Does a primary care outreach programme offer a health related quality of life among older adults at risk of functional decline?

From: BMJ

Journal rating:
rating: 99%
Study Quality:
rating: 85%

Overall Reliability

Article Quality:
rating: 90%
rating: 25%


  • 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)


Editors Notes

  • 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.