全球智库信息集成服务系统(G2TT): Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care

G2TT

来源类型	Publication
	Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care
	Andrea Wysocki; Mary Butler; Robert L. Kane; Rosalie A. Kane; Tetyana Shippee; and Franç; ois Sainfort
发表日期	2015-05-05
出版者	Journal of Aging and Social Policy, vol. 27, no. 3
出版年	2015
语种	英语
概述	Despite a shift from institutional services toward more home and community-based services (HCBS) for older adults who need long-term services and supports (LTSS), the effects of HCBS have yet to be adequately synthesized in the literature.",
摘要	Despite a shift from institutional services toward more home and community-based services (HCBS) for older adults who need long-term services and supports (LTSS), the effects of HCBS have yet to be adequately synthesized in the literature. This review of literature from 1995 to 2012 compares the outcome trajectories of older adults served through HCBS (including assisted living [AL]) and in nursing homes (NHs) for physical function, cognition, mental health, mortality, use of acute care, and associated harms (e.g., accidents, abuse, and neglect) and costs. NH and AL residents did not differ in physical function, cognition, mental health, and mortality outcomes. The differences in harms between HCBS recipients and NH residents were mixed. Evidence was insufficient for cost comparisons. More and better research is needed to draw robust conclusions about how the service setting influences the outcomes and costs of LTSS for older adults. Future research should address the numerous methodological challenges present in this field of research and should emphasize studies evaluating the effectiveness of HCBS.
URL	https://www.mathematica.org/our-publications-and-findings/publications/longterm-services-and-supports-for-older-adults-a-review-of-home-and-communitybased-services-versus
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/488098
推荐引用方式 GB/T 7714	Andrea Wysocki,Mary Butler,Robert L. Kane,et al. Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care. 2015.