ERIC Number: ED179904
Record Type: RIE
Publication Date: 1979-Aug
Reference Count: 0
Effects and Costs of Day Care and Homemaker Services for the Chronically Ill: A Randomized Experiment. Research Summary Series.
Weissert, W. G.; And Others
The effects of adult day care and homemaker services on a Medicare-eligible population were examined, and the impacts of those services on institutionalization and Medicare costs was assessed. Differences between experimental and control groups in health outcomes were also compared, and patients were identified for whom the new services might prove more effective. Day care is defined as a program of services provided under health leadership in an ambulatory care setting for adults who do not require 24-hour institutional care. Homemaker services consist of home management, personal care, supportive activities and health care management services. Subjects initially numbered 1,871 and were divided into three study groups: (1) day care patients and a control group, (2) homemaker patients and a control group, and (3) patients who received both services and a control group. Findings reported that day care patients had fewer days per year (four) in a skilled nursing facility as compared to their control group (nine). Those using homemaker services spent the same amount of time in a skilled nursing facility as did their control group (four each). Also, the proportion of patients in the combined services experimental group who died during the study year was significantly lower than that of the control group. (Author/BMW)
Descriptors: Adult Day Care, Adult Programs, Day Care, Health Needs, Health Services, Home Programs, Medical Care Evaluation, Older Adults, Research Projects, Special Health Problems
National Center for Health Service Research, Publications and Information Branch, Room 7-44, 3700 East-West Highway, Hyattsville, MD 20782
Publication Type: Reports - Research
Education Level: N/A
Sponsor: Department of Health, Education, and Welfare, Washington, DC. Office of Research and Statistics.
Authoring Institution: National Center for Health Services Research (DHEW/PHS), Hyattsville, MD.