Evaluation of aging in place model with home care services and registered nurse care coordination in senior housing.
A state-sponsored evaluation of aging in place (AIP) as an alternative to assisted living and nursing home has been underway in Missouri. Cost, physical, and mental health assessment data reveal the cost-effectiveness and positive health measures of AIP. Findings of the first four years of the AIP evaluation of two long-term care settings in Missouri with registered nurse care coordination are compared with national data for traditional long-term care. The combined care and housing cost for any resident who received care services beyond base services of AIP and who qualified for nursing home care has never approached or exceeded the cost of nursing home care at either location. Both mental health and physical health measures indicate the health restoration and independence effectiveness of the AIP model for long-term care.
Sinclair School of Nursing, University Hospital, University of Missouri, Columbia, MO 65279, USA. rantzm@missouri.edu
Marilyn J
MJ
Rantz
Lorraine
L
Phillips
Myra
M
Aud
Lori
L
Popejoy
Karen Dorman
KD
Marek
Lanis L
LL
Hicks
Isabella
I
Zaniletti
Steven J
SJ
Miller
D000368:Aged; D000369:Aged, 80 and over; D003258:Consumer Behavior; D005260:Female; D006302:Health Services Research; D006304:Health Status; D006699:Home Care Services / Q000191:economics / Q000458:organization & administration*; D006707:Homes for the Aged / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D057187:Independent Living; D007902:Length of Stay; D008297:Male; D016294:Models, Nursing; D009735:Nursing Homes / Q000191:economics / Q000458:organization & administration*