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Preventive home visits to older home-dwelling people in Denmark: are invitational procedures of importance?
- Authors:
- EKMANN A., VASS M., AVLUND K.
- Journal article citation:
- Health and Social Care in the Community, 18(6), November 2010, pp.563-571.
- Publisher:
- Wiley
All municipalities in Denmark are required by law to offer two annual preventive home visits to all home-dwelling citizens aged 75 or over. This study investigated whether different invitational procedures were associated with first preventive home visit acceptance rates. Two thousand three hundred and ninety nine participants provided complete data for the main analyses. Invitational procedures were categorised as: a letter with a proposed date and time for the visit; a visitor telephone call; and a letter with encouragement to phone the visitor for appointment. Covariates included sex, age, experience with preventive interventions, functional ability, self-rated health, social relations and psychosocial characteristics. Different invitational procedures were associated with first preventive home visit acceptance rates. Significantly more men (75.1%) than women (62.8%) declined the first preventive home visit regardless of the invitational procedure. Compared to `letter with a proposed date', men had an odds ratio of 1.78 for declining visits when `telephone call' was used and an odds ratio 2.81 when `letter without a proposed date' was used as the invitational procedure. In women the odds ratios were 1.23 and 1.87 respectively.