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dc.contributor.authorElkan, R.
dc.contributor.authorKendrick, D.
dc.contributor.authorDewey, M.
dc.contributor.authorHewitt, M.
dc.contributor.authorRobinson, J.
dc.contributor.authorBlair, M.
dc.contributor.authorBrummell, K.
dc.date.accessioned2018-01-17T11:12:33Z
dc.date.available2018-01-17T11:12:33Z
dc.date.issued2001
dc.identifier.citationElkan, R., Kendrick, D., Dewey, M., Hewitt, M., Robinson, J., Blair, M., . . . Brummell, K. (2001) Effectiveness Of Home Based Support For Older People: Systematic Review And Meta-Analysis. BMJ: British Medical Journal, 323(7315), 719-724.nb_NO
dc.identifier.urihttp://hdl.handle.net/11250/2477917
dc.description.abstractOBJECTIVE: To evaluate the effectiveness of home visiting programmes that offer health promotion and preventive care to older people. DESIGN: Systematic review and meta-analysis of 15 studies of home visiting. PARTICIPANTS: older people living at home, including frail older people at risk of adverse outcomes. OUTCOME MEASURES: Mortality, admission to hospital, admission to institutional care, functional status, health status. RESULTS: Home visiting was associated with a significant reduction in mortality. The pooled odds ratio for eight studies that assessed mortality in members of the general elderly population was 0.76 (95% confidence interval 0.64 to 0.89). Five studies of home visiting to frail older people who were at risk of adverse outcomes also showed a significant reduction in mortality (0.72; 0.54 to 0.97). Home visiting was associated with a significant reduction in admissions to long term institutional care in members of the general elderly population (0.65; 0.46 to 0.91). For three studies of home visiting to frail, "at risk" older people, the pooled odds ratio was 0.55 (0.35 to 0.88). Meta-analysis of six studies of home visiting to members of the general elderly population showed no significant reduction in admissions to hospital (odds ratio 0.95; 0.80 to 1.09). Three studies showed no significant effect on health (standardised effect size 0.06; -0.07 to 0.18). Four studies showed no effect on activities of daily living (0.05; -0.07 to 0.17). CONCLUSION: Home visits to older people can reduce mortality and admission to long term institutional care.nb_NO
dc.publisherBMJ: British Medical Journalnb_NO
dc.subjecthome visiting programmesnb_NO
dc.subjecthealth promotionnb_NO
dc.subjectpreventive carenb_NO
dc.subjectmortalitynb_NO
dc.titleEffectiveness Of Home Based Support For Older People: Systematic Review And Meta-Analysisnb_NO
dc.typeJournal articlenb_NO
dc.source.pagenumber719-724nb_NO
dc.source.volume323nb_NO
dc.source.journalBMJ: British Medical Journalnb_NO
dc.source.issue7315nb_NO
dc.identifier.doihttps://doi.org/10.1136/bmj.323.7315.719


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