A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan

Population aging is particularly pronounced in Italy. Recently, home-care services emerged as one of the desirable strategy when dealing with such situations of fragility. In this framework, we present the evaluation of a home-care service which was experimentally implemented by Fondazione Sacra Fam...

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Autores principales: Sarti, Simone, Molteni, Francesco, Cretazzo, Federica, Giardini, Gianluca, Pozzati, Stefania, Bruno, Oriana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8456187/
https://www.ncbi.nlm.nih.gov/pubmed/34566206
http://dx.doi.org/10.1007/s12126-021-09462-6
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author Sarti, Simone
Molteni, Francesco
Cretazzo, Federica
Giardini, Gianluca
Pozzati, Stefania
Bruno, Oriana
author_facet Sarti, Simone
Molteni, Francesco
Cretazzo, Federica
Giardini, Gianluca
Pozzati, Stefania
Bruno, Oriana
author_sort Sarti, Simone
collection PubMed
description Population aging is particularly pronounced in Italy. Recently, home-care services emerged as one of the desirable strategy when dealing with such situations of fragility. In this framework, we present the evaluation of a home-care service which was experimentally implemented by Fondazione Sacra Famiglia and Casa di Cura Ambrosiana in the 2017–2018 biennium. The service consisted of a twice-weekly nursing visit intended to monitor patient health conditions and to gather data constantly supervised by a geriatrician. The eligible population consisted of the users of San Carlo Hospital Emergency Department (91 individuals). Twenty of these individuals had access to the experimental home-care service. The results show the smaller probability of mortality for the treatment group compared to the control group, but similar probabilities in admissions to ER and in hospitalizations. These findings suggest that health home-care policies could reduce mortality by lessening the negative effects of relational isolation.
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spelling pubmed-84561872021-09-22 A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan Sarti, Simone Molteni, Francesco Cretazzo, Federica Giardini, Gianluca Pozzati, Stefania Bruno, Oriana Ageing Int Article Population aging is particularly pronounced in Italy. Recently, home-care services emerged as one of the desirable strategy when dealing with such situations of fragility. In this framework, we present the evaluation of a home-care service which was experimentally implemented by Fondazione Sacra Famiglia and Casa di Cura Ambrosiana in the 2017–2018 biennium. The service consisted of a twice-weekly nursing visit intended to monitor patient health conditions and to gather data constantly supervised by a geriatrician. The eligible population consisted of the users of San Carlo Hospital Emergency Department (91 individuals). Twenty of these individuals had access to the experimental home-care service. The results show the smaller probability of mortality for the treatment group compared to the control group, but similar probabilities in admissions to ER and in hospitalizations. These findings suggest that health home-care policies could reduce mortality by lessening the negative effects of relational isolation. Springer US 2021-09-22 2023 /pmc/articles/PMC8456187/ /pubmed/34566206 http://dx.doi.org/10.1007/s12126-021-09462-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Sarti, Simone
Molteni, Francesco
Cretazzo, Federica
Giardini, Gianluca
Pozzati, Stefania
Bruno, Oriana
A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan
title A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan
title_full A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan
title_fullStr A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan
title_full_unstemmed A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan
title_short A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan
title_sort home-care service for frail older adults: findings from a quasi-experiment in milan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8456187/
https://www.ncbi.nlm.nih.gov/pubmed/34566206
http://dx.doi.org/10.1007/s12126-021-09462-6
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