Comparison of informal caregiving by black and white older adults in a community population

Article Abstract:

A cross-sectional, population-based study, a comparison, of informal caregiving by black older adults vs that by white older adults in a community population has been carried out in 5,924 subjects older than 64. Older people are often viewed as recipients of informal care, but in fact many of them give care and their needs are little-studied. Sampling strategies in future research should give data about white and non-white participants. Racial and cultural differences should be identified so that interventions can be tailored appropriately.

Behavior, Demographic aspects, Caregivers, Aged women, Elderly women, Whites, Aged men, Elderly men, African American aged, African American elderly

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Hospitalization in the Program of All-Inclusive Care for the Elderly (PACE): rates, concomitants, and predictors

Article Abstract:

Rates, concomitants, and predictors of hospitalization in the Program of All-Inclusive Care for the Elderly (PACE) have been studied. The study was to describe hospital discharge diagnoses, short-term hospital utilization, time from enrollment to first hospitalization and its clinical predictors, and hospitalization in relation to mortality among program participants. It was found that bed-days/1000 participants/yr were comparable to those for the general Medicare population in fee-for-service despite greater morbidity and disability in PACE participants. Overall, short-term hospital utilization among participants was low vs that for other older and disabled populations.

Research, Management, Community health services, Medical care, Medical care utilization, Managed care plans (Medical care), Nursing homes, Evidence-based medicine, Medicare, Gerontology, Capitated payment systems (Medical care), Medical care needs assessment, Frail elderly, Home care services, Chronically ill, Health care teams

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Do hospital fall prevention programs work?: a systematic review

Article Abstract:

A systematic review of published hospital fall prevention programs has been carried out to find out whether they have any effect on fall rates. The pooled effect of about 25% reduction in the fall rate may be a result of intervention, but may be biased by studies that used historical controls not allowing for historical trends in the fall rate before/during intervention. The apparent lack of effect of randomized controlled trials may be because of a change in practice when patients and controls were in the same unit at the same time during a study.

United Kingdom, Aged, Elderly, Prevention, Falls (Accidents), Accidental falls, Meta-analysis, Hospital administration

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