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The Use of Preventive Home Visits among Frail Elderly Persons: Evidence from Three European Countries

Published online by Cambridge University Press:  29 November 2010

John P. Hirdes
Affiliation:
University of Waterloo and Freeport Hospital*
Peter J. Naus
Affiliation:
University of Waterloo and Freeport Hospital*
Janet E. Young
Affiliation:
University of Waterloo and Freeport Hospital*

Abstract

The interest in preventive approaches to the health problems of older persons has increased substantially in recent years, partly in response to escalating health care costs. The present paper involves a critical examination of the potential usefulness of preventive home visits in the Canadian context in light of demonstration projects in other jurisdictions. The paper concludes with recommendations for Canadian research on the use of preventive home visits.

Résumé

Au cours des dernières années, les méthodes de prévention face aux problèmes de santé chez les personnes âgées ont suscité un plus vif intérêt, particulièrement en raison de la hausse importante des coûts de soins de santé. Le présent article examine de façon critique la possible utilité des visites de prévention à domicile dans le contexte canadien et ce, à la lumière des projets pilotes menés dans d'autres régions. En conclusion de celui-ci, on retrouve une liste de recommandations de recherches à mener au Canada sur l'utilité de telles visites de prévention à domicile.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 1994

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References

Andersen, R., & Newman, J.F. (1973). Societal and Individual Determinants of Medical Care Utilization in the United States. Millbank Memorial Fund Quarterly, 51, 95124.CrossRefGoogle ScholarPubMed
Bliss, M.R. (1988). The Elderly Smoker. [Editorial]. The Lancet (8616), 908.CrossRefGoogle ScholarPubMed
Currie, G., MacNeill, R.M., Walker, J.G., Barnie, E., & Mudie, E.W. (1974). Medical and Social Screening of Patients Aged 70 to 72 by an Urban General Practice Health Team. British Medical Journal, 2, 108111.CrossRefGoogle ScholarPubMed
Ebrahim, S. (1986). Health Visitors and the Elderly — Letter. The Lancet, II (8506), 576.CrossRefGoogle Scholar
Forbes, W.F., Jackson, J.A., & Kraus, A.S. (1987). Institutionalization of the Elderly in Canada. Toronto: Butterworths.Google Scholar
Forciea, M. (1989). Nutrition, Alcohol and Tobacco in Late Life. In Lavizzo-Mourey, R., Day, S.C., Diserens, D., & Grisso, J.A. (Eds.), Practicing Prevention for the Elderly. Philadelphia: Hanley and Belfus, Inc.Google Scholar
Freer, C.B. (1990) Screening the Elderly. British Medical Journal, 300, 14471448.CrossRefGoogle ScholarPubMed
Hall, N., De Beck, P., Johnson, D., Mackinnon, K., Gutman, G., & Glick, N. (1992). Randomized Trial of a Health Promotion Program for Frail Elders. Canadian Journal on Aging, 11, 7291.CrossRefGoogle Scholar
Hendriksen, C, Lund, E., & Strømgård, E. (1984). Consequences of Assessment and Intervention Among Elderly People: A three Year Randomised Controlled Trial. British Medical Journal, 289, 15221524.CrossRefGoogle ScholarPubMed
Hendriksen, C, Lund, E., & Strømgård, E. (1989). Hospitalization of Elderly People: A 3-year Controlled Trial. Journal of the American Geriatrics Society, 37, 117122.CrossRefGoogle ScholarPubMed
Kerkstra, A., Castelein, E., & Philipsen, H. (1991). Preventive Home Visits to Elderly People by Community Nurses in the Netherlands. Journal of Advanced Nursing, 16, 631637.CrossRefGoogle ScholarPubMed
