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Client Outcomes in Case Managed Care: Who Benefits Most?
Author(s) -
Wells Yvonne,
Swerissen Hal,
Kendig Hal
Publication year - 1999
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/j.1741-6612.1999.tb00100.x
Subject(s) - institutionalisation , spouse , nursing , long term care , nursing homes , dementia , medicine , gerontology , psychology , psychiatry , disease , pathology , sociology , anthropology
Objective: To determine how well outcomes could be predicted by initial circumstances and subsequent deterioration in clients and carers. Method: Longitudinal data from the Victorian Linkages projects, collected in 1992 and 1994, were examined. Results: Institutionalisation was highly likely in cases where carers experienced reduced motivation to care. Placement in nursing homes rather than in hostels was best predicted by incontinence. Death was associated with changes in health status. Those clients most successful in avoiding long‐term institutional care were in stable situations with a spouse carer. Conclusion: The study provides supportive evidence of the capacity of intensive community services to provide alternatives to entry to residential care.