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Frequency and determinants of urgent requests to home care agencies for community-dwelling elderly
Brigitte Santos-Eggimann1, Nicole Chavaz Cirilli, Jean-Jacques Monachon
1Health services research unit, Institut universitaire de médecine sociale et préventive, Rue du Bugnon 17, CH-1005 Lausanne, Switzerland. Brigitte.Santos-Eggimann@inst.hospvd.ch
Abstract:
We analyzed a one-year case series and performed a longitudinal (4 month) cohort analysis of urgent requests made to home care agencies by and for their > or = 65 years old clients in order to estimate the frequency of unscheduled services delivered by home care agencies and to identify risk factors. All 40 home care agencies located in a Swiss region were included in the study and we registered 3,816 urgent requests (75/1,000 > or = 65 years residents per year). Among home care users, the presence of a urinary catheter, incontinence and the need for assistance in bathing were predictors of unscheduled services. Resources should be planned in order to help home care teams to handle unexpected, disruptive clusters of urgent requests that may compromise their scheduled activities.
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