| قاعدة البيانات: | BASE |
| DOI: | 10.7416/ai.2018.2237 |
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