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Comparison of health and functional ability between noninstitutionalized and least dependent institutionalized elderly in Finland
Author(s)Anja Noro, Seppo Aro
Journal titleThe Gerontologist, vol 37, no 3, June 1997
Pagespp 374-383
KeywordsMobility ; Self care capacity ; Health [elderly] ; Living in the community ; Care homes ; Comparison ; Finland.
AnnotationFinland's active de-institutionalisation policy aims to reduce the number of older people in long-term residential care and to enable older people to live at home for as long as possible. As a contribution to the appropriateness of long-term institutional care, this study compared the health and functional ability of older people living at home or in residential care to assess the theoretical possibility of discharging the least dependent residents, using findings from two separate data sets. Results showed that older people living at home were in better health and had better functional ability than those in residential care. However, those needing help with activities of daily living (ADLs) assessed their health as being even worse than those in residential care, and approximated that of institutionalised older people judged by staff to be able to manage with home-based care. Older people in residential care assessed as able to manage in-home care were mostly single and had less education and more restrictions in their instrumental ADLs and medication. The results suggest that one third of those assessed as able to manage in-home care could possibly be discharged if adequate services and housing were available. (AKM).
Accession NumberCPA-980812409 A
ClassmarkC4: CA: CC: K4: KW: 48: 76L

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