rss
Evid Based Nurs 2:20 doi:10.1136/ebn.2.1.20
  • Treatment

Integration of services for elderly people reduced costs and use of health services


 
 Question Does the integration of medical and social services with case management programmes reduce functional decline, admissions to institutions, and the use and costs of health services in frail, elderly people living in the community?

Design

Randomised controlled trial with 12 months follow up.

Setting

A town (Rovereto) in northern Italy.

Patients

200 adults (mean age 81 y, 71% women) who were ≥65 years of age and received home health services or home assistance programmes.

Intervention

Patients in the intervention group (n=100) received case management and care planning by the community geriatric evaluation unit (which included a geriatrician, a social worker, and several nurses), case managers, and general practitioners (GPs). Case managers did the initial assessment, reported it to the geriatric evaluation unit which determined the services that patients were eligible for, and designed and implemented individualised care plans in consultation with GPs. Case managers did assessments every 2 months and were constantly available to deal …

No Related Web Pages

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article