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. 1985 Oct;20(4):461–488.

Apples and oranges? A review of evaluations of community-based long-term care.

S L Hughes
PMCID: PMC1068894  PMID: 3932261

Abstract

This article synthesizes the contradictory findings of the community-based long-term care evaluation literature by grouping 13 studies into three models of care tested. All studies are reviewed according to tenets of internal and external/construct validity to ascertain what is "known" and "not known" about the effectiveness of this new type of care, and to specify areas needing further research. Findings suggest that increased preoperational specification of underlying theory, increased sophistication in targeting services to high-risk groups, use of multivariate analysis, and the development of more relevant outcome measures will improve the quality of future study findings, thereby contributing to theory and model building in this field.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Applebaum R., Seidl F. W., Austin C. D. The Wisconsin community care organization: preliminary findings from the Milwaukee experiment. Gerontologist. 1980 Jun;20(3 Pt 1):350–355. doi: 10.1093/geront/20.3_part_1.350. [DOI] [PubMed] [Google Scholar]
  2. Bryant N. H., Candland L., Loewenstein R. Comparison of care and cost outcomes for stroke patients with and without home care. Stroke. 1974 Jan-Feb;5(1):54–59. doi: 10.1161/01.str.5.1.54. [DOI] [PubMed] [Google Scholar]
  3. Eggert G. M., Bowlyow J. E., Nichols C. W. Gaining control of the long term care system: first returns from the ACCESS experiment. Gerontologist. 1980 Jun;20(3 Pt 1):356–363. doi: 10.1093/geront/20.3_part_1.356. [DOI] [PubMed] [Google Scholar]
  4. Gerson L. W., Berry A. F. Psycho-social effects of home care: results of a randomized controlled trial. Int J Epidemiol. 1976 Jun;5(2):159–165. doi: 10.1093/ije/5.2.159. [DOI] [PubMed] [Google Scholar]
  5. Gillick M. R. Sounding boards. Is the care of the chronically ill a medical prerogative? N Engl J Med. 1984 Jan 19;310(3):190–193. doi: 10.1056/NEJM198401193100310. [DOI] [PubMed] [Google Scholar]
  6. Hicks B., Raisz H., Segal J., Doherty N. The triage experiment in coordinated care for the elderly. Am J Public Health. 1981 Sep;71(9):991–1003. doi: 10.2105/ajph.71.9.991. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Liu K., Manton K. G. The characteristics and utilization pattern of an admission cohort of nursing home patients. Gerontologist. 1983 Feb;23(1):92–98. doi: 10.1093/geront/23.1.92. [DOI] [PubMed] [Google Scholar]
  8. Mitchell J. B. Patient outcomes in alternative long-term care settings. Med Care. 1978 Jun;16(6):439–452. doi: 10.1097/00005650-197806000-00001. [DOI] [PubMed] [Google Scholar]
  9. Nielsen M., Blenkner M., Bloom M., Downs T., Beggs H. Older persons after hospitalization: a controlled study of home aide service. Am J Public Health. 1972 Aug;62(8):1094–1101. doi: 10.2105/ajph.62.8.1094. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Skellie F. A., Coan R. E. Community-based long-term care and mortality: preliminary findings of Georgia's alternative health services project. Gerontologist. 1980 Jun;20(3 Pt 1):372–379. doi: 10.1093/geront/20.3_part_1.372. [DOI] [PubMed] [Google Scholar]
  11. Skellie F. A., Mobley G. M., Coan R. E. Cost-effectiveness of community-based long-term care: current findings of Georgia's alternative health services project. Am J Public Health. 1982 Apr;72(4):353–358. doi: 10.2105/ajph.72.4.353. [DOI] [PMC free article] [PubMed] [Google Scholar]

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