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Cost comparison of out-patient and home-based geriatric psychiatry consultations in one service
- Author:
- SHAH A.
- Journal article citation:
- Aging and Mental Health, 1(4), November 1997, pp.372-376.
- Publisher:
- Taylor and Francis
Describes a study comparing the costs of home-based and hospital-based out-patient clinic consultations in an established geriatric psychiatry service. The cost of home-based and out-patient-based consultations were similar for both new and follow-up patients. Although home-based consultations have many advantages over hospital-based out-patient consultations, a prospective randomised study with cost-effectiveness analysis, involving several centres, is proposed.
Aggressive behaviour and environmental characteristics in Australian nursing homes
- Authors:
- SHAH A., CHIU E., AMES D.
- Journal article citation:
- Aging and Mental Health, 4(1), February 2000, pp.43-47.
- Publisher:
- Taylor and Francis
Aggressive behaviour is commonly observed in nursing homes for the elderly. It causes distress to carers, and leads to hospitalisation, over-medication and physical restraint. Environmental factors can influence aggressive behaviour. A 6-month prospective study was undertaken examining the relationship between aggressive behaviour and environmental characteristics of nursing homes in Melbourne. There is no significant relationship between aggressive behaviour and environmental characteristics of the nursing homes. Methodological issues may explain this lack of association. Avenues of future research are discussed.