Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 2 of 2
Medicaid home care services and survival in New York City
- Authors:
- ALBERT Steven M., et al
- Journal article citation:
- Gerontologist, 45(5), October 2005, pp.609-616.
- Publisher:
- Oxford University Press
New York City's Medicaid Home Care Services Program provides an integrated program of housekeeping and personal assistance care along with regular nursing assessments. This study sought to determine if this program of supportive care offers a survival benefit to older adults. Of 866 older adults with Medicaid coverage living in the community, 288 (33.3%) received Medicaid home care services in the period from 1994 to 1996. Mortality was tracked through the end of 1999. In proportional hazards models that adjusted for differences in sociodemographic, medical, and functional status, use of Medicaid home care service was associated with a significantly reduced risk of death in people with disability in activities of daily living. Because the program has distinctive features (greater number of weekly hours than other programs, integration with nursing assessments), it is a special case of community-based long-term care. Still, results from this observational cohort suggest that mortality risk in the most vulnerable elderly population can be reduced through a program of supportive care.
Hourly care received by people with Alzheimer's Disease: results from an urban, community survey
- Authors:
- ALBERT Steven M., et al
- Journal article citation:
- Gerontologist, 28(6), December 1998, pp.704-714.
- Publisher:
- Oxford University Press
People with Alzheimer's Disease living in a defined community in New York City were identified and assessed on two occasions to determine the number of hours of activity of daily living (ADL) care they received. Nearly half received all care hours from informal sources; however, a quarter received all ADL care hours from formal sources. As dementia worsened, substitution of formal for informal care was rare, but formal care assumed a greater proportion of total care hours.