Screening the elderly.

Freer, Charles

doi:10.1136/bmj.300.6737.1447

Cited by 28 publications

(8 citation statements)

References 1 publication

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“…A recent contractual requirement in the UK for general practitioners is that, in order to satisfy the enhanced annual capitation fee for patients aged 75 and over, they must offer patients aged 75 and over a home visit including an assessment of their mobility and functioning, mental state, hearing and vision, continence, and a review of their medication. This requirement is controversial given the lack of evidence about the effectiveness of such screening methods (Freer, 1990). The findings presented here suggest that if an improvement in functional health status and symptom relief could be obtained, then people's subjective feelings of satisfaction with life might also improve.…”

Section: Discussionmentioning

confidence: 86%

Life satisfaction and associations with social network and support variables in three samples of elderly people

Bowling

Farquhar

Browne

1991

Int J Geriat Psychiatry

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Research evidence concerning the contributions of social networks and support to the subjective wellbeing (ie life satisfaction) of older persons is not consistent. This article reports the results of an investigation of social network type and health status and their effects on life satisfaction in relation to 1415 elderly people from three independent but comparable surveys: two in City and Hackney, London (urban area) and one in Braintree, Essex (semi-rural area). The percentages of the total variation in overall life satisfaction which was explained by the model ranged from 22% to 33% between samples. The most variation was explained among the sampleaged 85+ living in inner London. Although most of the variance remains unexplained, healthstatus was a more powerful predictor of life satisfaction among respondents living in City and Hackney, but not those living in Braintree

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Section: Discussionmentioning

confidence: 86%

Life satisfaction and associations with social network and support variables in three samples of elderly people

Bowling

Farquhar

Browne

1991

Int J Geriat Psychiatry

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“…It is a requirement in the UK that all patients over 75 receive an annual medication review as part of the general practitioner contract (Freer, 1990). The pharmacist could make a contribution to this process for those living in nursing homes.…”

Section: Resultsmentioning

confidence: 99%

Medication use in nursing homes for elderly people

Furniss

Craig

Burns

1998

Int. J. Geriat. Psychiatry

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“…Freer (1990), who argued that it would be more cost-effective to record the necessary information during patient-initiated consultations, and O'Connor et al…”

Section: Options VII and Viii: Universal Changes In Provisionmentioning

confidence: 98%

Elderly people with cognitive impairment: costing possible changes in the balance of care

Kavanagh

Schneider

Knapp

et al. 2007

Health &Amp; Social Care in the Community

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The objective of this paper is to investigate the service needs and support costs of elderly people with cognitive impairment on hospital and community health services, primary health care, social services, and informal carers in England. It examines the resource consequences of major changes in the provision of care, exploring the implications for both cost and effectiveness. The study was designed to provide a secondary analysis of the OPCS disability surveys in order to estimate the balance of care, and current provision of services. It also estimates of costs of present provision and potential policy options. Results show large scale improvements in the provision of care for people living in private households and local authority homes require significant increases in funding, but reductions in the provision of long-stay hospital beds can significantly reduce the cost burden to the public purse. Given the increasing demand pressure on health and social care expenditure, it seems unlikely that large scale improvements in the care supplied to elderly people with cognitive impairment can be achieved without some change in the balance of care. The cost of implementing improvements in care for the 200000 people living in private households and the 45000 people in local authority homes could be offset by reducing the provision of costly long stay hospital provision with alternative institutional care such as NHS nursing homes.

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Screening the elderly.

Cited by 28 publications

References 1 publication

Life satisfaction and associations with social network and support variables in three samples of elderly people

Life satisfaction and associations with social network and support variables in three samples of elderly people

Medication use in nursing homes for elderly people

Elderly people with cognitive impairment: costing possible changes in the balance of care

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