Geriatric patient outcomes and costs in three settings: nursing home, foster family, and own home.
Forty-nine matched triads of geriatric patients were compared after three months in their respective placement settings: nursing homes, geriatric foster homes, and own homes with supportive services. Compared to similarly disabled patients in nursing homes, patients in the two community settings made greater improvements in self-care skills and mobility, expressed greater well-being, had similar types and amounts of morbidity, and entailed lower costs. The results support the expansion of home and community-based services as alternatives to institutional care for a substantial number of geriatric patients.
D000203:Activities of Daily Living; D000368:Aged; D003258:Consumer Behavior; D003365:Costs and Cost Analysis; D005069:Evaluation Studies as Topic; D005581:Foster Home Care / Q000191:economics*; D006254:Hawaii; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D008134:Long-Term Care / Q000191:economics; D008484:Medicaid / Q000191:economics; D008609:Mental Status Schedule; D009735:Nursing Homes / Q000191:economics*; D012649:Self Concept