ERIC Number: ED312516
Record Type: RIE
Publication Date: 1988-Nov
Reference Count: N/A
An Evaluation of the Senior Home Care Project.
Wolf, Rosalie S.
The Senior Home Care Program (SHCP) attempted to demonstrate the feasibility of integrating and coordinating medical, home health services, and home care for members of a senior health plan. It was designed to show how a state-supported home care system could work with health maintenance organizations to improve community-based long-term care. A quasi-experimental pre/post research design was carried out in which the clients in the SHCP (N=50) constituting the experimental group, were compared on a series of demographic, health, functional, psychological, social and health service variables with a matched group of elders (N=50) constituting the control group who were receiving services in a traditional manner. The results indicated that in terms of affecting the functional, mental/emotional, or social status of the clients, the experimental treatment had no effect. The two groups were extraordinarily alike at admission and at 3, 6, and 12 months later. The fact that the clinical team (the integrative case management unit) had virtually no effect on the physical, cognitive, and social status of the clients and their utilization of services raises a serious question concerning the lack of benefits of the SHCP as it was designed. However, the team effort did lead to greater understanding and knowledge among the team members about the functions, roles, and resources of the participating agencies. (ABL)
Publication Type: Reports - Evaluative; Tests/Questionnaires
Education Level: N/A
Authoring Institution: Massachusetts Univ. Medical Center, Worcester. Univ. Center on Aging.
Note: Submitted to Elder Home Care Services of Worcester Area, Inc.