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Outcomes of coordinated and integrated interventions targeting frail elderly people: a systematic review of randomised controlled trials

Eklund, Kajsa LU and Wilhelmson, Katarina LU (2009) In Health & Social Care in the Community 17(5). p.447-458
Abstract
The aim of this study was to review randomised controlled trials on integrated and coordinated interventions targeting frail elderly people living in the community, their outcome measurements and their effects on the client, the caregiver and healthcare utilisation. A literature search of PubMed, AgeLine, Cinahl and AMED was carried out with the following inclusion criteria: original article; integrated intervention including case management or equivalent coordinated organisation; frail elderly people living in the community; randomised controlled trials; in the English language, and published in refereed journals between 1997 and July 2007. The final review included nine articles, each describing one original integrated intervention... (More)
The aim of this study was to review randomised controlled trials on integrated and coordinated interventions targeting frail elderly people living in the community, their outcome measurements and their effects on the client, the caregiver and healthcare utilisation. A literature search of PubMed, AgeLine, Cinahl and AMED was carried out with the following inclusion criteria: original article; integrated intervention including case management or equivalent coordinated organisation; frail elderly people living in the community; randomised controlled trials; in the English language, and published in refereed journals between 1997 and July 2007. The final review included nine articles, each describing one original integrated intervention study. Of these, one was from Italy, three from the USA and five from Canada. Seven studies reported at least one outcome measurement significantly in favour of the intervention, one reported no difference and one was in favour of the control. Five of the studies reported at least one outcome on client level in favour of the intervention. Only two studies reported caregiver outcomes, both in favour of the intervention for caregiver satisfaction, but with no effect on caregiver burden. Outcomes focusing on healthcare utilisation were significantly in favour of the intervention in five of the studies. Five of the studies used outcome measurements with unclear psychometric properties and four used disease-specific measurements. This review provides some evidence that integrated and coordinated care is beneficial for the population of frail elderly people and reduces health care utilisation. There is a lack of knowledge about how integrated and coordinated care affects the caregiver. This review pinpoints the importance of using valid outcome measurements and describing both the content and implementation of the intervention. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
multi-professional, interventions, frail elderly people, case management, community residents
in
Health & Social Care in the Community
volume
17
issue
5
pages
447 - 458
publisher
Wiley-Blackwell
external identifiers
  • wos:000268655700003
  • scopus:68849121943
ISSN
0966-0410
DOI
10.1111/j.1365-2524.2009.00844.x
language
English
LU publication?
yes
id
2ce3743a-4821-454b-9c80-c1fa86883a88 (old id 1459962)
date added to LUP
2009-08-31 10:43:44
date last changed
2017-11-26 03:26:19
@article{2ce3743a-4821-454b-9c80-c1fa86883a88,
  abstract     = {The aim of this study was to review randomised controlled trials on integrated and coordinated interventions targeting frail elderly people living in the community, their outcome measurements and their effects on the client, the caregiver and healthcare utilisation. A literature search of PubMed, AgeLine, Cinahl and AMED was carried out with the following inclusion criteria: original article; integrated intervention including case management or equivalent coordinated organisation; frail elderly people living in the community; randomised controlled trials; in the English language, and published in refereed journals between 1997 and July 2007. The final review included nine articles, each describing one original integrated intervention study. Of these, one was from Italy, three from the USA and five from Canada. Seven studies reported at least one outcome measurement significantly in favour of the intervention, one reported no difference and one was in favour of the control. Five of the studies reported at least one outcome on client level in favour of the intervention. Only two studies reported caregiver outcomes, both in favour of the intervention for caregiver satisfaction, but with no effect on caregiver burden. Outcomes focusing on healthcare utilisation were significantly in favour of the intervention in five of the studies. Five of the studies used outcome measurements with unclear psychometric properties and four used disease-specific measurements. This review provides some evidence that integrated and coordinated care is beneficial for the population of frail elderly people and reduces health care utilisation. There is a lack of knowledge about how integrated and coordinated care affects the caregiver. This review pinpoints the importance of using valid outcome measurements and describing both the content and implementation of the intervention.},
  author       = {Eklund, Kajsa and Wilhelmson, Katarina},
  issn         = {0966-0410},
  keyword      = {multi-professional,interventions,frail elderly people,case management,community residents},
  language     = {eng},
  number       = {5},
  pages        = {447--458},
  publisher    = {Wiley-Blackwell},
  series       = {Health & Social Care in the Community},
  title        = {Outcomes of coordinated and integrated interventions targeting frail elderly people: a systematic review of randomised controlled trials},
  url          = {http://dx.doi.org/10.1111/j.1365-2524.2009.00844.x},
  volume       = {17},
  year         = {2009},
}