Abstract
Introduction: Intermediate care has been developed to support older people to remain living in their own homes, combining a higher level of support with a rehabilitation focus. Evidence around their effectiveness remains mixed and there is ambiguity around the components. Aims: To establish the impact of intermediate care on institutional free survival in frail older people referred for needs assessment in New Zealand (NZ).Methods: pre-planned meta-analysis of three randomised controlled trials with follow-up at 3, 6, 12, 18 and 24 months. A total of 567 older people at risk of permanent institutionalisation as well as their primary informal carer (n = 234) were randomised to either intermediate or usual care. Interventions had common key features of care management, though varied in the use of ongoing care provision. Results: The adjusted hazard ratio for the combined primary outcome of death or residential entry was 31% lower with a 95% confidence interval of (9%, 47%) for the intermediate care initiatives compared with usual care. Conclusion: Intermediate care utilising a care management approach reduces a frail older person's risk of mortality and permanent institutionalisation.
Original language | English |
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Pages (from-to) | 722-728 |
Number of pages | 7 |
Journal | Age and Ageing |
Volume | 41 |
Issue number | 6 |
DOIs | |
Publication status | Published - Nov 2012 |
Keywords
- Ageing in place
- Care management
- Institutionalisation
- Intermediate care
- Older people