+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A comparison of home care clients and nursing home residents: can community based care keep the elderly and disabled at home?



A comparison of home care clients and nursing home residents: can community based care keep the elderly and disabled at home?



Home Health Care Services Quarterly 18(1): 25-45



Admission cohorts from the Michigan Medicaid Home and Community-Based Waiver program and Ohio nursing homes were compared on measures of resource utilization including a modified Resource Utilization Groups (RUG-III) system, Activities of Daily Living (ADLs), and overall case mix. We found that, contrary to previous research, the two samples were remarkably similar across RUG-III categories. However, the nursing home sample was more functionally impaired on measures of ADL functioning and overall case mix. Results of this study may inform policymakers and providers of the potential for maintaining the appropriate population in the home with government-funded home care.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 045048342

Download citation: RISBibTeXText

PMID: 10947561

DOI: 10.1300/j027v18n01_02


Related references

Prescriptions of psychoactive drugs to elderly A comparison between nursing home residents with need of care and patients living at home with and without need of care. Zeitschrift fuer Gerontologie und Geriatrie 37(3): 214-220, 2004

Modeling and evaluating evidence-based continuing education program in nursing home dementia care (MEDCED)--training of care home staff to reduce use of restraint in care home residents with dementia. A cluster randomized controlled trial. International Journal of Geriatric Psychiatry 31(1): 24-32, 2016

Quality of care among older adults with diabetes mellitus: comparison between community-dwelling adults attended to by home care services and nursing home residents in Dresden. Zeitschrift für Arztliche Fortbildung und Qualitatssicherung 101(9): 623-629, 2008

Body mass index, weight loss and energy intake of old Danish nursing home residents and home-care clients. Scandinavian Journal of Caring Sciences 16(1): 86-90, 2002

Transition from home care to nursing home: unmet needs in a home- and community-based program for older adults. Journal of Aging and Social Policy 24(3): 251-270, 2012

Factors related to the provision of home-based end-of-life care among home-care nursing, home help, and care management agencies in Japan. Bmc Research Notes 8: 434, 2016

Is health care use changing? A comparison between physician, hospital, nursing-home, and home-care use of two elderly cohorts. Medical Care 27(11): 1002-1014, 1989

Developing a health interview tool for Medicaid home and community-based services clients and home care aides through a community-engaged approach. Home Health Care Services Quarterly 2018: 1-13, 2018

Rheumatologic care of nursing home residents with rheumatoid arthritis: a comparison of the year before and after nursing home admission. Rheumatology International 37(12): 2059-2064, 2017

Design and development of a mobile exercise application for home care aides and older adult medicaid home and community-based clients. Home Health Care Services Quarterly 36(3-4): 196-210, 2017

Home nursing care. III. Home care for the mobility disabled--a case study of a spinal cord injury client. Taehan Kanho. Korean Nurse 30(3): 18-25, 1991

Efficacy of integrated interventions combining psychiatric care and nursing home care for nursing home residents: a review of the literature. International Journal of Geriatric Psychiatry 25(1): 3-13, 2011

Integrated Palliative Care for Nursing Home Residents: Exploring the Challenges in the Collaboration between Nursing Homes, Home Care and Hospitals. International Journal of Integrated Care 19(2): 3, 2019

Titrating versus targeting home care services to frail elderly clients: an application of agency theory and cost-benefit analysis to home care policy. Journal of Aging and Health 15(1): 99-123, 2003

Selected issues in long-term care: profile of cognitive disability of nursing home residents and the use of informal and formal care by elderly in the community. Vital & Health Statistics. Series 3, Analytical and Epidemiological Studies: 143-185, 1993