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Community care outcomes

D A Black1, C J Foster, N Maitland

  • 1Queen Mary's Hospital, Sidcup, Kent.

The British Journal of Clinical Practice
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

This study evaluated a community care scheme for frail elderly individuals, primarily those with dementia. The scheme, using informal paid carers, showed significant mortality and continued high use of hospital inpatient resources.

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Area of Science:

  • Gerontology
  • Healthcare Management
  • Public Health

Background:

  • Residential care is a costly option for frail elderly individuals.
  • Community care schemes offer potential alternatives to institutionalization.
  • Informal paid carers can supplement or replace formal care services.

Purpose of the Study:

  • To evaluate a community care scheme as an alternative to residential care.
  • To analyze client problems, dependency levels, and outcomes.
  • To assess the impact on hospital inpatient bed utilization.

Main Methods:

  • Retrospective analysis of the first 92 clients in a community care scheme.
  • Data collection on client demographics, dementia prevalence, and dependency (CAPE survey).

Related Experiment Videos

  • Tracking of client outcomes (at home, death, institutionalization) at 1 and 3 years.
  • Analysis of hospital admission rates and duration before and during the scheme.

    • Main Results:

    • The majority of clients (88/92) had dementia, with high dependency levels (40% C, 27% E).
    • After 3 years, only 24% remained at home, with 64% mortality.
    • Hospital admissions remained high, decreasing from 58% to 55% with reduced patient months (139 to 82).

    Conclusions:

    • Community care schemes for frail elderly, particularly those with dementia, require substantial informal carer support.
    • These individuals experience significant mortality and morbidity.
    • Continued high utilization of NHS inpatient resources is evident, necessitating integrated care strategies.