A model for integrated home care of frail older patients: The Silver Network project

Aging Clinical and Experimental Research

Volumn 11, Issue 4, 1999, Pages 262-272

  Landi, F ^a   Lattanzio, F ^b   Gambassi, G ^a,c   Zuccala G ^a   Sgadari, A ^a   Panfilo, M ^b   Ruffilli, M P ^b   Bernabei, R ^a  

^a CATHOLIC UNIVERSITY   (Italy)

^b PFIZER INC   (United States)

^c BROWN UNIVERSITY   (United States)

Author keywords

Community care programs; Comprehensive geriatric assessment; Frail elderly; Integrated home care; MDS HC assessment instrument

Indexed keywords

AGED; ARTICLE; COGNITIVE DEFECT; COMORBIDITY; DATA BASE; FEMALE; FUNCTIONAL DISEASE; GERIATRIC CARE; HEALTH CARE DELIVERY; HEALTH PROGRAM; HEALTH SERVICE; HOME CARE; HUMAN; ITALY; MAJOR CLINICAL STUDY; MALE;

EID: 0032751669     PISSN: 03949532     EISSN: None     Source Type: Journal    
DOI: 10.1007/bf03339667     Document Type: Article

References (42)

1. Steel K.: Home care for the elderly: the new institution. Arch. Intern. Med. 151: 439-442, 1991.
2. Kane R.L., Kane RA.: Long-term care. JAMA 273: 1690-1691, 1995.
3. Stuck A.E., Aronow H.U., Steiner A., Alessi C.A., Bula C., Gold M.N.: A trial of annual in-home comprehensive geriatric assessment for elderly people living in the community. N. Engl. J. Med. 333: 1184-1189, 1995.
4. Coleman B.J.: European models of long-term care in the home and community. Int. J. Health Serv. 25: 455-474, 1995.
5. Vetter N.J., Jones D.A., Victor C.R.: Effect of health visitors working with elderly patients in general practice: a randomised controlled trial. Br. Med. J. 288: 369-372, 1984.
6. Hendriksen C., Lund E., Stromgard E.: Consequences of assessment and intervention among elderly people: a three year randomised controlled trial. Br. Med. J. 289: 1522-1524, 1984.
7. Hendriksen C.: Preventive home visit among elderly people. Dan. Med. Bull. 39: 256-257, 1992.
8. Tulloch A.J., Moore V.: A randomized controlled trial of geriatric screening and surveillance in general practice. J. R. Coll. Gen. Pract. 29: 733-742, 1979.
9. Stuck A.E., Zwahlen H.G., Neuenschwander B.E., Meyer Schweizer R.A., Bauen G., Beck J.C.: Methodologic challenges of randomized controlled studies on in-home comprehensive geriatric assessment: the EIGER project. Aging Clin. Exp. Res. 7: 218-223, 1995.
10. VanRossum E., Frederiks C.M., Philipsen H., Portenger K., Wiskerke J., Knipschild P.: Effects of preventive home visits to elderly people. Br. Med. J. 307: 27-32, 1993.
11. Melin A.L., Wieland D., Harker J.O., Bygren L.O.: Health outcomes of post-hospital in-home team care: secondary analysis of a Swedish trial. J. Am. Geriatr. Soc. 43: 301-307, 1995.
12. Hansen F.R., Poulsen H., Sorensen K.H.: A model of regular geriatric follow-up by home visits to selected patients discharged from a geriatric ward: a randomized controlled trial. Aging Clin. Exp. Res. 7: 202-206, 1995.
13. Carpenter G.I., Demopoulos G.R.: Screening the elderly in the community: controlled trial of dependency surveillance using a questionnaire administered by volunteers. Br. Med. J. 300: 1253-1256, 1990.
14. Pathy M.S., Bayer A., Harding K.: Randomised trial of case finding and surveillance of elderly people at home. Lancet 340: 890-893, 1992.
15. Fabacher D., Josephson K., Pietruszka F., Linderbom K., Moeley J.E., Rubenstein L.Z.: An in-home preventive assessment program for independent older adults: a randomized controlled trial. J. Am. Geriatr. Soc. 42: 630-638, 1994.
16. Hansen F.R., Spedtsberg K., Schroll M.: Geriatric follow-up by home visits after discharge from hospital: a randomized controlled trial. Age Ageing 21: 445-450, 1992.
17. Smith D.M., Weinberger M., Katz B.P., Moore P.S.: Post-discharge care and readmissions. Med. Care 26: 699-708, 1992.
18. Fitzgerald J.F., Smith D.M., Martin O.K., Freedman J.A., Katz B.P.: A case manager intervention to reduce readmission. Arch. Intern. Med. 154: 1721-1729, 1994.
19. Naylor M., Brouten D., Jones R., Lavizzo-Mourey R., Mezey M., Pauly M.: Comprehensive discharge planning for the hospitalized elderly: a randomized clinical trial. Ann. Intern. Med. 120: 999-1006, 1994.
