Case Management and Risk of Nursing Home Admission for Older Adults in Home Care: Results of the AgeD in HOme Care Study
Version of Record online: 21 FEB 2007
© 2007, Copyright the Authors. Journal compilation © 2007, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 55, Issue 3, pages 439–444, March 2007
How to Cite
Onder, G., Liperoti, R., Soldato, M., Carpenter, I., Steel, K., Bernabei, R. and Landi, F. (2007), Case Management and Risk of Nursing Home Admission for Older Adults in Home Care: Results of the AgeD in HOme Care Study. Journal of the American Geriatrics Society, 55: 439–444. doi: 10.1111/j.1532-5415.2007.01079.x
- Issue online: 2 MAR 2007
- Version of Record online: 21 FEB 2007
- home care;
- case manager;
- nursing home admission
OBJECTIVES: To explore the relationship between a case management approach and the risk of institutionalization in a large European population of frail, old people in home care.
DESIGN: Retrospective cohort study.
SETTING: Eleven European countries.
PARTICIPANTS: Three thousand two hundred ninety-two older adults receiving home care (mean age 82.3±7.3).
MEASUREMENTS: Data on nursing home admission were collected every 6 months for 1 year.
RESULTS: One thousand one hundred eighty-four (36%) persons received a home care program based on case management, and 2,108 (64%) received a traditional care approach (no case manager). During the 1-year follow-up, 81 of 1,184 clients (6.8%) in the case management group and 274 of 2,108 (13%) in the traditional care group were admitted to a nursing home (P<.001). After adjusting for potential confounders, the risk of nursing home admission was significantly lower for participants in the case management group than for those in a traditional care model (adjusted odds ratio=0.56, 95% confidence interval=0.43–0.63).
CONCLUSION: Home care services based on a case management approach reduce risk of institutionalization and likely lower costs.