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Centre for Policy on Ageing | |
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Buying Time 1
— a prospective, controlled trial of a joint health/social care residential rehabilitation unit for older people on discharge from hospital | | Author(s) | Tessa Trappes-Lomax, Annie Ellis, Mary Fox |
| Journal title | Health & Social Care in the Community, vol 14, no 1, January 2006 |
| Pages | pp 49-62 |
| Source | www.blackwellpublishing.com/hsc |
| Keywords | Rehabilitation ; Care homes ; Interaction [welfare services] ; Devon. |
| Annotation | The effectiveness of a joint NHS/social services rehabilitation unit (a form of intermediate care) for older people on discharge from 10 community hospitals in Devon, is compared with "usual" community services. Criteria for inclusion in the "Buying Time" study were those aged 55+ and 'likely to benefit from a short-term rehabilitation programme' ('potential to improve', 'realistic and achievable goals', and 'motivation to participate'). 94 people were recruited to the intervention, 6 weeks in a rehabilitation unit where they worked to regain their independence with care/rehabilitation assistants and occupational therapists. 112 controls went home with the health and social care services they would usually receive. Mean age was 81.8 years. The main outcome measure was prevention of institutionalisation assessed by the number of days from baseline interview to admission to residential/nursing home care or death ('survival at home time'). Secondary outcome measures were time to hospital re-admission over 12 months, quality of life and coping ability. There were no significant differences between the groups on any outcome measure. However, attending the unit was associated with earlier hospital discharge. The median (and interquartile range) number of days in hospital for the intervention group was 27 (20, 40), and for the control group 35 (22, 47). Overall, these findings suggest a stay in the rehabilitation unit is no more effective than "usual" care at diverting people from hospital or long-term care. (RH). |
| Accession Number | CPA-060314210 A |
| Classmark | LM: KW: QK6: 8DE |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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