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Alternative paths to long-term care

Nursing home, geriatric day hospital, senior center, and domiciliary care options

Bibliographic Data

ID11038448
AuthorsS Sherwood, John N Morris (0000-0001-5867-0697), Hirsch S Ruchlin
Year1986
Volume76
Issue1
Pages38-44
Publication date1986-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.76.1.38
PMID3940452
OpenAlexW2016920449
LanguageEN
Citations received4
References cited3

This paper examines certain quality of life outcomes, as well as comparative costs of care, for selected types of persons entering three very distinct types of alternative service programs that address the long-term care needs of vulnerable elderly persons: nursing homes (NH), geriatric day hospitals (GDH), and senior center (SC) programs. For selected outcomes, based on secondary analysis of the data gathered in another study, it was possible to add to the comparison samples of similar types of persons entering small foster-type domiciliary care homes (DC). From pools of persons entering these programs, six separate sets of comparison samples who were similar at baseline were constructed (GDH-SC, NH-SC, NH-GDH, NH-DC, SC-DC, GDH-DC). Only analyses pertaining to institutionalization and costs were conducted for the last three sets of comparison groups. Except for the issue of institutionalization, quality of life impact analysis showed only a few more post-test differences than would be expected by chance (although the few post-test differences that were observed in each case favored less restrictive settings). This more general similarity of outcome is indeed provocative, suggesting that in many ways the applicants adapted similarly to these quite distinct programs. Cost analyses found that nursing home and geriatric day hospital care, the two most restrictive settings, were also the two most expensive interventions

Family medicine · Institutionalisation · Long-term care · Nursing homes · Psychiatry · Psychological intervention · Quality of life (healthcare) · Test (biology) · Family Caregiving in Mental Illness · Geriatric Care and Nursing Homes · Medicine · Nursing · Schizophrenia research and treatment · Gerontology

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Citations per year0.11
Citation span1991 - 2024 (34)
Highly citedNo

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