Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Client transfers in long-term care: five years' experience.

A J Stark, G M Gutman

    American Journal of Public Health
    |November 1, 1986
    PubMed
    Summary

    Long-term care clients, whether at home or in facilities, showed similar outcomes over five years. Approximately one-third remained in the program, with many maintaining their status or receiving higher care levels.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Follow up of Stress Management Groups in Family Practice.

    Canadian family physician Medecin de famille canadien·2011
    Same author

    Contribution of self-reported health ratings to predicting frailty, institutionalization, and death over a 5-year period.

    International psychogeriatrics·2002
    Same author

    Self-care among older adults: an analysis of the objective and subjective illness contexts.

    Journal of aging and health·2001
    Same author

    Shock reduction using antitachycardia pacing for spontaneous rapid ventricular tachycardia in patients with coronary artery disease.

    Circulation·2001
    Same author

    [10 year results of preoperative radiotherapy in treatment of rectal carcinoma].

    Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·1996
    Same author

    Factors to consider in special care unit start-ups.

    The Journal of long term care administration·1996

    Area of Science:

    • Gerontology and Long-Term Care
    • Health Services Research
    • Public Health Policy

    Background:

    • Understanding the long-term trajectories of individuals in long-term care programs is crucial for healthcare planning.
    • Client outcomes, including program continuation, care level changes, discharges, and mortality, provide insights into program effectiveness and population health.
    • Previous research has not comprehensively detailed these outcomes over a five-year period for a large cohort in British Columbia.

    Purpose of the Study:

    • To analyze changes in home-facility status, level of care, discharges, and deaths over five years for clients admitted to a long-term care program.
    • To compare outcomes for clients initially admitted to home care versus facility care.
    • To assess the long-term program engagement and survival rates of elderly individuals in long-term care.

    Main Methods:

    • Retrospective cohort study of 1,653 clients newly admitted to a long-term care program in British Columbia in 1978.
    • Data collection focused on client status at five-year follow-up, including location (home/facility), level of care, discharge, and vital status (death).
    • Statistical analysis comparing outcomes between clients initially admitted to home care (N=1241) and facility care (N=412).

    Main Results:

    • After five years, 34.3% of clients initially in home care and 28.4% of those in facility care remained in the program.
    • Mortality rates were substantial: 38.9% for the home care group and 39.3% for the facility care group.
    • Few clients transitioned from facility to home care (2.4%), and a significant proportion (around one-third) remained in the program with largely unchanged status despite advanced age at admission (mean 74.7 years).

    Conclusions:

    • Long-term care program outcomes are broadly similar for clients initially admitted to home or facility settings.
    • A notable proportion of elderly clients remain engaged in long-term care programs for extended periods, highlighting the need for sustained support.
    • The findings underscore the complex and varied trajectories of individuals within long-term care systems, emphasizing both program persistence and mortality.

    Related Experiment Videos