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Health and social support services in older adults recently discharged from hospital: service utilisation and costs and exploration of the impact of a home-exercise intervention.
- Source :
- BMC Geriatrics; 4/18/2016, Vol. 16, p1-7, 7p, 3 Charts
- Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>Admission to hospital can lead to persistent deterioration in physical functioning, particularly for the more vulnerable older population. As a result of this physical deterioration, older people who have been recently discharged from hospital may be particularly high users of health and social support services. Quantify usage and costs of services in older adults after hospitalisation and explore the impact of a home-exercise intervention on service usage.<bold>Method: </bold>The present study was a secondary analysis of data from a randomised controlled trial (ACTRN12607000563460). The trial involved 340 participants aged 60 years and over with recent hospitalisation. Service use and costs were compared between intervention (12 months of home-exercise prescribed in 10 visits from a physiotherapist) and control groups.<bold>Results: </bold>33 % of participants were re-admitted to hospital, 100 % consulted a General Medical Practitioner and 63 % used social services. 56 % of costs were associated with hospital admission and 22 % with social services. There was reduction in General Medical Practitioner services provided in the home in the intervention group (IRR 0.23, CI 0.1 to 0.545, p < 0.01) but no significant between-group difference in service use or in costs for other service categories.<bold>Conclusion: </bold>There appears to be substantial hospital and social service use and costs in this population of older people. No significant impact of a home-based exercise program was evident on service use or costs.<bold>Trial Registration: </bold>Australian and New Zealand Clinical Trial Registry ACTRN12607000563460 >TrialSearch. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH of older people
SERVICES for older people
MEDICAL care for older people
SOCIAL conditions of older people
EXERCISE for older people
HOSPITAL care
COMPARATIVE studies
EXERCISE therapy
HOME care services
HOSPITAL costs
RESEARCH methodology
MEDICAL cooperation
RESEARCH
SOCIAL case work
SOCIAL support
EVALUATION research
RANDOMIZED controlled trials
DISCHARGE planning
PATIENTS' attitudes
ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 14712318
- Volume :
- 16
- Database :
- Complementary Index
- Journal :
- BMC Geriatrics
- Publication Type :
- Academic Journal
- Accession number :
- 114708512
- Full Text :
- https://doi.org/10.1186/s12877-016-0254-x