Does a primary care outreach programme offer a health related quality of life among older adults at risk of functional decline?
- Ploeg, J., Brazil, K., Hutchison, B., Kaczorowski, J., Dalby, D.M., Goldsmith, C.H., Furlong, W., 2010. Effect of preventive primary care outreach on health related quality of life among older adults at risk of functional decline: randomised controlled trial. BMJ 340, c1480–c1480.
- 769 Patients 75 years of age or older who were not receiving home care services.
The 12 month intervention consisted of a comprehensive initial assessment using the resident assessment instrument for home care; collaborative care planning with patients, their families, and family physicians; health promotion; and referral to community health and social support services.
- Changes over 12 months in functional status and self rated health were not significantly different between the intervention and control groups.
- Ten patients died in each group.
- No (without confidence)
- Despite the above results, one systematic review of home visits to reduce functional decline found that survival benefits were seen in young-old (72.7-77.5 years) rather than old-old (80.2-81.6 years) populations.