Meta-analysis of Home-Care Effects on Mortality and Nursing-Home Placement
Bibliographic Data
| ID | 9103399 |
|---|---|
| Authors | Susan C Hedrick (University of Washington, corresponding author), Thomas D Koepsell (University of Washington), Thomas S Inui (University of Washington), Thomas Inui |
| Year | 1989 |
| Volume | 27 |
| Issue | 11 |
| Pages | 1015-1026 |
| Publication date | 1989-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198911000-00003 |
| PMID | 2685479 |
| OpenAlex | W2081481597 |
| Language | EN |
| Citations received | 2 |
| References cited | 10 |
This meta-analysis was designed to illustrate how the relatively new discipline of meta-analysis could be employed in health-services research. In pursuit of this goal, the results of 13 studies on the effect of home care on mortality and nursing-home placements were examined. The analysis demonstrated a small, beneficial effect of home care on mortality, which fell short of statistical significance. Study-to-study variation in the odds ratio was found that was not strongly associated with differences in the study samples, designs, or interventions as categorized here. The analysis produced stronger evidence of a reduction in nursing-home placements. In this case, differences in study design explained much of the heterogeneity in results, with the randomized controlled trials showing considerably weaker effects. The analysis also provides insight into the benefits and limitations of alternative meta-analytic methods. The "odd man out" method recently described by Walker et al. detected statistically significant heterogeneity of effects across studies for nursing-home placement, but not for mortality. Loglinear modeling made it easier to detect and explore study-to-study variation in home-care effects
Logistic regression · Meta-analysis · Nursing homes · Odds · Odds ratio · Psychological intervention · Randomized controlled trial · Research design · Statistics · Demography · Frailty in Older Adults · Geriatric Care and Nursing Homes · Health Systems, Economic Evaluations, Quality of Life · Mathematics · Medicine · Nursing · Gerontology
Experience with Home Care for Cardiac Patients
Discrete Multivariate Analysis
Odd man out
A randomized controlled study of a home health care team
Older persons after hospitalization
The Cost and Efficacy of Home Care for Patients With Chronic Lung Disease
Effects and Costs of Day-Care Services for the Chronically Ill
Chance for Change
Evaluation of a Long-Term Home Care Program
Combining results of independent studies
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,07 |
| Citation span | 1999 - 2004 (6) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |