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Geriatric day care and homemaker services: an experimental study

T T Wan, W G Weissert, B B Livieratos

    Journal of Gerontology
    |March 1, 1980
    PubMed
    Summary

    Geriatric day care and homemaker services significantly improved patient physical functioning and contentment. However, primary diagnosis and prognosis were stronger predictors of outcomes than service utilization.

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    Area of Science:

    • Gerontology
    • Health Services Research
    • Patient Outcomes

    Background:

    • Geriatric care services aim to improve the well-being of older adults.
    • Understanding the impact of specific services like day care and homemaker support is crucial for evidence-based practice.

    Purpose of the Study:

    • To evaluate the effectiveness of geriatric day care and homemaker services on patient outcomes.
    • To identify factors influencing the success of these interventions.

    Main Methods:

    • Randomized controlled trial design with experimental and control groups.
    • Assessment of patient outcomes including physical functioning, activity level, and contentment.
    • Multivariate analysis to determine predictors of outcomes.

    Main Results:

    • Significant improvements in physical functioning and activity levels were observed in the day care group.
    • The homemaker services group showed significant improvements in physical functioning and contentment.
    • Combined services demonstrated improvements across all measured outcomes.
    • Increased service utilization correlated with better outcomes.
    • Primary diagnosis, prognosis, and prior hospitalizations were significant predictors across all outcome measures.

    Conclusions:

    • Geriatric day care and homemaker services positively impact patient outcomes.
    • While service use is beneficial, patient-specific factors like diagnosis and prognosis play a more substantial role in determining outcomes.
    • Tailoring interventions based on individual patient characteristics is recommended.

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