Geriatric interventions: the evidence base for comprehensive health care services for older people

Cordato, Nicholas J.; Saha, Sabari; Price, Michael A.

doi:10.1071/ah050151

Cited by 2 publications

(2 citation statements)

References 38 publications

(56 reference statements)

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“…This debate is important because of its implications for daily healthcare practices and the formulation of public policy. Additionally, the use of health services assumes a special significance for the older adult population, given its vulnerability to frequent health conditions requiring opportune medical care (Cordato et al 2005). The objective of this study was to determine whether availability of social support in a sample of rural older adults is associated with use of healthcare services.…”

Section: Introductionmentioning

confidence: 99%

Multidimensional social support is associated with healthcare utilization among older Mexican adults

et al. 2017

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In this study, we aimed to estimate the association between social support and healthcare utilization among older Mexican adults. We conducted a prospective study with 4027 older adults aged 65-74 in rural areas in seven Mexican states. Data were collected at baseline (2007) and 14 months later (2009). Healthcare utilization was defined as number of visits to a physician for preventive or curative purposes in the last 6 months. Multidimensional social support was operationalized into two components: structural (living arrangements, marital status and network size) and functional (perceived availability of support; and perceived support across emotional, instrumental, economic and information domains). Mixed-effects regression models were used to estimate the probability of healthcare use and to examine the association between social support and the number of visits to a physician. Results showed that perceived availability of social support was associated with the probability of visits to a physician (OR 1.44; < .01). Meanwhile, the following domains of functional component of social support were associated with the probability of visits to a physician: instrumental (OR 1.55; < .01), economic (OR 1.19; = .03) and informational (OR 1.39; < .01); and also with the number of visits to a physician: instrumental (e = 1.27; < .01), economic (e = 1.14; = .01) and informational (e = 1.12; < .10). Our findings suggest that a significant association exists between social support, measured from a multidimensional viewpoint, and healthcare utilization, in which greater social support was related to a greater extent of use of health services.

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Section: Introductionmentioning

confidence: 99%

Multidimensional social support is associated with healthcare utilization among older Mexican adults

et al. 2017

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“…Although smaller in magnitude when compared to hospitalized patients, there is evidence for the effectiveness of specialized assessment interventions and care management (GEM -Geriatric Assessment and Management) on an outpatient basis for the functional preservation and amelioration of frail adults residing in the community [11,12].…”

Section: Introductionmentioning

confidence: 99%

Models of Approach to Outpatient Older Persons Care

Caldas¹

2014

SJPH

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Background: The aging of the population has generated discussions on the needs and unique characteristics of the users of health systems. In this context, the frailty has been used as a guide in managing health care for older adults and specific intervention has shown itself to be effective as much for the diagnosis of illnesses as the improved functioning and satisfaction of the patient and the reduction of mortality. Aims and objetive: The aim of this study was to become familiar with approaches to outpatient older people care for frail older adults. A critical review was conducted evaluating the effectiveness of these models and researchers looked for methods developed in outpatient facilities by interprofessional teams. Conclusions: The models that met our criteria for eligibility presented interprofessional teams composed of geriatricians, nurses, social workers, physiotherapists, occupational therapists, speech therapists, nutritionists and pharmacists. All of the models offered managed care of their patients and the professional who carry out these tasks are mainly nurses, but also social workers, or a primary care physician. Relevance to Clinical Practice: Our results showed that the configuration of a specialized outpatient model in the care of the frail older person is a recent phenomenon, with benefits such as reduced polypharmacy and decreases in functional loss, resulting in a greater quality of life for the users.

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Geriatric interventions: the evidence base for comprehensive health care services for older people

Cited by 2 publications

References 38 publications

Multidimensional social support is associated with healthcare utilization among older Mexican adults

Multidimensional social support is associated with healthcare utilization among older Mexican adults

Models of Approach to Outpatient Older Persons Care

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