ERIC Number: ED265469
Record Type: Non-Journal
Publication Date: 1985-Nov
Reference Count: N/A
Effects of Home Care on the Quality of Circumstances of the Elderly.
Caro, Francis G.; Blank, Arthur E.
Home care has not consistently proven to prevent institutionalization, reduce mortality rates, reduce hospital use, or improve functional status and morale; and indeed, these objectives may be unreasonable. Rather, the purpose of home care should be to meet immediate needs of recipients which they can no longer meet themselves. Publicly-funded home care was evaluated in a study which employed quality of circumstance, a construct which includes observable conditions and behaviors such as eating regularly, having a clean residence and clothing, and ability to go out. Participants were selected from 1,068 elderly hospital patients who were functionally disabled, of low or moderate income status, and able to sign a consent form. Four months after hospitalization, participants (N=633) who had returned to home settings were interviewed on quality of circumstances subscales, including shelter, privacy, safety, household supplies, eating, choice, laundry, clothing, housecleaning, quietness, and activity. The quality of circumstances measure gave a detailed picture of living conditions linking specific problems to quality of circumstance subscales. Refinement of the scale should include improved item content, subscales corresponding to functioning measures, and improved format. (ABL)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: Community Service Society of New York, NY.