Health team for the elderly: a feasibility study for preventive home visits

Berit Seiger Cronfalk, Astrid Fjell, Nina Carstens, Lars Malvin Kvinge Rosseland, A. Rongve, Dag-Helge Rönnevik, Å. Seiger, K. Skaug, Karen Johanne Ugland Vae, Marianne Hauge Wennersberg, A. Boström
{"title":"Health team for the elderly: a feasibility study for preventive home visits","authors":"Berit Seiger Cronfalk, Astrid Fjell, Nina Carstens, Lars Malvin Kvinge Rosseland, A. Rongve, Dag-Helge Rönnevik, Å. Seiger, K. Skaug, Karen Johanne Ugland Vae, Marianne Hauge Wennersberg, A. Boström","doi":"10.1017/S1463423617000019","DOIUrl":null,"url":null,"abstract":"The aim was to describe the development, utilization and feasibility of a model of preventive home visits, in an urban and a rural municipality in Norway. Background Older people >65 years will rise significantly in coming years. Increased age is associated with risk of disability, illness and need for public health services. Preventive home visits is assumed to help older people to maintain their functional level longer, delaying disease and thus delaying the need for health care. Method Descriptive explorative design describing the development, utilization and feasibility of preventive home visits in two different settings. All 77-year-old persons living at home in an urban municipality and all 75 years and older in a rural municipality were invited to participate. A questionnaire including a substantial number of tests concerning; fall, nutrition, polypharmacy and cognitive impairment was used by Health Team Nurses as base for a risk assessment. Pilot studies were conducted to validate the questionnaire including an inter-rater reliability study of the risk assessment tool. A multiprofessional team, Health Team for the Elderly met each week to evaluate risk assessments and make recommendations to be sent to each respective general practitioner. Data were analysed using descriptive and inferential statistics. In total, 167 persons (109 from the urban municipality and 58 from the rural municipality) participated, corresponding to 60% of the approached individuals. The mean time for the visits was 108 minutes (SD 20). Missing data were identified for; Do you feel safe in your municipality (17.5%) and Are you looking forward to ageing (11.4%). In total, 36 persons (21.7%) were identified with increased risk for developing illness. We suggest that a structured model of preventive home visits and collaboration between highly specialized health care professionals are important factors for reliable health promoting risk assessments of elderly home dwellers.","PeriodicalId":20471,"journal":{"name":"Primary Health Care Research & Development","volume":"106 1","pages":"242 - 252"},"PeriodicalIF":0.0000,"publicationDate":"2017-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"18","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Primary Health Care Research & Development","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1017/S1463423617000019","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 18

Abstract

The aim was to describe the development, utilization and feasibility of a model of preventive home visits, in an urban and a rural municipality in Norway. Background Older people >65 years will rise significantly in coming years. Increased age is associated with risk of disability, illness and need for public health services. Preventive home visits is assumed to help older people to maintain their functional level longer, delaying disease and thus delaying the need for health care. Method Descriptive explorative design describing the development, utilization and feasibility of preventive home visits in two different settings. All 77-year-old persons living at home in an urban municipality and all 75 years and older in a rural municipality were invited to participate. A questionnaire including a substantial number of tests concerning; fall, nutrition, polypharmacy and cognitive impairment was used by Health Team Nurses as base for a risk assessment. Pilot studies were conducted to validate the questionnaire including an inter-rater reliability study of the risk assessment tool. A multiprofessional team, Health Team for the Elderly met each week to evaluate risk assessments and make recommendations to be sent to each respective general practitioner. Data were analysed using descriptive and inferential statistics. In total, 167 persons (109 from the urban municipality and 58 from the rural municipality) participated, corresponding to 60% of the approached individuals. The mean time for the visits was 108 minutes (SD 20). Missing data were identified for; Do you feel safe in your municipality (17.5%) and Are you looking forward to ageing (11.4%). In total, 36 persons (21.7%) were identified with increased risk for developing illness. We suggest that a structured model of preventive home visits and collaboration between highly specialized health care professionals are important factors for reliable health promoting risk assessments of elderly home dwellers.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
老年人保健小组:预防性家访的可行性研究
其目的是描述在挪威一个城市和一个农村市镇预防性家访模式的发展、利用和可行性。背景:65岁以上的老年人在未来几年将显著增加。年龄增长与残疾、疾病风险和对公共卫生服务的需求有关。预防性家访被认为有助于老年人更长时间地保持其功能水平,延缓疾病,从而推迟对保健的需要。方法描述性探索性设计,描述两种不同情况下预防性家访的发展、利用和可行性。所有居住在城市自治市家中的77岁老人和居住在农村自治市的75岁及以上老人都被邀请参加研究。一份调查问卷,包括有关的大量测试;健康团队护士使用跌倒、营养、多种药物和认知障碍作为风险评估的基础。进行了试点研究以验证问卷,包括风险评估工具的评分者间信度研究。一个多专业小组,即老年人健康小组,每周开会评估风险评估,并提出建议,发送给每个各自的全科医生。数据分析采用描述性和推断性统计。总共有167人(109人来自城市自治市,58人来自农村自治市)参与了调查,相当于接触个人的60%。平均就诊时间为108分钟(SD 20)。缺失的数据被确定为;你在你居住的城市感到安全吗(17.5%),你期待着变老吗(11.4%)。总共有36人(21.7%)被确定为患病风险增加。我们建议,预防性家访的结构化模式和高度专业化的卫生保健专业人员之间的合作是可靠的居家老年人健康促进风险评估的重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Health risk appraisal in older people 7: long-acting benzodiazepine use in community-dwelling older adults in London: is it related to physical or psychological factors? Collaborative Care model in mental health. Scope and experiences after three years of activity in Mexico City Health team for the elderly: a feasibility study for preventive home visits Primary care and the public’s health: evidence from service development initiatives Perception of measures for dealing with Ebola disease in primary care
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1