20. Siu A.L., Kravitz R.L., Keeler E., Hemmerling K., Kington R., Davis J.W., Michell A., Burton T.M., Morgenstern H., Beers M.H., Reuben D.B.: Post-discharge geriatric assessment for hospitalized frail elderly patients. Arch. Intern. Med. 156: 76-81, 1996.
21. Bernabei R., Landi F., Gambassi G., Sgadari A., Zuccalà G., Mor V., Rubenstein L.Z., Carbonin P.U.: Randomised trial of impact of model of integrated care and case management for older people living in community. Br. Med. J. 316: 1348-1351, 1998.
22. Morris J.N., Fries B.E., Steel K., Ikegami N., Bernabei R., Carpenter G.I.: Comprehensive clinical assessment in community setting: applicability of the MDS-HC. J. Am. Geriatr. Soc. 45: 1017-1024, 1997.
23. Landi F., Sgadari A., Cipriani L., Pahor M., Carbonin P.U., Bernabei R.: A simple program to train case managers in community elderly care. Aging Clin. Exp. Res. 8: 211-218, 1996.
24. Challis D., Darton R., Johnson L., Stone M., Traske K.: An evaluation of an alternative to long-stay hospital care for frail elderly patients: the model of care. Age Ageing 20: 236-244, 1991.
25. Bernabei R., Landi F., Manigrasso L., Sgadari A.: VAOR-ADI - Manuale di istruzione. Pfizer Italia SpA, 1996, Roma.
26. Morris J.N., Hawes C., Fries B.E., Phillips C.D., Mor V., Katz S., Murphy K., Drugovich M.L., Friedlob A.S.: Designing the national resident assessment instrument for nursing home. Gerontologist 30: 293-297, 1990.
27. Morris J.N., Fries B.E., Meher D.R., Hawes C., Phillips C., Mor V., Lipsitz L.: MDS Cognitive Performance Scale. J. Gerontol. 49: M174-M182, 1994.
28. Hawes C., Morris J.N., Phillips C.D., Mor V., Fries B.E., Nonemaker S.: Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS). Gerontologist 2: 172-178, 1995.
29. Phillips C.D., Morris J.N., Hawes C., Fries B.E., Mor V., Neunstiel M., Iannacchione V.: Association of the Resident Assessment Instrument (RAI) with changes in function, cognition, and psycho-social status. J. Am. Geriatr. Soc. 45: 986-993, 1997.
30. Hartmaier S.L., Sloane P.D., Guess H.A., Koch G.C., Mitchell C.M., Phillips C.D.: Validation of the Minimum Data Set Cognitive Performance Scale: agreement with the Mini-Mental State Examination. J. Gerontol. 50: M128-M133, 1995.
31. Gambassi G., Landi F., Peng L., Brostrup-Jansen C., Calore K., Hiris J., Lipsitz L., Mor V., Bernabei R.: Validity of diagnostic and drug data in standardized nursing home resident assessments: potential for geriatric pharmacoepidemiology. Med. Care 36: 167-179, 1998.
32. Bernabei R., Gambassi G., Lapane K., Landi F., Gatsonis C., Dunlop R., Lipsitz L., Steel K., Mor V.: Management of pain in elderly patients with cancer. JAMA 279: 1877-1882, 1998.
33. Davies B.: British home and community care: research-based critiques and the challenge of the new policy. Soc. Sci. Med. 38: 883-903, 1994.
34. Black D., Bowman C.: Community institutional care for frail elderly people. Br. Med. J. 315: 441-442, 1997.
35. Landi F., Gambassi G., Pola R., Tabaccanti S., Cavinato T., Bernabei R.: Impact of integrated home care services on hospital utilization. J. Am. Geriatr. Soc. (in press), 1999.
36. st Century. Kobe, Japan, 1998.
37. Bernabei R., Gambassi G., Lapane K., Sgadari A., Landi F., Gatsonis C., Lipsitz L., Mor V.: Characteristics of the SAGE Database: a new resource for research on outcomes in long-term care. J. Gerontol. 54A: M25-M33, 1998.
38. Bernabei R., Gambassi G., Mor V.: The SAGE database: introducing functional outcomes in geriatric pharmaco-epidemiology. J. Am. Geriatr. Soc. 46: 250-252, 1998.
39. Kane R.L.: Improving the quality of long-term care. JAMA 273: 1376-1380, 1995.
40. Evans J.G.: Evidence-based and evidence biased medicine. Age Ageing 24: 461-463, 1995.
41. Hunter D.J.: Disease management. Br. Med. J. 314: 50-53, 1997.
42. Phillips C.D., Sloane, P.D., Hawes C., Koch G., Han J., Spry K., Dunteman G., Williams R.L.: Effects of residence in Alzheimer disease special care units on functional outcomes. JAMA 278: 1340-1344, 1997.