The Effect of Adult Day Services on Delay to Institutional Placement. Kelly, R., Puurveen, G., & Gill, R. Journal Of Applied Gerontology: The Official Journal Of The Southern Gerontological Society, Sage Publications for the Southern Gerontological Society, 2, 2014.
Website abstract bibtex Delays to institutionalization were compared between elderly individuals who differed in the amounts ("dosages") of adult day services (ADS) they attended. A Kaplan-Meier survival analysis revealed higher dosages of ADS to be associated with greater delays to institutionalization. Retrospective data from financial and service utilization systems and from the Resident Assessment Instrument for Home Care (RAI-HC) were then used to fit a Cox regression model that was adjusted for potential selection biases. This model also found systematically lower hazards for institutionalization at higher ADS dosages. The ADS effect did not appear to be an artifact of increased utilization of additional home health services. Results suggest a beneficial effect of ADS on delay to institutionalization that cannot be attributed to home support, respite, or case management services.;
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notes = {ID: 24717560; Accession Number: 24717560. Language: English. Date Created: 20140410. Update Code: 20140414. Publication Type: JOURNAL ARTICLE. Journal ID: 8606502. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: J Appl Gerontol. Linking ISSN: 07334648. Date of Electronic Publication: 2014 Apr 2. Current Imprints: Publication: : Thousand Oaks, CA : Sage Publications for the Southern Gerontological Society; Original Imprints: Publication: Tampa, Fla. : The Southern Gerontologial Society, c1982-},
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abstract = {Delays to institutionalization were compared between elderly individuals who differed in the amounts ("dosages") of adult day services (ADS) they attended. A Kaplan-Meier survival analysis revealed higher dosages of ADS to be associated with greater delays to institutionalization. Retrospective data from financial and service utilization systems and from the Resident Assessment Instrument for Home Care (RAI-HC) were then used to fit a Cox regression model that was adjusted for potential selection biases. This model also found systematically lower hazards for institutionalization at higher ADS dosages. The ADS effect did not appear to be an artifact of increased utilization of additional home health services. Results suggest a beneficial effect of ADS on delay to institutionalization that cannot be attributed to home support, respite, or case management services.;},
bibtype = {article},
author = {Kelly, Ronald and Puurveen, Gloria and Gill, Robert},
journal = {Journal Of Applied Gerontology: The Official Journal Of The Southern Gerontological Society}
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