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Real life research: building an evidence base for intermediate care
- Authors:
- TRAPPES-LOMAX Tessa, ELLIS Annie, FOX Mary
- Journal article citation:
- MCC Building Knowledge for Integrated Care, 10(6), December 2002, pp.15-21.
- Publisher:
- Pavilion
The third in a series of articles about trying to develop better evidence for a service on the health/social care interface. All are based on experiences of carrying out a comparative study of residential rehabilitation for older people. Previous articles dealt with methodology and implementation, this article reflects on the completion of the project and the first stages of dissemination.
Buying time: an evaluation and cost effectiveness analysis of a joint health/social care residential rehabilitation unit for older people on discharge from hospital
- Authors:
- TRAPPES-LOMAX Tessa, ELLIS Annie, FOX Mary
- Publisher:
- University of Exeter. Centre for Evidence-Based Social Services
- Publication year:
- 2002
- Pagination:
- 58p.
- Place of publication:
- Exeter
Previous work has suggested that older people can benefit from rehabilitation programmes. A recent five-year study has shown that an intensive six-week programme reduces the frequency of admissions to long-term residential care and is cost-effective. A decrease in dependency levels and high ratings of satisfaction with the service amongst both users and carers were also found. This study was designed to test these findings more rigorously by comparing outcomes in two groups of older people on discharge from hospital. The first group being investigated (n=94) received a rehabilitation programme. This group was compared with a second group (n=112) of people who received standard community support. The study investigated whether, at six and 12 months on, there was a difference between older people who, following discharge from hospital, had this programme of residential rehabilitation, and those who did not. Participants' levels of dependency, their health-related quality of life, general morale and well-being, and feelings about their ability to cope with the circumstances of their day-to-day lives were considered.