Simone Sarti, Francesco Molteni, Federica Cretazzo, Gianluca Giardini, Stefania Pozzati, Oriana Bruno
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引用次数: 0
摘要
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。
A Home-Care Service for Frail Older Adults: Findings from a Quasi-Experiment in Milan
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.
期刊介绍：
As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in:
ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.
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