title: The effectiveness of the around-the-clock in-home care system: did it prevent the institutionalization of frail elderly?
abstract: This study compares two communities in Japan from the perspective of community health care resources and their use by the elderly during 1992-98. In one community, programs of home care services for the elderly were reorganized to provide around-the-clock in-home nursing and home help services seven days a week (ACC). Official records were the major sources of data. Evidence from the analysis indicated that ACC might contribute to less use of institutionalization as an alternative to home care, even though, in some instances, institutionalization is the only appropriate alternative.
authors.affiliation: Department of Community Health Nursing, The University of Tokyo, Japan. murasima-tky@umin.ac.jp
authors.forename: Sachiyo
authors.initials: S
authors.lastname: Murashima
authors.forename: Kiyomi
authors.initials: K
authors.lastname: Asahara
mesh_terms: D000368:Aged; D003152:Community Health Nursing / Q000592:standards* / Q000706:statistics & numerical data; D016330:Frail Elderly; D006302:Health Services Research; D006299:Health Services for the Aged / Q000592:standards* / Q000706:statistics & numerical data; D006699:Home Care Services / Q000592:standards* / Q000706:statistics & numerical data; D018576:Home Health Aides / Q000592:standards; D006801:Humans; D007326:Institutionalization / Q000706:statistics & numerical data*; D007564:Japan; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D013997:Time Factors