A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2021-09-22 DOI:10.1007/s12126-021-09462-6

Simone Sarti, Francesco Molteni, Federica Cretazzo, Gianluca Giardini, Stefania Pozzati, Oriana Bruno

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Abstract

Population aging is particularly pronounced in Italy. Recently, home-care services emerged as one of the desirable strategy when dealing with such situations of fragility. In this framework, we present the evaluation of a home-care service which was experimentally implemented by Fondazione Sacra Famiglia and Casa di Cura Ambrosiana in the 2017–2018 biennium. The service consisted of a twice-weekly nursing visit intended to monitor patient health conditions and to gather data constantly supervised by a geriatrician. The eligible population consisted of the users of San Carlo Hospital Emergency Department (91 individuals). Twenty of these individuals had access to the experimental home-care service. The results show the smaller probability of mortality for the treatment group compared to the control group, but similar probabilities in admissions to ER and in hospitalizations. These findings suggest that health home-care policies could reduce mortality by lessening the negative effects of relational isolation.

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针对体弱老年人的家庭护理服务：米兰一项准实验的发现

人口老龄化在意大利尤为明显。最近，家庭护理服务成为应对这种脆弱情况的理想策略之一。在这个框架中，我们对Sacra Famiglia基金会和Casa di Cura Ambrosiana在2017-2018双年度实验性实施的家庭护理服务进行了评估。该服务包括每周两次的护理访问，旨在监测患者的健康状况，并在老年病学家的监督下不断收集数据。符合条件的人群包括圣卡罗医院急诊科的使用者（91人）。其中20人可以获得实验性的家庭护理服务。结果显示，与对照组相比，治疗组的死亡率较小，但急诊入院和住院的概率相似。这些发现表明，健康家庭护理政策可以通过减少关系隔离的负面影响来降低死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.