Lianov, L., Kohatsu, N., & Bohnstedt, M. (1991). Referral Outcomes From a Community-based Preventive Health Care Program for Elderly People. The Ger-ontologist, 31, 543547.Google ScholarPubMed
Lonergan, E.T., & Krevans, J.R. (1991). A National Agenda for Research on Aging. New England Journal of Medicine, 324, 18251828.CrossRefGoogle ScholarPubMed
MacLennan, W.J. (1990). Screening Elderly Patients: A Task Well Suited to Health Visitors? British Medical Journal, 300, 694695.CrossRefGoogle Scholar
Olshansky, S.J., Rudberg, M.A., Carnes, B.A., Cassel, C.K., & Brody, J.A. (1991). Trading Off Longer Life for Worsening Health. Journal of Aging and Health, 3, 194216.CrossRefGoogle Scholar
Ontario, . (1993). Partnerships in Long Term Care. Toronto: Queen's Printer for Ontario.Google Scholar
Pathy, M.S.J., Bayer, A., Harding, K., & Dibble, A. (1992). Randomised Trial of Case Finding and Surveillance of Elderly People at Home. The Lancet, 340(8824), 890893.CrossRefGoogle ScholarPubMed
Ramsdell, J.W., Swart, J.A., Jackson, J.E., & Renvall, M. (1989). The Yield of a Home Visit in the Assessment of Geriatric Patients. Journal of the American Geriatrics Society, 37, 1724.CrossRefGoogle ScholarPubMed
Siegel, D., Kuller, L., Lazarus, N.B., Black, D., Feigal, D., Hughes, G., Schoenberger, J.A., & Hulley, S.B. (1987). Predictors of Cardiovascular Events and Mortality in the Systolic Hypertension in the Elderly Program Pilot Project. American Journal of Epidemiology, 126, 385399.CrossRefGoogle ScholarPubMed
Snider, E.L. (1980). Awareness and Use of Health Services by the Elderly: A Canadian Study. Medical Care, 18, 11771182.CrossRefGoogle Scholar
U.S. Department of Health and Human Services. (1990). Report of the Surgeon General. Rockville, Maryland: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.Google Scholar
van Linschoten, C.P. (1990). Preventief Huisbezoek bij Ouderen. Den Haag: Nederlandse Federatie voor Bejaardenbeleid.Google Scholar
van Rossum, E. (1993). Effects of Preventive Home Visits to the Elderly. Ph.D. Dissertation, University of Limburg, Maastricht.CrossRefGoogle Scholar
van Rossum, E., & Frederiks, C.M.A. (1988). Heeft Preventief Ouderenbezoek Door Wijkverpleegkundigen Zin? Tijschrift voor Gerontologie en Geriatrie, 19, 36.Google Scholar
van Rossum, E., Frederiks, C., Philipsen, H., Kil-van Lierop, J., Mantel, A., Portengen, J., & Knipschild, P. (1991). Design of a Dutch Study to Test Preventive Home Visits to the Elderly. Nursing Research, 40, 185188.CrossRefGoogle ScholarPubMed
van Rossum, E., Frederiks, C.M.A., Philipsen, H., Portengen, K., Wiskerke, J., & Knipschild, P. (1993). Effects of Preventive Home Visits to Elderly People. British Medical Journal, 307, 2732.CrossRefGoogle ScholarPubMed
Vetter, N.J., Jones, D.A., & Victor, C.R. (1982). The Effectiveness of Health Visitors Working with the Elderly. Cardiff: Welsh National School of Medicine.Google Scholar
Vetter, N.J., Jones, D.A., & Victor, C.R. (1984). Effect of Health Visitors Working with Elderly Patients in General Practice: A Randomised Controlled Trial. British Medical Journal, 288, 369372.CrossRefGoogle ScholarPubMed
Vetter, N.J., Jones, D.A., & Victor, C.R. (1986). A Health Visitor Affects the Problems Others Do Not Reach. The Lancet, 11(8497), 3032.CrossRefGoogle Scholar
Vetter, N.J., Lewis, P.A., & Ford, D. (1992). Can Health Visitors Prevent Fractures in Elderly People? British Medical Journal, 304, 888890.CrossRefGoogle ScholarPubMed