Medical day hospital care for the elderly versus alternative forms of care

Förster, Anne; Young, John; Lambley, Ruth; Langhorne, Peter

doi:10.1002/14651858.cd001730.pub2

Cited by 22 publications

(16 citation statements)

References 52 publications

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“…The model of service delivery was developed in the UK in the 1950's and 1960's and has been applied widely including in Australia, Canada, New Zealand, the USA and a number of European countries (Forster, Young, Lambley & Langhorne, 2008). As is the case with other rehabilitation services day hospitals are required to demonstrate their effectiveness.…”

Section: Introductionmentioning

confidence: 99%

“…They are as equally as effective in delaying death, reducing average hospital stay and reducing institutionalisation as other comprehensive older people services and perform better than when no comprehensive service is provided (Forster et al, 2008). Despite this, dissatisfaction has been expressed with the instruments have been used to evaluate the success of day hospitals for older people, principally because they do not capture the variety of benefits thought to be delivered by the multidisciplinary services or are considered too complex to be used routinely (Black, 2000;Forster, Young & Langhorne, 1999;Stolee, Rockwood, Fox & Streiner, 1992).…”

Section: Introductionmentioning

confidence: 99%

“…Despite this, dissatisfaction has been expressed with the instruments have been used to evaluate the success of day hospitals for older people, principally because they do not capture the variety of benefits thought to be delivered by the multidisciplinary services or are considered too complex to be used routinely (Black, 2000;Forster, Young & Langhorne, 1999;Stolee, Rockwood, Fox & Streiner, 1992). As day hospitals can be considered relatively expensive (Forster et al, 2008) it is important that benefits derived are clear so that decisions about funding are fully informed. One solution to this has been to consider the achievement of individually tailored goals related to rehabilitation in these services to measure success.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Validity of Goal Achievement as an Outcome Measure in Physical Rehabilitation Day Hospitals for Older People

Kneebone¹,

Hurn²,

Raisbeck³

et al. 2010

International Journal of Disability, Development and Education

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Physical rehabilitation day hospitals are widely used community-based services designed to meet the medical and rehabilitation needs of older people. While there is evidence for the effectiveness of these services, concerns about the shortcomings of how this is measured has led to the recommendation the achievement of individually tailored goals be used to assess outcomes. This study considered whether such goal achievement demonstrated validity with respect to a standardised measure. The association between goal achievement and change in Nottingham Health Profile-Part 1 (NHP-1) scores was considered for 102 people attending four physical rehabilitation day hospitals. The predicted significant positive relationship between the percentage of goals achieved by participants and NHP-1 scores was not found.This remained evident when functional goals were considered separately to medical goals.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Validity of Goal Achievement as an Outcome Measure in Physical Rehabilitation Day Hospitals for Older People

Kneebone¹,

Hurn²,

Raisbeck³

et al. 2010

International Journal of Disability, Development and Education

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“…101 Day-hospital care has also shown a trend towards a reduction in in-patient hospital bed use and the need for residential aged care placement for a general geriatric population. 45 Whilst they are not formal cost-effectiveness analyses, these study findings are important, given the high demand on health care resources.…”

Section: Cost-effectivenessmentioning

confidence: 99%

“…45 A number of studies have shown that exercise interventions delivered in the out-patient setting for people with PD are feasible and safe.…”

Section: Rehabilitation Settingmentioning

confidence: 99%

Evaluation and delivery of ambulatory rehabilitation for people with Parkinson's disease

Goodwin

Lan

2014

Rev. Clin. Gerontol.

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SummaryParkinson's disease (PD) is a common and costly condition affecting a predominantly older population. Physical rehabilitation has been shown to enhance motor performance and functional mobility in the shortterm. However, there is limited information available about how best to design and deliver an ambulatory rehabilitation (AR) programme for this patient group. This article reviews the current evidence, aiming to provide guidance about best-practice service provision. We highlight the benefits of group therapy and techniques aimed at reducing falls. Further research is required to determine the optimal dose and intensity of AR necessary to provide sustained benefits in people with different stages of PD.

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Medical day hospital care for older people versus alternative forms of care

Brown

Forster

Young

et al. 2015

Cochrane Database of Systematic Reviews

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Background The proportion of the world's population aged over 60 years is increasing. Therefore, there is a need to examine different methods of healthcare provision for this population. Medical day hospitals provide multidisciplinary health services to older people in one location. Objectives To examine the effectiveness of medical day hospitals for older people in preventing death, disability, institutionalisation and improving subjective health status.

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Medical day hospital care for the elderly versus alternative forms of care

Cited by 22 publications

References 52 publications

The Validity of Goal Achievement as an Outcome Measure in Physical Rehabilitation Day Hospitals for Older People

The Validity of Goal Achievement as an Outcome Measure in Physical Rehabilitation Day Hospitals for Older People

Evaluation and delivery of ambulatory rehabilitation for people with Parkinson's disease

Medical day hospital care for older people versus alternative forms of care

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