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Randomised controlled trial
Residential care facilities providing multidisciplinary integrated care for older people achieve higher scores on 32 risk-adjusted quality of care indicators than facilities providing usual care
  1. Adeline Cooney,
  2. Declan Devane
  1. School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland
  1. Correspondence to Adeline Cooney
    School of Nursing and Midwifery, National University of Ireland Galway, Aras Moyola, University Road, Galway, Ireland; adeline.cooney{at}

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Implications for practice and research

Quality of care in residential facilities is improved when multidisciplinary integrated care is implemented; Further research should focus on identifying which elements of multidisciplinary integrated care are most effective in improving residents' quality of care and quality of life; Future studies should focus on comparing different packages of multidisciplinary integrated care with each other and on evaluating the effectiveness of such packages in different populations including older people with and without chronic illness.


Approximately 10% of Dutch older people aged 75+ live in residential care settings (Boorsma et al).These settings were established to provide ‘sheltered living’ to relatively healthy older people (Boorsma et al). However the profile of older people living in these facilities is changing. Residents are older, have multiple chronic illnesses and …

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  • Competing interests None.