title: [Use of social and health primary care services for older people with complex needs: Comparison of three types of gerontological coordination].
abstract: BACKGROUND
  Older people with complex needs live mainly at home. Several types of gerontological coordinations have been established on the French territory to meet their needs and to implement social and primary health care services. But we do not have any information on the use of these services at home as a function of the coordination method used.
  
  
  METHODS
  We compared the use of home care services for older people with complex needs in three types of coordination with 12 months' follow-up. The three coordinations regrouped a gerontological network with case management (n=105 persons), a nursing home service (SSIAD) with a nurse coordination (n=206 persons) and an informal coordination with a non-professional caregiver (n=117 persons).
  
  
  RESULTS
  At t0, the older people addressed to the gerontological network had less access to the services offered at home; those followed by the SSIAD had the highest number of services and of weekly interventions. Hours of weekly services were two-fold higher in those with the informal coordination. At t12, there was an improvement in access to services for the network group with case management and an overall increase in the use of professional services at home with no significant difference between the three groups.
  
  
  CONCLUSIONS
  The use of social and primary health care services showed differences between the three gerontological coordinations. The one-year evolution in the use of home services was comparable between the groups without an explosion in the number of services in the network group with case management.
authors.affiliation: Laboratoire santé environnement vieillissement, EA 2506, université de Versailles Saint-Quentin, hôpital Sainte-Perine, AP-HP, Paris, France. Electronic address: matthieu.destampa@spr.aphp.fr.
authors.forename: M
authors.initials: M
authors.lastname: de Stampa
authors.affiliation: Laboratoire santé environnement vieillissement, EA 2506, université de Versailles Saint-Quentin, hôpital Sainte-Perine, AP-HP, Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: Bagaragaza
authors.affiliation: Laboratoire santé environnement vieillissement, EA 2506, université de Versailles Saint-Quentin, hôpital Sainte-Perine, AP-HP, Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Herr
authors.affiliation: Département information hospitalière et de santé publique, unité de recherche clinique, laboratoire santé environnement vieillissement, EA 2506, hôpital Ambroise-Paré, AP-HP, Boulogne, France.
authors.forename: P
authors.initials: P
authors.lastname: Aegerter
authors.affiliation: Groupe de recherche Solidage sur la fragilité et le vieillissement, université de McGill et de Montréal, Lady Davis Institute, hôpital Général Juif, Montréal, Québec, Canada.
authors.forename: I
authors.initials: I
authors.lastname: Vedel
authors.affiliation: Groupe de recherche Solidage sur la fragilité et le vieillissement, université de McGill et de Montréal, Lady Davis Institute, hôpital Général Juif, Montréal, Québec, Canada.
authors.forename: H
authors.initials: H
authors.lastname: Bergman
authors.affiliation: Laboratoire santé environnement vieillissement, EA 2506, université de Versailles Saint-Quentin, hôpital Sainte-Perine, AP-HP, Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Ankri
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005853:Geriatrics / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006299:Health Services for the Aged / Q000458:organization & administration / Q000706:statistics & numerical data*; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D009735:Nursing Homes; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012947:Social Work
keywords: Case management; Coordination gérontologique; Gerontological coordination; Gestion de cas; Older persons with complex needs; Personnes âgées en situations complexes; Use of home care services; Utilisation des services à domicile