Cost‐Effectiveness of Preventive Occupational Therapy for Independent‐Living Older Adults

Hay, Joel W.; LaBree, Laurie; Luo, Roger; Clark, Florence; Carlson, Michael; Mandel, Deborah; Zemke, Ruth; Jackson, Jeanne; Azen, Stanley P.

doi:10.1046/j.1532-5415.2002.50359.x

Cited by 104 publications

(115 citation statements)

References 26 publications

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“…3,5,6 Furthermore, such diseases are associated with a high financial cost and with functional and cognitive deficiencies. 3,7,8 NCCDs currently account for approximately 70% of the disabilities among the elderly in Brazil, where the disability-free life expectancy is 59.8 years, 12…”

Section: According To Data Published By the United Nations Populationmentioning

confidence: 99%

“…7,[9][10][11] Based on this information, healthcare for the geriatric population must be planned using data that allow risks, possible actions and estimates of costs to be evaluated concisely and objectively. 8 Ideally, these instruments need to be both easy to apply and suitable for assessing the vulnerabilities of this population, such as their functional and cognitive disabilities, the prevalence of chronic degenerative diseases and the need for pharmacotherapeutic support. 12 Hence, public policies for care for the elderly can benefit greatly from using constructs to evaluate clinical, psychological and social characteristics that simultaneously represent the major geriatric syndromes and the more recently studied aspects of senescence and senility.…”

Section: According To Data Published By the United Nations Populationmentioning

confidence: 99%

“…12 Hence, public policies for care for the elderly can benefit greatly from using constructs to evaluate clinical, psychological and social characteristics that simultaneously represent the major geriatric syndromes and the more recently studied aspects of senescence and senility. 8,[12][13][14] The purpose of this study was to identify groups of elderly people at the geriatric outpatient clinic of Hospital de Clínicas,…”

Section: According To Data Published By the United Nations Populationmentioning

confidence: 99%

“…3,8,9,11,13,15,21 Thus, although development of profiles identifying groups that are at most risk of functional impairment may not be of immediate relevance to family members, physicians or caregivers, whose attention is focused on the individual, it allows strategies for care of the elderly to be planned. More recently, studies have correlated vulnerability and functionality to the concept of frailty among the elderly.…”

Section: 4152122mentioning

confidence: 99%

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Cluster analysis to identify elderly people's profiles: a healthcare strategy based on frailty characteristics

et al. 2014

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CONTEXT AND OBJECTIVES: The new social panorama resulting from aging of the Brazilian population is leading to significant transformations within healthcare. Through the cluster analysis strategy, it was sought to describe the specific care demands of the elderly population, using frailty components. DESIGN AND SETTING: Cross-sectional study based on reviewing medical records, conducted in the geriatric outpatient clinic, Hospital de Clínicas, Universidade Estadual de Campinas (Unicamp). METHODS: Ninety-eight elderly users of this clinic were evaluated using cluster analysis and instruments for assessing their overall geriatric status and frailty characteristics. RESULTS:The variables that most strongly influenced the formation of clusters were age, functional capacities, cognitive capacity, presence of comorbidities and number of medications used. Three main groups of elderly people could be identified: one with good cognitive and functional performance but with high prevalence of comorbidities (mean age 77.9 years, cognitive impairment in 28.6% and mean of 7.4 comorbidities); a second with more advanced age, greater cognitive impairment and greater dependence (mean age 88.5 years old, cognitive impairment in 84.6% and mean of 7.1 comorbidities); and a third younger group with poor cognitive performance and greater number of comorbidities but functionally independent (mean age 78.5 years old, cognitive impairment in 89.6% and mean of 7.4 comorbidities). CONCLUSION: These data characterize the profile of this population and can be used as the basis for developing efficient strategies aimed at diminishing functional dependence, poor self-rated health and impaired quality of life. RESUMO CONTEXTO E OBJETIVOS:O panorama social do envelhecimento da população brasileira promete transformações significativas na atenção à saúde. Por meio da estratégia de análise por conglomerados (cluster), procurou-se descrever demandas de cuidados na população de idosos, utilizando componentes da fragilidade. TIPO DE ESTUDO E LOCAL: Estudo transversal baseado em revisão de registros médicos, realizado no Ambulatório de Geriatria do Hospital de Clínicas da Universidade Estadual de Campinas (Unicamp).MÉTODOS: Foram analisados 98 idosos usuários deste ambulatório por meio da análise de conglomerados, utilizando instrumentos para a avaliação do status geriátrico global e das características de fragilidade. RESULTADOS: As variáveis que mais fortemente influenciaram a formação dos conglomerados foram idade, capacidades funcional e cognitiva, presença de comorbidades e número de medicamentos utilizados, sendo o modelo com quatro agrupamentos estatisticamente mais robusto. Podem-se identificar três grupos principais de idosos, o primeiro de bom desempenho cognitivo e funcional, porém com elevada prevalência de comorbidades (idade média 77.9 anos, 28.6% com déficit cognitivo, média de 7.4 comorbidades); outro caracterizado por idade mais avançada, maior comprometimento cognitivo e maior dependência (idade média 88.5 anos, 84.6% com dé...

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Section: According To Data Published By the United Nations Populationmentioning

confidence: 99%

Section: According To Data Published By the United Nations Populationmentioning

confidence: 99%

Section: According To Data Published By the United Nations Populationmentioning

confidence: 99%

Section: 4152122mentioning

confidence: 99%

See 2 more Smart Citations

Cluster analysis to identify elderly people's profiles: a healthcare strategy based on frailty characteristics

et al. 2014

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“…Ook andere auteurs rapporteren forse kostenverminderingen op het gebied van zorg en welzijn door de effecten van ergotherapie. 24,25 Voor Nederland geldt dat ergotherapie in 20% van de behandelde ouderen opname in een instelling kan voorkomen of uitstellen. 26…”

Section: Kosteneffectiviteitunclassified

Ergotherapie: een effectief en goedkoop middel om vallen te voorkomen en ouderen hun zelfstandigheid te laten behouden

Steultjens¹,

Dekker²,

Bouter³

et al. 2006

HUWE

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Promoting the Health and Wellbeing of Older People

et al. 2014

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This chapter focuses on the wellbeing of older people. It looks at what is known about some of the economic impacts of poor wellbeing in older age, as well as the potential economic benefits of better wellbeing. Contrary to popular opinion, older people make a substantial positive net contribution to the economy through activities such as the provision of informal care, looking after grandchildren, paid employment, and engaging in volunteering. Investing in wellbeing can help further facilitate these benefits, as well as reduce the need for some health‐care services. Cost‐effective actions that can be taken include various social and group activities to counter social isolation and loneliness. Psychological therapies can also be used to help prevent depression in both the general older population and higher risk groups, including the bereaved. Evidence on the cost‐effectiveness of measures to tackle poverty, make use of new social media to combat isolation and encourage participation in adult education are needed.

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Cost‐Effectiveness of Preventive Occupational Therapy for Independent‐Living Older Adults

Abstract: In this study, preventive OT demonstrated cost-effectiveness in conjunction with a trend toward decreased medical expenditures.

Cited by 104 publications

References 26 publications

Cluster analysis to identify elderly people's profiles: a healthcare strategy based on frailty characteristics

Cluster analysis to identify elderly people's profiles: a healthcare strategy based on frailty characteristics

Ergotherapie: een effectief en goedkoop middel om vallen te voorkomen en ouderen hun zelfstandigheid te laten behouden

Promoting the Health and Wellbeing of Older People

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